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 $36.31 Median $48.98 Typical High $1,819.70 | Facility | None | $36.31 | $48.98 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $10.00 Median $12.30 Typical High $17.38 | Facility | 26 · Professional part | $10.00 | $12.30 | $17.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $54.95 Typical High $186.21 | Facility | TC · Technical part | $30.20 | $54.95 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $75.86 | Professional | None (both parts) | $36.31 | $44.67 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $11.48 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $33.11 Typical High $57.54 | Professional | TC · Technical part | $26.92 | $33.11 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $41.69 Typical High $60.26 | Professional | None (both parts) | $37.15 | $41.69 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $13.80 Typical High $20.42 | Professional | 26 · Professional part | $10.47 | $13.80 | $20.42 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $57.54 | Professional | TC · Technical part | $26.30 | $30.20 | $57.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $208.93 Typical High $213.80 | Facility | None | $12.30 | $208.93 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $45.71 Typical High $144.54 | Professional | None (both parts) | $40.74 | $45.71 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.30 Typical High $33.88 | Professional | 26 · Professional part | $10.23 | $12.30 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $66.07 | Professional | TC · Technical part | $28.84 | $33.88 | $66.07 |
Blue Shield Setting Facility Modifier None Typical Low $70.79 Median $208.93 Typical High $354.81 | Facility | None | $70.79 | $208.93 | $354.81 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $28.84 Median $41.69 Typical High $74.13 | Professional | None (both parts) | $28.84 | $41.69 | $74.13 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $12.88 Typical High $20.42 | Professional | 26 · Professional part | $8.91 | $12.88 | $20.42 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $28.84 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $28.84 | $51.29 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $60.26 Typical High $64.57 | Professional | None (both parts) | $45.71 | $60.26 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $275.42 Typical High $676.08 | Facility | None | $77.62 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $79.43 | Professional | None (both parts) | $31.62 | $42.66 | $79.43 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.75 Typical High $22.91 | Professional | 26 · Professional part | $9.55 | $11.75 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.90 Typical High $57.54 | Professional | TC · Technical part | $21.38 | $30.90 | $57.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $30.20 Median $53.70 Typical High $72.44 | Professional | None | $30.20 | $53.70 | $72.44 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $9.33 | $12.59 | $16.98 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $41.69 Typical High $56.23 | Professional | TC · Technical part | $20.89 | $41.69 | $56.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $40.74 Median $50.12 Typical High $102.33 | Professional | None | $40.74 | $50.12 | $102.33 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $33.11 | Professional | 26 · Professional part | $10.96 | $14.79 | $33.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $47.86 Typical High $112.20 | Professional | TC · Technical part | $33.11 | $47.86 | $112.20 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $257.04 | $257.04 | $346.74 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $134.90 | Professional | 26 · Professional part | $85.11 | $85.11 | $134.90 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $263.03 | Professional | TC · Technical part | $208.93 | $208.93 | $263.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.59 Median $32.36 Typical High $44.67 | Professional | None (both parts) | $12.59 | $32.36 | $44.67 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $194.98 Typical High $602.56 | Facility | None | $51.29 | $194.98 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $31.62 Median $42.66 Typical High $83.18 | Professional | None (both parts) | $31.62 | $42.66 | $83.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $9.55 | $11.48 | $19.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $21.38 | $30.20 | $52.48 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $48.98 Median $48.98 Typical High $125.89 | Professional | None (both parts) | $48.98 | $48.98 | $125.89 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | 26 · Professional part | $37.15 | $37.15 | $37.15 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
United Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $52.48 | Facility | None | $50.12 | $52.48 | $52.48 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $38.90 Typical High $81.28 | Professional | None (both parts) | $28.84 | $38.90 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.48 Typical High $21.88 | Professional | 26 · Professional part | $8.91 | $11.48 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $60.26 | Professional | TC · Technical part | $20.89 | $26.92 | $60.26 |
7 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 $20.42 Median $38.02 Typical High $100.00 | Facility | 52 · Reduced service | $20.42 | $38.02 | $100.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.13 Median $15.49 Typical High $40.74 | Facility | 53 · Discontinued | $8.13 | $15.49 | $40.74 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $32.36 Median $75.86 Typical High $162.18 | Facility | FX · Film X-ray | $32.36 | $75.86 | $162.18 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.38 Median $20.42 Typical High $22.91 | Professional | 52 · Reduced service | $17.38 | $20.42 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.13 Typical High $9.12 | Professional | 53 · Discontinued | $6.92 | $8.13 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.18 Median $32.36 Typical High $36.31 | Professional | FX · Film X-ray | $28.18 | $32.36 | $36.31 |
Ambetter Setting Professional Modifier FY · Cassette-based X-ray Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | FY · Cassette-based X-ray | $46.77 | $46.77 | $46.77 |
Where California sits
The same service costs 12.6 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· 26th of 51
$45.71
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.