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 $1,621.81 Typical High $4,073.80 | Facility | None | $478.63 | $1,621.81 | $4,073.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $776.25 Typical High $2,089.30 | Facility | TC · Technical part | $338.84 | $776.25 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $660.69 | Professional | None (both parts) | $398.11 | $478.63 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $141.25 Typical High $199.53 | Professional | 26 · Professional part | $87.10 | $141.25 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $354.81 Typical High $512.86 | Professional | TC · Technical part | $309.03 | $354.81 | $512.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $2,137.96 Typical High $2,137.96 | Professional | None (both parts) | $316.23 | $2,137.96 | $2,137.96 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $1,778.28 Typical High $1,819.70 | Facility | None | $85.11 | $1,778.28 | $1,819.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $616.60 Typical High $1,819.70 | Professional | None (both parts) | $562.34 | $616.60 | $1,819.70 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $89.13 Typical High $251.19 | Professional | 26 · Professional part | $85.11 | $89.13 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $537.03 Typical High $1,548.82 | Professional | TC · Technical part | $489.78 | $537.03 | $1,548.82 |
Blue Shield Setting Facility Modifier None Typical Low $323.59 Median $5,128.61 Typical High $9,120.11 | Facility | None | $323.59 | $5,128.61 | $9,120.11 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $446.68 Median $691.83 Typical High $1,174.90 | Professional | None (both parts) | $446.68 | $691.83 | $1,174.90 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $109.65 | $186.21 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $575.44 Typical High $1,000.00 | Professional | TC · Technical part | $380.19 | $575.44 | $1,000.00 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $389.05 | $512.86 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,047.13 Typical High $4,466.84 | Facility | None | $588.84 | $1,047.13 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $691.83 Typical High $1,412.54 | Professional | None (both parts) | $346.74 | $691.83 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $52.48 | $87.10 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $602.56 Typical High $1,318.26 | Professional | TC · Technical part | $281.84 | $602.56 | $1,318.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $338.84 Median $457.09 Typical High $616.60 | Professional | None | $338.84 | $457.09 | $616.60 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $47.86 | $95.50 | $128.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $288.40 | $363.08 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $870.96 | Professional | None | $346.74 | $426.58 | $870.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $251.19 | Professional | 26 · Professional part | $81.28 | $109.65 | $251.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $416.87 Typical High $977.24 | Professional | TC · Technical part | $295.12 | $416.87 | $977.24 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Professional | None (both parts) | $5,495.41 | $5,495.41 | $5,495.41 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | 26 · Professional part | $812.83 | $812.83 | $812.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Professional | TC · Technical part | $5,011.87 | $5,011.87 | $5,011.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $102.33 Typical High $501.19 | Professional | None (both parts) | $33.11 | $102.33 | $501.19 |
Providence Setting Facility Modifier None Typical Low $398.11 Median $691.83 Typical High $1,584.89 | Facility | None | $398.11 | $691.83 | $1,584.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $346.74 Median $691.83 Typical High $1,380.38 | Professional | None (both parts) | $346.74 | $691.83 | $1,380.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $51.29 | $83.18 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $602.56 Typical High $1,288.25 | Professional | TC · Technical part | $281.84 | $602.56 | $1,288.25 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,288.25 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Facility Modifier None Typical Low $575.44 Median $588.84 Typical High $6,606.93 | Facility | None | $575.44 | $588.84 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $489.78 Typical High $1,174.90 | Professional | None (both parts) | $338.84 | $489.78 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $371.54 Typical High $1,000.00 | Professional | TC · Technical part | $257.04 | $371.54 | $1,000.00 |
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 $208.93 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $208.93 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $85.11 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $323.59 | $380.19 | $380.19 |
Where California sits
The same service costs 5.6 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· 24th of 51
$617
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.