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 $81.28 Median $109.65 Typical High $1,819.70 | Facility | None | $81.28 | $109.65 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $39.81 | Facility | 26 · Professional part | $19.95 | $21.88 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $158.49 Typical High $416.87 | Facility | TC · Technical part | $69.18 | $158.49 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $173.78 | Professional | None (both parts) | $81.28 | $100.00 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $23.44 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $77.62 | $128.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | None (both parts) | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.12 Median $489.78 Typical High $501.19 | Facility | None | $25.12 | $489.78 | $501.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $295.12 | Professional | None (both parts) | $83.18 | $95.50 | $295.12 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $26.30 Typical High $81.28 | Professional | 26 · Professional part | $24.55 | $26.30 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $69.18 Typical High $213.80 | Professional | TC · Technical part | $64.57 | $69.18 | $213.80 |
Blue Shield Setting Facility Modifier None Typical Low $114.82 Median $371.54 Typical High $602.56 | Facility | None | $114.82 | $371.54 | $602.56 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $74.13 Median $107.15 Typical High $173.78 | Professional | None (both parts) | $74.13 | $107.15 | $173.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $44.67 | Professional | 26 · Professional part | $18.20 | $26.30 | $44.67 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $128.82 | Professional | TC · Technical part | $56.23 | $79.43 | $128.82 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $70.79 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $457.09 Typical High $1,202.26 | Facility | None | $173.78 | $457.09 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $75.86 | $95.50 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $54.95 | Professional | 26 · Professional part | $20.42 | $24.55 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $66.07 | $141.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $125.89 Typical High $169.82 | Professional | None | $38.02 | $125.89 | $169.82 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $31.62 Typical High $42.66 | Professional | 26 · Professional part | $9.55 | $31.62 | $42.66 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $28.84 | $93.33 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $97.72 Median $117.49 Typical High $239.88 | Professional | None | $97.72 | $117.49 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $85.11 | Professional | 26 · Professional part | $28.18 | $38.02 | $85.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $251.19 | Professional | TC · Technical part | $74.13 | $107.15 | $251.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $812.83 | Professional | None (both parts) | $645.65 | $645.65 | $812.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $229.09 | Professional | 26 · Professional part | $181.97 | $181.97 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $467.74 Typical High $575.44 | Professional | TC · Technical part | $467.74 | $467.74 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $34.67 Typical High $112.20 | Professional | None (both parts) | $33.11 | $34.67 | $112.20 |
Providence Setting Facility Modifier None Typical Low $100.00 Median $323.59 Typical High $1,122.02 | Facility | None | $100.00 | $323.59 | $1,122.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $208.93 | Professional | None (both parts) | $75.86 | $91.20 | $208.93 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $46.77 | Professional | 26 · Professional part | $19.95 | $23.44 | $46.77 |
Providence Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $63.10 Typical High $131.83 | Professional | TC · Technical part | $54.95 | $63.10 | $131.83 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $323.59 | $323.59 | $323.59 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | TC · Technical part | $223.87 | $223.87 | $223.87 |
United Setting Facility Modifier None Typical Low $54.95 Median $91.20 Typical High $91.20 | Facility | None | $54.95 | $91.20 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $97.72 Typical High $204.17 | Professional | None (both parts) | $64.57 | $97.72 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $17.78 | $30.90 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $67.61 Typical High $147.91 | Professional | TC · Technical part | $46.77 | $67.61 | $147.91 |
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 $45.71 Median $89.13 Typical High $234.42 | Facility | 52 · Reduced service | $45.71 | $89.13 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $35.48 Typical High $93.33 | Facility | 53 · Discontinued | $18.20 | $35.48 | $93.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $141.25 Typical High $338.84 | Facility | FX · Film X-ray | $72.44 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $45.71 Typical High $51.29 | Professional | 52 · Reduced service | $38.90 | $45.71 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $18.20 Typical High $20.42 | Professional | 53 · Discontinued | $15.49 | $18.20 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $72.44 Typical High $81.28 | Professional | FX · Film X-ray | $61.66 | $72.44 | $81.28 |
Where California sits
The same service costs 3.8 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
$102
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.