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 $30.90 Median $34.67 Typical High $2,238.72 | Facility | None | $30.90 | $34.67 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $53.70 Typical High $141.25 | Facility | TC · Technical part | $20.89 | $53.70 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $30.90 Typical High $34.67 | Professional | None (both parts) | $26.30 | $30.90 | $34.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $10.47 | Professional | 26 · Professional part | $8.91 | $10.00 | $10.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.89 Typical High $23.99 | Professional | TC · Technical part | $17.38 | $20.89 | $23.99 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.48 Median $12.30 Typical High $13.49 | Facility | None | $11.48 | $12.30 | $13.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $57.54 | Professional | None (both parts) | $34.67 | $34.67 | $57.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $11.75 Typical High $33.11 | Professional | 26 · Professional part | $9.55 | $11.75 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $38.02 | Professional | TC · Technical part | $22.91 | $22.91 | $38.02 |
Blue Shield Setting Facility Modifier None Typical Low $56.23 Median $165.96 Typical High $257.04 | Facility | None | $56.23 | $165.96 | $257.04 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $24.55 Median $35.48 Typical High $57.54 | Professional | None (both parts) | $24.55 | $35.48 | $57.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $12.02 Typical High $20.42 | Professional | 26 · Professional part | $8.32 | $12.02 | $20.42 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $23.99 Typical High $39.81 | Professional | TC · Technical part | $16.60 | $23.99 | $39.81 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $40.74 Median $138.04 Typical High $138.04 | Professional | None (both parts) | $40.74 | $138.04 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $6,165.95 | Facility | None | $112.20 | $218.78 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $26.30 | $33.88 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $21.88 | Professional | 26 · Professional part | $8.91 | $10.96 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $22.91 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $22.91 | $41.69 |
Contra Costa Health Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $25.70 | Professional | None | $21.38 | $21.38 | $25.70 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $10.72 Typical High $14.45 | Professional | 26 · Professional part | $7.08 | $10.72 | $14.45 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $14.45 Typical High $17.38 | Professional | TC · Technical part | $14.45 | $14.45 | $17.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $223.87 | Professional | None | $104.71 | $123.03 | $223.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $28.84 | Professional | 26 · Professional part | $9.55 | $12.88 | $28.84 |
Lucent Health 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 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $131.83 | Professional | 26 · Professional part | $85.11 | $85.11 | $131.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $12.02 Typical High $33.11 | Professional | None (both parts) | $12.02 | $12.02 | $33.11 |
Providence Setting Facility Modifier None Typical Low $19.50 Median $44.67 Typical High $239.88 | Facility | None | $19.50 | $44.67 | $239.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $26.30 Median $33.88 Typical High $53.70 | Professional | None (both parts) | $26.30 | $33.88 | $53.70 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $18.62 | Professional | 26 · Professional part | $8.91 | $10.96 | $18.62 |
Providence Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $38.02 | Professional | TC · Technical part | $17.78 | $21.88 | $38.02 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
United Setting Professional Modifier None (both parts) Typical Low $33.11 Median $54.95 Typical High $213.80 | Professional | None (both parts) | $33.11 | $54.95 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $8.51 | $10.72 | $20.42 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $43.65 Typical High $194.98 | Professional | TC · Technical part | $25.12 | $43.65 | $194.98 |
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 $15.49 Median $26.92 Typical High $69.18 | Facility | 52 · Reduced service | $15.49 | $26.92 | $69.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $6.17 Median $10.72 Typical High $28.18 | Facility | 53 · Discontinued | $6.17 | $10.72 | $28.18 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $24.55 Median $52.48 Typical High $112.20 | Facility | FX · Film X-ray | $24.55 | $52.48 | $112.20 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $13.18 Median $15.49 Typical High $17.38 | Professional | 52 · Reduced service | $13.18 | $15.49 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.17 Typical High $6.92 | Professional | 53 · Discontinued | $5.37 | $6.17 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $25.12 Typical High $27.54 | Professional | FX · Film X-ray | $21.38 | $25.12 | $27.54 |
Where California sits
The same service costs 4.7 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· 38th of 51
$36.31
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.