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 $48.98 Median $53.70 Typical High $2,238.72 | Facility | None | $48.98 | $53.70 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $69.18 Typical High $204.17 | Facility | TC · Technical part | $33.88 | $69.18 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $53.70 Typical High $91.20 | Professional | None (both parts) | $43.65 | $53.70 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $15.85 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $30.20 | $37.15 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $53.70 Typical High $104.71 | Professional | None (both parts) | $31.62 | $53.70 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.05 Typical High $25.12 | Professional | 26 · Professional part | $13.80 | $19.05 | $25.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $17.38 Median $257.04 Typical High $263.03 | Facility | None | $17.38 | $257.04 | $263.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $151.36 | Professional | None (both parts) | $44.67 | $51.29 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.20 Typical High $51.29 | Professional | 26 · Professional part | $15.85 | $18.20 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $33.88 Typical High $109.65 | Professional | TC · Technical part | $30.90 | $33.88 | $109.65 |
Blue Shield Setting Facility Modifier None Typical Low $79.43 Median $234.42 Typical High $371.54 | Facility | None | $79.43 | $234.42 | $371.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $37.15 Median $52.48 Typical High $91.20 | Professional | None (both parts) | $37.15 | $52.48 | $91.20 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $18.62 Typical High $29.51 | Professional | 26 · Professional part | $12.88 | $18.62 | $29.51 |
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 $54.95 Median $74.13 Typical High $97.72 | Professional | None (both parts) | $54.95 | $74.13 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $275.42 Typical High $676.08 | Facility | None | $89.13 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $100.00 | Professional | None (both parts) | $39.81 | $51.29 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $32.36 | Professional | 26 · Professional part | $13.18 | $16.22 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $67.61 | Professional | TC · Technical part | $25.70 | $34.67 | $67.61 |
Contra Costa Health Setting Professional Modifier None Typical Low $39.81 Median $66.07 Typical High $89.13 | Professional | None | $39.81 | $66.07 | $89.13 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $17.38 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $17.38 | $23.44 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $25.70 | $47.86 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $123.03 | Professional | None | $50.12 | $61.66 | $123.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.42 Typical High $45.71 | Professional | 26 · Professional part | $15.14 | $20.42 | $45.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $54.95 Typical High $128.82 | Professional | TC · Technical part | $38.90 | $54.95 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $426.58 | Professional | None (both parts) | $323.59 | $323.59 | $426.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | 26 · Professional part | $134.90 | $134.90 | $134.90 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $302.00 | Professional | TC · Technical part | $251.19 | $251.19 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $18.20 | $33.11 | $56.23 |
Providence Setting Facility Modifier None Typical Low $63.10 Median $194.98 Typical High $602.56 | Facility | None | $63.10 | $194.98 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $39.81 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $39.81 | $51.29 | $104.71 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.22 Typical High $28.18 | Professional | 26 · Professional part | $13.18 | $16.22 | $28.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $34.67 Typical High $61.66 | Professional | TC · Technical part | $25.70 | $34.67 | $61.66 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $162.18 | $162.18 | $162.18 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $48.98 Typical High $104.71 | Professional | None (both parts) | $35.48 | $48.98 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $30.90 | Professional | 26 · Professional part | $12.59 | $16.22 | $30.90 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $72.44 | Professional | TC · Technical part | $23.99 | $33.11 | $72.44 |
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 $23.99 Median $43.65 Typical High $104.71 | Facility | 52 · Reduced service | $23.99 | $43.65 | $104.71 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $9.77 Median $17.38 Typical High $45.71 | Facility | 53 · Discontinued | $9.77 | $17.38 | $45.71 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $38.90 Median $85.11 Typical High $181.97 | Facility | FX · Film X-ray | $38.90 | $85.11 | $181.97 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $20.89 Median $23.99 Typical High $26.92 | Professional | 52 · Reduced service | $20.89 | $23.99 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.77 Typical High $10.96 | Professional | 53 · Discontinued | $8.32 | $9.77 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.11 Median $38.90 Typical High $43.65 | Professional | FX · Film X-ray | $33.11 | $38.90 | $43.65 |
Where California sits
The same service costs 4.5 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· 31st of 51
$54.95
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.