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 $120.23 Median $138.04 Typical High $2,238.72 | Facility | None | $120.23 | $138.04 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $89.13 Median $208.93 Typical High $549.54 | Facility | TC · Technical part | $89.13 | $208.93 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $109.65 | $134.90 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $34.67 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $181.97 | Professional | TC · Technical part | $79.43 | $100.00 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $79.43 | Professional | 26 · Professional part | $39.81 | $39.81 | $79.43 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $691.83 Typical High $724.44 | Facility | None | $38.02 | $691.83 | $724.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $416.87 | Professional | None (both parts) | $114.82 | $131.83 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $38.90 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $309.03 | Professional | TC · Technical part | $79.43 | $95.50 | $309.03 |
Blue Shield Setting Facility Modifier None Typical Low $131.83 Median $501.19 Typical High $812.83 | Facility | None | $131.83 | $501.19 | $812.83 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $245.47 | Professional | None (both parts) | $107.15 | $151.36 | $245.47 |
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 $79.43 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $79.43 | $112.20 | $181.97 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $144.54 | $199.53 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $457.09 Typical High $1,202.26 | Facility | None | $229.09 | $457.09 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $109.65 | $134.90 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $37.15 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $93.33 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $93.33 | $204.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $114.82 Median $177.83 Typical High $239.88 | Professional | None | $114.82 | $177.83 | $239.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $47.86 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $47.86 | $64.57 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $85.11 | $131.83 | $177.83 |
Kaiser Permanente Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $338.84 | Professional | None | $138.04 | $165.96 | $338.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $57.54 | $128.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $151.36 Typical High $346.74 | Professional | TC · Technical part | $104.71 | $151.36 | $346.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $1,148.15 | Professional | None (both parts) | $933.25 | $933.25 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $346.74 | Professional | 26 · Professional part | $269.15 | $269.15 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $660.69 Median $660.69 Typical High $812.83 | Professional | TC · Technical part | $660.69 | $660.69 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $50.12 Typical High $158.49 | Professional | None (both parts) | $33.11 | $50.12 | $158.49 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $389.05 Typical High $1,122.02 | Facility | None | $141.25 | $389.05 | $1,122.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $295.12 | Professional | None (both parts) | $109.65 | $128.82 | $295.12 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $35.48 | $69.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $181.97 | Professional | TC · Technical part | $75.86 | $89.13 | $181.97 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $457.09 | $457.09 | $457.09 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | TC · Technical part | $316.23 | $316.23 | $316.23 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $91.20 | $141.25 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $45.71 Typical High $87.10 | Professional | 26 · Professional part | $26.92 | $45.71 | $87.10 |
United Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $95.50 Typical High $208.93 | Professional | TC · Technical part | $64.57 | $95.50 | $208.93 |
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 $60.26 Median $114.82 Typical High $275.42 | Facility | 52 · Reduced service | $60.26 | $114.82 | $275.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $24.55 Median $45.71 Typical High $120.23 | Facility | 53 · Discontinued | $24.55 | $45.71 | $120.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $97.72 Median $181.97 Typical High $436.52 | Facility | FX · Film X-ray | $97.72 | $181.97 | $436.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $60.26 Typical High $67.61 | Professional | 52 · Reduced service | $52.48 | $60.26 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $24.55 Typical High $27.54 | Professional | 53 · Discontinued | $20.89 | $24.55 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $97.72 Typical High $109.65 | Professional | FX · Film X-ray | $85.11 | $97.72 | $109.65 |
Where California sits
The same service costs 3.9 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· 36th of 51
$145
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.