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 $478.63 Median $1,698.24 Typical High $4,073.80 | Facility | None | $478.63 | $1,698.24 | $4,073.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $812.83 Typical High $2,089.30 | Facility | TC · Technical part | $338.84 | $812.83 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $478.63 Typical High $549.54 | Professional | None (both parts) | $257.04 | $478.63 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $141.25 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $141.25 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $338.84 Typical High $389.05 | Professional | TC · Technical part | $190.55 | $338.84 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $204.17 Typical High $323.59 | Professional | None (both parts) | $199.53 | $204.17 | $323.59 |
Anthem BCBS Setting Facility Modifier None Typical Low $60.26 Median $1,174.90 Typical High $1,202.26 | Facility | None | $60.26 | $1,174.90 | $1,202.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $371.54 | $389.05 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $194.98 | Professional | 26 · Professional part | $58.88 | $63.10 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $323.59 Typical High $891.25 | Professional | TC · Technical part | $309.03 | $323.59 | $891.25 |
Blue Shield Setting Facility Modifier None Typical Low $512.86 Median $3,019.95 Typical High $5,495.41 | Facility | None | $512.86 | $3,019.95 | $5,495.41 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $281.84 Median $426.58 Typical High $741.31 | Professional | None (both parts) | $281.84 | $426.58 | $741.31 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $54.95 | $81.28 | $138.04 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $346.74 | $602.56 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $1,096.48 | Professional | None (both parts) | $251.19 | $338.84 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $707.95 Typical High $4,466.84 | Facility | None | $371.54 | $707.95 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $426.58 Typical High $831.76 | Professional | None (both parts) | $229.09 | $426.58 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $38.90 | $64.57 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $346.74 Typical High $691.83 | Professional | TC · Technical part | $165.96 | $346.74 | $691.83 |
Contra Costa Health Setting Professional Modifier None Typical Low $223.87 Median $302.00 Typical High $407.38 | Professional | None | $223.87 | $302.00 | $407.38 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $70.79 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $70.79 | $95.50 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $229.09 Typical High $309.03 | Professional | TC · Technical part | $177.83 | $229.09 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $588.84 | Professional | None | $234.42 | $288.40 | $588.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $63.10 | $89.13 | $199.53 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $275.42 Typical High $616.60 | Professional | TC · Technical part | $190.55 | $275.42 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,884.03 | $2,951.21 | $2,951.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | 26 · Professional part | $645.65 | $645.65 | $645.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $2,511.89 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $75.86 Typical High $316.23 | Professional | None (both parts) | $33.11 | $75.86 | $316.23 |
Providence Setting Facility Modifier None Typical Low $257.04 Median $478.63 Typical High $1,096.48 | Facility | None | $257.04 | $478.63 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $223.87 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $223.87 | $426.58 | $776.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $38.02 | $61.66 | $117.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $346.74 Typical High $660.69 | Professional | TC · Technical part | $165.96 | $346.74 | $660.69 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $870.96 | $870.96 | $870.96 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | TC · Technical part | $645.65 | $645.65 | $645.65 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $309.03 Typical High $691.83 | Professional | None (both parts) | $223.87 | $309.03 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $63.10 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $245.47 Typical High $575.44 | Professional | TC · Technical part | $165.96 | $245.47 | $575.44 |
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 $239.88 Median $426.58 Typical High $1,047.13 | Facility | 52 · Reduced service | $239.88 | $426.58 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $95.50 Median $169.82 Typical High $416.87 | Facility | 53 · Discontinued | $95.50 | $169.82 | $416.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $380.19 Median $676.08 Typical High $1,659.59 | Facility | FX · Film X-ray | $380.19 | $676.08 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $186.21 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $74.13 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $295.12 | $380.19 | $380.19 |
Where California sits
The same service costs 5.8 times more in Wyoming than in Utah. 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· 21st of 51
$457
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.