How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $39.81 Median $45.71 Typical High $2,238.72 | Facility | None | $39.81 | $45.71 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $79.43 Typical High $213.80 | Facility | TC · Technical part | $31.62 | $79.43 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $39.81 Typical High $45.71 | Professional | None (both parts) | $33.88 | $39.81 | $45.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $8.91 | Professional | 26 · Professional part | $7.41 | $8.51 | $8.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $36.31 | Professional | TC · Technical part | $26.30 | $31.62 | $36.31 |
Anthem BCBS Setting Facility Modifier None Typical Low $9.77 Median $190.55 Typical High $194.98 | Facility | None | $9.77 | $190.55 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $39.81 Typical High $123.03 | Professional | None (both parts) | $37.15 | $39.81 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.77 Typical High $25.70 | Professional | 26 · Professional part | $8.13 | $9.77 | $25.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $30.90 Typical High $91.20 | Professional | TC · Technical part | $29.51 | $30.90 | $91.20 |
Blue Shield Setting Facility Modifier None Typical Low $69.18 Median $204.17 Typical High $331.13 | Facility | None | $69.18 | $204.17 | $331.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $30.20 Median $43.65 Typical High $72.44 | Professional | None (both parts) | $30.20 | $43.65 | $72.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $10.47 Typical High $16.60 | Professional | 26 · Professional part | $7.24 | $10.47 | $16.60 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $32.36 Typical High $54.95 | Professional | TC · Technical part | $22.91 | $32.36 | $54.95 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $60.26 | Professional | None (both parts) | $41.69 | $54.95 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $223.87 Typical High $489.78 | Facility | None | $75.86 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $30.90 | $40.74 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $7.59 | $9.33 | $17.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $23.44 | $31.62 | $60.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $27.54 Median $48.98 Typical High $66.07 | Professional | None | $27.54 | $48.98 | $66.07 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.12 Typical High $12.30 | Professional | 26 · Professional part | $6.61 | $9.12 | $12.30 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $39.81 Typical High $53.70 | Professional | TC · Technical part | $20.89 | $39.81 | $53.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $93.33 | Professional | None | $38.02 | $45.71 | $93.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.96 Typical High $24.55 | Professional | 26 · Professional part | $8.13 | $10.96 | $24.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $45.71 Typical High $107.15 | Professional | TC · Technical part | $32.36 | $45.71 | $107.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | None (both parts) | $245.47 | $245.47 | $316.23 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | 26 · Professional part | $93.33 | $93.33 | $93.33 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $190.55 | $190.55 | $251.19 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.51 Median $27.54 Typical High $35.48 | Professional | None (both parts) | $8.51 | $27.54 | $35.48 |
Providence Setting Facility Modifier None Typical Low $50.12 Median $154.88 Typical High $457.09 | Facility | None | $50.12 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $30.90 Median $40.74 Typical High $81.28 | Professional | None (both parts) | $30.90 | $40.74 | $81.28 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.91 Typical High $15.85 | Professional | 26 · Professional part | $7.76 | $8.91 | $15.85 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $31.62 Typical High $54.95 | Professional | TC · Technical part | $23.44 | $31.62 | $54.95 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $120.23 | $120.23 | $120.23 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $91.20 | $91.20 | $91.20 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $218.78 | Facility | None | $144.54 | $144.54 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $36.31 Typical High $77.62 | Professional | None (both parts) | $27.54 | $36.31 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.71 Typical High $16.60 | Professional | 26 · Professional part | $6.92 | $8.71 | $16.60 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $28.84 Typical High $61.66 | Professional | TC · Technical part | $21.38 | $28.84 | $61.66 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $19.95 Median $39.81 Typical High $95.50 | Facility | 52 · Reduced service | $19.95 | $39.81 | $95.50 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $7.94 Median $16.22 Typical High $42.66 | Facility | 53 · Discontinued | $7.94 | $16.22 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $32.36 Median $79.43 Typical High $169.82 | Facility | FX · Film X-ray | $32.36 | $79.43 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $19.95 Typical High $22.39 | Professional | 52 · Reduced service | $16.98 | $19.95 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.94 Typical High $9.12 | Professional | 53 · Discontinued | $6.76 | $7.94 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $32.36 Typical High $36.31 | Professional | FX · Film X-ray | $27.54 | $32.36 | $36.31 |
Where California sits
The same service costs 3.7 times more in Alaska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
California· 30th of 51
$43.65
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.