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 $112.20 Median $125.89 Typical High $2,238.72 | Facility | None | $112.20 | $125.89 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $186.21 Typical High $478.63 | Facility | TC · Technical part | $81.28 | $186.21 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $218.78 | Professional | None (both parts) | $100.00 | $123.03 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $34.67 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $70.79 | $89.13 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $109.65 Typical High $138.04 | Professional | None (both parts) | $107.15 | $109.65 | $138.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $630.96 Typical High $645.65 | Facility | None | $38.02 | $630.96 | $645.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $371.54 | Professional | None (both parts) | $104.71 | $114.82 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $107.15 | Professional | 26 · Professional part | $35.48 | $38.02 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $77.62 Typical High $263.03 | Professional | TC · Technical part | $75.86 | $77.62 | $263.03 |
Blue Shield Setting Facility Modifier None Typical Low $128.82 Median $446.68 Typical High $724.44 | Facility | None | $128.82 | $446.68 | $724.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $95.50 | $134.90 | $218.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $39.81 Typical High $66.07 | Professional | 26 · Professional part | $27.54 | $39.81 | $66.07 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $95.50 Typical High $151.36 | Professional | TC · Technical part | $67.61 | $95.50 | $151.36 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $131.83 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $457.09 Typical High $1,202.26 | Facility | None | $208.93 | $457.09 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $97.72 | $120.23 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $29.51 | $35.48 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $173.78 | Professional | TC · Technical part | $64.57 | $81.28 | $173.78 |
Contra Costa Health Setting Professional Modifier None Typical Low $102.33 Median $162.18 Typical High $218.78 | Professional | None | $102.33 | $162.18 | $218.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $29.51 | $43.65 | $58.88 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $72.44 | $117.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $151.36 Typical High $309.03 | Professional | None | $125.89 | $151.36 | $309.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $117.49 | Professional | 26 · Professional part | $38.90 | $52.48 | $117.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $316.23 | Professional | TC · Technical part | $95.50 | $134.90 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $1,047.13 | Professional | None (both parts) | $812.83 | $812.83 | $1,047.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $316.23 | Professional | 26 · Professional part | $239.88 | $239.88 | $316.23 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $741.31 | Professional | TC · Technical part | $575.44 | $575.44 | $741.31 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $45.71 Typical High $141.25 | Professional | None (both parts) | $33.11 | $45.71 | $141.25 |
Providence Setting Facility Modifier None Typical Low $128.82 Median $338.84 Typical High $1,122.02 | Facility | None | $128.82 | $338.84 | $1,122.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $257.04 | Professional | None (both parts) | $97.72 | $117.49 | $257.04 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $35.48 Typical High $64.57 | Professional | 26 · Professional part | $29.51 | $35.48 | $64.57 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $158.49 | Professional | TC · Technical part | $64.57 | $74.13 | $158.49 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $131.83 | $131.83 | $131.83 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | TC · Technical part | $269.15 | $269.15 | $269.15 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $446.68 | Facility | None | $288.40 | $288.40 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $79.43 | $123.03 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $26.92 | $41.69 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $181.97 | Professional | TC · Technical part | $52.48 | $81.28 | $181.97 |
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 $56.23 Median $102.33 Typical High $245.47 | Facility | 52 · Reduced service | $56.23 | $102.33 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $40.74 Typical High $97.72 | Facility | 53 · Discontinued | $22.39 | $40.74 | $97.72 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $89.13 Median $162.18 Typical High $389.05 | Facility | FX · Film X-ray | $89.13 | $162.18 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $47.86 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $47.86 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.39 Typical High $25.12 | Professional | 53 · Discontinued | $19.05 | $22.39 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $89.13 Typical High $100.00 | Professional | FX · Film X-ray | $77.62 | $89.13 | $100.00 |
Where California sits
The same service costs 3.7 times more in Alaska 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· 32nd of 51
$132
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.