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 $44.67 Median $51.29 Typical High $2,238.72 | Facility | None | $44.67 | $51.29 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $85.11 Typical High $213.80 | Facility | TC · Technical part | $35.48 | $85.11 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $81.28 | Professional | None (both parts) | $40.74 | $48.98 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $18.20 | Professional | 26 · Professional part | $9.33 | $10.96 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $38.90 Typical High $63.10 | Professional | TC · Technical part | $30.90 | $38.90 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $45.71 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $45.71 | $50.12 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.02 Median $229.09 Typical High $234.42 | Facility | None | $12.02 | $229.09 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $51.29 Typical High $154.88 | Professional | None (both parts) | $46.77 | $51.29 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $12.02 Typical High $33.11 | Professional | 26 · Professional part | $11.22 | $12.02 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $40.74 Typical High $93.33 | Professional | TC · Technical part | $34.67 | $40.74 | $93.33 |
Blue Shield Setting Facility Modifier None Typical Low $75.86 Median $281.84 Typical High $446.68 | Facility | None | $75.86 | $281.84 | $446.68 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $33.11 Median $46.77 Typical High $83.18 | Professional | None (both parts) | $33.11 | $46.77 | $83.18 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $8.71 | $12.59 | $19.95 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $34.67 Typical High $60.26 | Professional | TC · Technical part | $23.99 | $34.67 | $60.26 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $87.10 | Professional | None (both parts) | $50.12 | $66.07 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $275.42 Typical High $676.08 | Facility | None | $85.11 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $35.48 | $51.29 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $23.44 | Professional | 26 · Professional part | $9.12 | $11.22 | $23.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $39.81 Typical High $67.61 | Professional | TC · Technical part | $25.70 | $39.81 | $67.61 |
Contra Costa Health Setting Professional Modifier None Typical Low $35.48 Median $58.88 Typical High $79.43 | Professional | None | $35.48 | $58.88 | $79.43 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $9.55 | $13.18 | $17.78 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $61.66 | Professional | TC · Technical part | $25.70 | $45.71 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $44.67 Median $54.95 Typical High $112.20 | Professional | None | $44.67 | $54.95 | $112.20 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $15.85 Typical High $35.48 | Professional | 26 · Professional part | $11.75 | $15.85 | $35.48 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $52.48 Typical High $123.03 | Professional | TC · Technical part | $37.15 | $52.48 | $123.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $380.19 | Professional | None (both parts) | $288.40 | $288.40 | $380.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $288.40 | Professional | TC · Technical part | $269.15 | $269.15 | $288.40 |
Molina Setting Professional Modifier None (both parts) Typical Low $13.80 Median $33.11 Typical High $50.12 | Professional | None (both parts) | $13.80 | $33.11 | $50.12 |
Providence Setting Facility Modifier None Typical Low $57.54 Median $194.98 Typical High $602.56 | Facility | None | $57.54 | $194.98 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $35.48 Median $51.29 Typical High $93.33 | Professional | None (both parts) | $35.48 | $51.29 | $93.33 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.22 Typical High $19.95 | Professional | 26 · Professional part | $9.12 | $11.22 | $19.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $37.15 Typical High $66.07 | Professional | TC · Technical part | $25.70 | $37.15 | $66.07 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | 26 · Professional part | $39.81 | $39.81 | $39.81 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Facility | None | $169.82 | $169.82 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $93.33 | Professional | None (both parts) | $34.67 | $43.65 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.59 Typical High $23.99 | Professional | 26 · Professional part | $8.51 | $12.59 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $31.62 Typical High $69.18 | Professional | TC · Technical part | $26.92 | $31.62 | $69.18 |
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 $22.39 Median $44.67 Typical High $107.15 | Facility | 52 · Reduced service | $22.39 | $44.67 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.91 Median $17.78 Typical High $46.77 | Facility | 53 · Discontinued | $8.91 | $17.78 | $46.77 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $36.31 Median $70.79 Typical High $169.82 | Facility | FX · Film X-ray | $36.31 | $70.79 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $19.05 Median $22.39 Typical High $25.12 | Professional | 52 · Reduced service | $19.05 | $22.39 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $8.91 Typical High $10.23 | Professional | 53 · Discontinued | $7.76 | $8.91 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $36.31 Typical High $40.74 | Professional | FX · Film X-ray | $30.90 | $36.31 | $40.74 |
Where California sits
The same service costs 3.9 times more in Alaska 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· 33rd of 51
$50.12
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.