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 $398.11 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $398.11 | $478.63 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $208.93 | Professional | 26 · Professional part | $141.25 | $141.25 | $208.93 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $281.84 | $338.84 | $338.84 |
Anthem BCBS Setting Facility Modifier None Typical Low $144.54 Median $154.88 Typical High $169.82 | Facility | None | $144.54 | $154.88 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $616.60 Typical High $1,479.11 | Professional | None (both parts) | $537.03 | $616.60 | $1,479.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $147.91 Typical High $316.23 | Professional | 26 · Professional part | $141.25 | $147.91 | $316.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $478.63 Typical High $1,174.90 | Professional | TC · Technical part | $398.11 | $478.63 | $1,174.90 |
Blue Shield Setting Facility Modifier None Typical Low $380.19 Median $4,265.80 Typical High $7,244.36 | Facility | None | $380.19 | $4,265.80 | $7,244.36 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $616.60 Median $891.25 Typical High $1,479.11 | Professional | None (both parts) | $616.60 | $891.25 | $1,479.11 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $331.13 | Professional | 26 · Professional part | $131.83 | $194.98 | $331.13 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $707.95 Typical High $1,202.26 | Professional | TC · Technical part | $501.19 | $707.95 | $1,202.26 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $251.19 | Professional | None (both parts) | $162.18 | $199.53 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $1,348.96 Typical High $5,623.41 | Facility | None | $416.87 | $1,348.96 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $2,818.38 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $2,818.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $169.82 Typical High $331.13 | Professional | 26 · Professional part | $138.04 | $169.82 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,412.54 Typical High $2,511.89 | Professional | TC · Technical part | $1,047.13 | $1,412.54 | $2,511.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $199.53 | Professional | None | $165.96 | $165.96 | $199.53 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $177.83 Typical High $239.88 | Professional | 26 · Professional part | $33.11 | $177.83 | $239.88 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $158.49 | Professional | TC · Technical part | $134.90 | $134.90 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $398.11 Median $707.95 Typical High $6,309.57 | Professional | None | $398.11 | $707.95 | $6,309.57 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $223.87 Typical High $489.78 | Professional | 26 · Professional part | $158.49 | $223.87 | $489.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $9,332.54 Median $9,332.54 Typical High $9,332.54 | Professional | None (both parts) | $9,332.54 | $9,332.54 | $9,332.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,000.00 Median $1,318.26 Typical High $1,318.26 | Professional | 26 · Professional part | $1,000.00 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Professional | TC · Technical part | $9,120.11 | $9,120.11 | $9,120.11 |
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 $181.97 Median $660.69 Typical High $1,995.26 | Facility | None | $181.97 | $660.69 | $1,995.26 |
Providence Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,584.89 Typical High $2,511.89 | Professional | None (both parts) | $1,122.02 | $1,584.89 | $2,511.89 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $169.82 Typical High $281.84 | Professional | 26 · Professional part | $138.04 | $169.82 | $281.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,412.54 Typical High $2,290.87 | Professional | TC · Technical part | $1,096.48 | $1,412.54 | $2,290.87 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $446.68 | Facility | None | $288.40 | $288.40 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $1,737.80 | Professional | None (both parts) | $295.12 | $354.81 | $1,737.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $154.88 Typical High $316.23 | Professional | 26 · Professional part | $128.82 | $154.88 | $316.23 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $194.98 Typical High $1,096.48 | Professional | TC · Technical part | $154.88 | $194.98 | $1,096.48 |
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 $181.97 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $181.97 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $72.44 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $251.19 | $380.19 | $380.19 |
Where California sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 14th of 51
$832
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.