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 $851.14 Typical High $2,089.30 | Facility | TC · Technical part | $338.84 | $851.14 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $602.56 | Professional | None (both parts) | $478.63 | $478.63 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $165.96 | Professional | 26 · Professional part | $141.25 | $141.25 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $524.81 | Professional | TC · Technical part | $338.84 | $338.84 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $173.78 Median $186.21 Typical High $204.17 | Facility | None | $173.78 | $186.21 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $549.54 Typical High $1,071.52 | Professional | None (both parts) | $380.19 | $549.54 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $177.83 Typical High $295.12 | Professional | 26 · Professional part | $138.04 | $177.83 | $295.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $380.19 Typical High $870.96 | Professional | TC · Technical part | $229.09 | $380.19 | $870.96 |
Blue Shield Setting Facility Modifier None Typical Low $512.86 Median $3,890.45 Typical High $6,918.31 | Facility | None | $512.86 | $3,890.45 | $6,918.31 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,318.26 | Professional | None (both parts) | $562.34 | $794.33 | $1,318.26 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $173.78 Typical High $302.00 | Professional | 26 · Professional part | $117.49 | $173.78 | $302.00 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $645.65 Typical High $1,071.52 | Professional | TC · Technical part | $446.68 | $645.65 | $1,071.52 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $165.96 | $204.17 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $2,630.27 Typical High $5,623.41 | Facility | None | $1,148.15 | $2,630.27 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $2,754.23 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $2,754.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $162.18 Typical High $331.13 | Professional | 26 · Professional part | $125.89 | $162.18 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,412.54 Typical High $2,511.89 | Professional | TC · Technical part | $1,023.29 | $1,412.54 | $2,511.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | None | $169.82 | $169.82 | $204.17 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $181.97 Typical High $245.47 | Professional | 26 · Professional part | $51.29 | $181.97 | $245.47 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $120.23 | $120.23 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $549.54 Typical High $2,041.74 | Professional | None | $354.81 | $549.54 | $2,041.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $223.87 Typical High $501.19 | Professional | 26 · Professional part | $158.49 | $223.87 | $501.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $7,079.46 Median $7,079.46 Typical High $7,079.46 | Professional | None (both parts) | $7,079.46 | $7,079.46 | $7,079.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Professional | 26 · Professional part | $1,288.25 | $1,288.25 | $1,659.59 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Professional | TC · Technical part | $6,918.31 | $6,918.31 | $6,918.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $158.49 | Professional | None (both parts) | $33.11 | $33.11 | $158.49 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $1,096.48 Typical High $2,884.03 | Facility | None | $177.83 | $1,096.48 | $2,884.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,445.44 Typical High $2,398.83 | Professional | None (both parts) | $1,122.02 | $1,445.44 | $2,398.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $151.36 Typical High $269.15 | Professional | 26 · Professional part | $125.89 | $151.36 | $269.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,380.38 Typical High $2,187.76 | Professional | TC · Technical part | $1,047.13 | $1,380.38 | $2,187.76 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | 26 · Professional part | $512.86 | $512.86 | $512.86 |
United Setting Facility Modifier None Typical Low $891.25 Median $891.25 Typical High $1,380.38 | Facility | None | $891.25 | $891.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $2,041.74 | Professional | None (both parts) | $288.40 | $549.54 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $154.88 Typical High $302.00 | Professional | 26 · Professional part | $125.89 | $154.88 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $407.38 Typical High $1,659.59 | Professional | TC · Technical part | $165.96 | $407.38 | $1,659.59 |
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 $239.88 Median $239.88 Typical High $302.00 | Professional | 52 · Reduced service | $239.88 | $239.88 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | 53 · Discontinued | $95.50 | $95.50 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $478.63 | Professional | FX · Film X-ray | $380.19 | $380.19 | $478.63 |
Where California sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 28th of 51
$741
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.