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 $29.51 Median $37.15 Typical High $1,819.70 | Facility | None | $29.51 | $37.15 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $11.75 Typical High $16.22 | Facility | 26 · Professional part | $9.77 | $11.75 | $16.22 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $35.48 Typical High $117.49 | Facility | TC · Technical part | $19.50 | $35.48 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $58.88 | Professional | None (both parts) | $27.54 | $33.11 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $10.72 Typical High $16.22 | Professional | 26 · Professional part | $9.77 | $10.72 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $40.74 | Professional | TC · Technical part | $17.78 | $21.88 | $40.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.88 Typical High $38.02 | Professional | None (both parts) | $30.20 | $33.88 | $38.02 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $19.05 | Professional | 26 · Professional part | $9.55 | $12.88 | $19.05 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $30.90 | Professional | TC · Technical part | $22.91 | $26.92 | $30.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $14.13 Median $169.82 Typical High $177.83 | Facility | None | $14.13 | $169.82 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $40.74 Typical High $123.03 | Professional | None (both parts) | $28.84 | $40.74 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $14.13 Typical High $33.88 | Professional | 26 · Professional part | $9.77 | $14.13 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $81.28 | Professional | TC · Technical part | $22.91 | $28.18 | $81.28 |
Blue Shield Setting Facility Modifier None Typical Low $60.26 Median $165.96 Typical High $269.15 | Facility | None | $60.26 | $165.96 | $269.15 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $22.91 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $22.91 | $34.67 | $57.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $12.02 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $12.02 | $19.95 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $14.79 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $14.79 | $22.91 | $38.02 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $48.98 | Professional | None (both parts) | $35.48 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $229.09 Typical High $489.78 | Facility | None | $77.62 | $229.09 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $67.61 | Professional | None (both parts) | $26.30 | $35.48 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $12.02 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.99 Typical High $45.71 | Professional | TC · Technical part | $17.78 | $23.99 | $45.71 |
Contra Costa Health Setting Professional Modifier None Typical Low $27.54 Median $43.65 Typical High $58.88 | Professional | None | $27.54 | $43.65 | $58.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $15.49 | Professional | 26 · Professional part | $9.33 | $11.48 | $15.49 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $18.20 | $32.36 | $43.65 |
HealthNet Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $177.83 | Professional | None (both parts) | $35.48 | $48.98 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.88 Median $40.74 Typical High $83.18 | Professional | None | $33.88 | $40.74 | $83.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $13.80 Typical High $30.90 | Professional | 26 · Professional part | $10.23 | $13.80 | $30.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $85.11 | Professional | TC · Technical part | $25.70 | $37.15 | $85.11 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $213.80 | $213.80 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $66.07 | $83.18 | $83.18 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $147.91 | $204.17 | $204.17 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.30 Median $25.70 Typical High $38.02 | Professional | None (both parts) | $12.30 | $25.70 | $38.02 |
Providence Setting Facility Modifier None Typical Low $39.81 Median $199.53 Typical High $457.09 | Facility | None | $39.81 | $199.53 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.30 Median $35.48 Typical High $72.44 | Professional | None (both parts) | $26.30 | $35.48 | $72.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.75 Typical High $19.50 | Professional | 26 · Professional part | $9.12 | $11.75 | $19.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $16.98 | $21.88 | $41.69 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | TC · Technical part | $72.44 | $72.44 | $72.44 |
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 $24.55 Median $33.11 Typical High $69.18 | Professional | None (both parts) | $24.55 | $33.11 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.22 Typical High $21.88 | Professional | 26 · Professional part | $8.71 | $11.22 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $21.88 Typical High $48.98 | Professional | TC · Technical part | $15.49 | $21.88 | $48.98 |
2 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | 59 · Distinct service | $30.20 | $30.20 | $30.20 |
Ambetter Setting Professional Modifier FY · Cassette-based X-ray Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | FY · Cassette-based X-ray | $33.88 | $33.88 | $33.88 |
Where California sits
The same service costs 17.0 times more in Vermont 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· 22nd of 51
$40.74
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.