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 $812.83 Typical High $2,089.30 | Facility | TC · Technical part | $338.84 | $812.83 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $501.19 Typical High $630.96 | Professional | None (both parts) | $389.05 | $501.19 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $141.25 Typical High $190.55 | Professional | 26 · Professional part | $70.79 | $141.25 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $346.74 Typical High $524.81 | Professional | TC · Technical part | $316.23 | $346.74 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $69.18 Median $1,737.80 Typical High $1,778.28 | Facility | None | $69.18 | $1,737.80 | $1,778.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $1,318.26 | Professional | None (both parts) | $371.54 | $426.58 | $1,318.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $223.87 | Professional | 26 · Professional part | $67.61 | $72.44 | $223.87 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $346.74 Typical High $1,122.02 | Professional | TC · Technical part | $309.03 | $346.74 | $1,122.02 |
Blue Shield Setting Facility Modifier None Typical Low $512.86 Median $3,019.95 Typical High $5,495.41 | Facility | None | $512.86 | $3,019.95 | $5,495.41 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $436.52 Typical High $758.58 | Professional | None (both parts) | $288.40 | $436.52 | $758.58 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $151.36 | Professional | 26 · Professional part | $60.26 | $87.10 | $151.36 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $346.74 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $346.74 | $602.56 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $354.81 Median $467.74 Typical High $1,230.27 | Professional | None (both parts) | $354.81 | $467.74 | $1,230.27 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $4,466.84 | Facility | None | $478.63 | $724.44 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $501.19 Typical High $954.99 | Professional | None (both parts) | $316.23 | $501.19 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $70.79 Typical High $144.54 | Professional | 26 · Professional part | $41.69 | $70.79 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $831.76 | Professional | TC · Technical part | $269.15 | $426.58 | $831.76 |
Contra Costa Health Setting Professional Modifier None Typical Low $338.84 Median $416.87 Typical High $562.34 | Professional | None | $338.84 | $416.87 | $562.34 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $75.86 | $102.33 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $346.74 Typical High $467.74 | Professional | TC · Technical part | $281.84 | $346.74 | $467.74 |
Kaiser Permanente Setting Professional Modifier None Typical Low $346.74 Median $426.58 Typical High $851.14 | Professional | None | $346.74 | $426.58 | $851.14 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $95.50 Typical High $213.80 | Professional | 26 · Professional part | $67.61 | $95.50 | $213.80 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $1,000.00 | Professional | TC · Technical part | $302.00 | $436.52 | $1,000.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $2,884.03 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 26 · Professional part | $707.95 | $707.95 | $707.95 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $2,511.89 | $2,818.38 | $2,818.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $83.18 Typical High $398.11 | Professional | None (both parts) | $33.11 | $83.18 | $398.11 |
Providence Setting Facility Modifier None Typical Low $354.81 Median $630.96 Typical High $1,096.48 | Facility | None | $354.81 | $630.96 | $1,096.48 |
Providence Setting Professional Modifier None (both parts) Typical Low $316.23 Median $489.78 Typical High $912.01 | Professional | None (both parts) | $316.23 | $489.78 | $912.01 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $41.69 | $67.61 | $125.89 |
Providence Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $416.87 Typical High $741.31 | Professional | TC · Technical part | $263.03 | $416.87 | $741.31 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Facility | None | $389.05 | $389.05 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $416.87 Typical High $870.96 | Professional | None (both parts) | $338.84 | $416.87 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $56.23 | $69.18 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $275.42 | $346.74 | $741.31 |
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 $199.53 Median $239.88 Typical High $239.88 | Professional | 52 · Reduced service | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $95.50 Typical High $95.50 | Professional | 53 · Discontinued | $79.43 | $95.50 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $316.23 Median $380.19 Typical High $380.19 | Professional | FX · Film X-ray | $316.23 | $380.19 | $380.19 |
Where California sits
The same service costs 6.3 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· 27th of 51
$490
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.