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 $32.36 Median $36.31 Typical High $2,238.72 | Facility | None | $32.36 | $36.31 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $53.70 Typical High $141.25 | Facility | TC · Technical part | $22.91 | $53.70 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $61.66 | Professional | None (both parts) | $28.84 | $35.48 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $17.38 | Professional | 26 · Professional part | $8.51 | $9.77 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $45.71 | Professional | TC · Technical part | $20.42 | $25.70 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $33.88 Median $33.88 Typical High $46.77 | Professional | None (both parts) | $33.88 | $33.88 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.96 Median $169.82 Typical High $177.83 | Facility | None | $10.96 | $169.82 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $102.33 | Professional | None (both parts) | $28.84 | $34.67 | $102.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.96 Typical High $28.84 | Professional | 26 · Professional part | $10.00 | $10.96 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $24.55 Typical High $74.13 | Professional | TC · Technical part | $22.39 | $24.55 | $74.13 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $199.53 Typical High $323.59 | Facility | None | $67.61 | $199.53 | $323.59 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $24.55 | $35.48 | $60.26 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.75 Typical High $18.20 | Professional | 26 · Professional part | $8.13 | $11.75 | $18.20 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.44 Typical High $41.69 | Professional | TC · Technical part | $16.60 | $23.44 | $41.69 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $48.98 Typical High $56.23 | Professional | None (both parts) | $37.15 | $48.98 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $223.87 Typical High $489.78 | Facility | None | $61.66 | $223.87 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $38.02 Typical High $67.61 | Professional | None (both parts) | $26.30 | $38.02 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.47 Typical High $20.42 | Professional | 26 · Professional part | $8.51 | $10.47 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.70 Typical High $48.98 | Professional | TC · Technical part | $17.38 | $25.70 | $48.98 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.70 Median $43.65 Typical High $58.88 | Professional | None | $25.70 | $43.65 | $58.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $10.72 | $14.45 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $33.11 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $33.11 | $44.67 |
Kaiser Permanente Setting Professional Modifier None Typical Low $33.11 Median $40.74 Typical High $83.18 | Professional | None | $33.11 | $40.74 | $83.18 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $28.84 | Professional | 26 · Professional part | $9.55 | $12.88 | $28.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.02 Typical High $89.13 | Professional | TC · Technical part | $26.30 | $38.02 | $89.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $288.40 | Professional | None (both parts) | $218.78 | $218.78 | $288.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $77.62 | Professional | 26 · Professional part | $75.86 | $75.86 | $77.62 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $199.53 Typical High $208.93 | Professional | TC · Technical part | $199.53 | $199.53 | $208.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.22 Median $26.92 Typical High $38.02 | Professional | None (both parts) | $11.22 | $26.92 | $38.02 |
Providence Setting Facility Modifier None Typical Low $42.66 Median $154.88 Typical High $457.09 | Facility | None | $42.66 | $154.88 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.30 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $26.30 | $36.31 | $70.79 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.47 Typical High $17.78 | Professional | 26 · Professional part | $8.51 | $10.47 | $17.78 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $25.70 Typical High $47.86 | Professional | TC · Technical part | $17.38 | $25.70 | $47.86 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
United Setting Facility Modifier None Typical Low $30.20 Median $44.67 Typical High $44.67 | Facility | None | $30.20 | $44.67 | $44.67 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $25.70 | $33.11 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.47 Typical High $19.95 | Professional | 26 · Professional part | $7.76 | $10.47 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $50.12 | Professional | TC · Technical part | $18.62 | $22.91 | $50.12 |
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 $16.22 Median $29.51 Typical High $77.62 | Facility | 52 · Reduced service | $16.22 | $29.51 | $77.62 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.46 Median $11.75 Typical High $30.90 | Facility | 53 · Discontinued | $6.46 | $11.75 | $30.90 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $25.70 Median $46.77 Typical High $112.20 | Facility | FX · Film X-ray | $25.70 | $46.77 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.80 Median $16.22 Typical High $17.78 | Professional | 52 · Reduced service | $13.80 | $16.22 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.46 Typical High $7.24 | Professional | 53 · Discontinued | $5.50 | $6.46 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $25.70 Typical High $28.84 | Professional | FX · Film X-ray | $21.88 | $25.70 | $28.84 |
Where California sits
The same service costs 3.5 times more in Alaska 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· 31st of 51
$38.02
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.