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 $42.66 Median $47.86 Typical High $1,819.70 | Facility | None | $42.66 | $47.86 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $72.44 Typical High $194.98 | Facility | TC · Technical part | $31.62 | $72.44 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $46.77 Typical High $79.43 | Professional | None (both parts) | $38.02 | $46.77 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $19.95 | Professional | 26 · Professional part | $9.77 | $11.48 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $60.26 | Professional | TC · Technical part | $28.18 | $35.48 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $39.81 | $46.77 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $223.87 Typical High $229.09 | Facility | None | $11.75 | $223.87 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $44.67 Typical High $154.88 | Professional | None (both parts) | $39.81 | $44.67 | $154.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.75 Typical High $33.88 | Professional | 26 · Professional part | $11.22 | $11.75 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $33.11 Typical High $81.28 | Professional | TC · Technical part | $30.20 | $33.11 | $81.28 |
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 $31.62 Median $45.71 Typical High $79.43 | Professional | None (both parts) | $31.62 | $45.71 | $79.43 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $20.42 | Professional | 26 · Professional part | $8.71 | $12.59 | $20.42 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $33.11 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $33.11 | $57.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $64.57 Typical High $67.61 | Professional | None (both parts) | $47.86 | $64.57 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $275.42 Typical High $676.08 | Facility | None | $81.28 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $34.67 | $44.67 | $85.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.48 Typical High $23.99 | Professional | 26 · Professional part | $9.33 | $11.48 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $61.66 | Professional | TC · Technical part | $23.99 | $31.62 | $61.66 |
Contra Costa Health Setting Professional Modifier None Typical Low $31.62 Median $57.54 Typical High $77.62 | Professional | None | $31.62 | $57.54 | $77.62 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.13 Typical High $19.05 | Professional | 26 · Professional part | $8.51 | $14.13 | $19.05 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $43.65 Typical High $58.88 | Professional | TC · Technical part | $22.91 | $43.65 | $58.88 |
Kaiser Permanente Setting Professional Modifier None Typical Low $43.65 Median $53.70 Typical High $109.65 | Professional | None | $43.65 | $53.70 | $109.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.98 Typical High $38.02 | Professional | 26 · Professional part | $12.59 | $16.98 | $38.02 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $50.12 Typical High $114.82 | Professional | TC · Technical part | $34.67 | $50.12 | $114.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $269.15 | $269.15 | $371.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $104.71 | Professional | 26 · Professional part | $102.33 | $102.33 | $104.71 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $208.93 | $269.15 |
Molina Setting Professional Modifier None (both parts) Typical Low $14.45 Median $33.11 Typical High $47.86 | Professional | None (both parts) | $14.45 | $33.11 | $47.86 |
Providence Setting Facility Modifier None Typical Low $53.70 Median $194.98 Typical High $602.56 | Facility | None | $53.70 | $194.98 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $91.20 | Professional | None (both parts) | $34.67 | $42.66 | $91.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $20.42 | Professional | 26 · Professional part | $9.33 | $11.22 | $20.42 |
Providence Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $31.62 Typical High $56.23 | Professional | TC · Technical part | $23.99 | $31.62 | $56.23 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $40.74 Typical High $87.10 | Professional | None (both parts) | $29.51 | $40.74 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $8.51 | $12.88 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $29.51 Typical High $63.10 | Professional | TC · Technical part | $21.38 | $29.51 | $63.10 |
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 $21.38 Median $40.74 Typical High $107.15 | Facility | 52 · Reduced service | $21.38 | $40.74 | $107.15 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $8.51 Median $16.22 Typical High $42.66 | Facility | 53 · Discontinued | $8.51 | $16.22 | $42.66 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $33.88 Median $79.43 Typical High $169.82 | Facility | FX · Film X-ray | $33.88 | $79.43 | $169.82 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $18.20 Median $21.38 Typical High $23.99 | Professional | 52 · Reduced service | $18.20 | $21.38 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $8.51 Typical High $9.55 | Professional | 53 · Discontinued | $7.24 | $8.51 | $9.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $28.84 Median $33.88 Typical High $38.02 | Professional | FX · Film X-ray | $28.84 | $33.88 | $38.02 |
Where California sits
The same service costs 3.7 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
$47.86
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.