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 $138.04 Median $158.49 Typical High $2,238.72 | Facility | None | $138.04 | $158.49 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $295.12 Typical High $707.95 | Facility | TC · Technical part | $117.49 | $295.12 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $158.49 | Professional | None (both parts) | $117.49 | $138.04 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $23.44 | Professional | 26 · Professional part | $19.95 | $22.39 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $134.90 | Professional | TC · Technical part | $97.72 | $117.49 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $794.33 Typical High $812.83 | Facility | None | $26.30 | $794.33 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $524.81 | Professional | None (both parts) | $138.04 | $147.91 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $70.79 | Professional | 26 · Professional part | $23.44 | $26.30 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $120.23 Typical High $380.19 | Professional | TC · Technical part | $107.15 | $120.23 | $380.19 |
Blue Shield Setting Facility Modifier None Typical Low $169.82 Median $630.96 Typical High $1,047.13 | Facility | None | $169.82 | $630.96 | $1,047.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $269.15 | Professional | None (both parts) | $114.82 | $165.96 | $269.15 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $28.18 | $46.77 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $223.87 | Professional | TC · Technical part | $95.50 | $138.04 | $223.87 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $169.82 | $234.42 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $501.19 Typical High $1,202.26 | Facility | None | $281.84 | $501.19 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $295.12 | Professional | None (both parts) | $117.49 | $144.54 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $50.12 | Professional | 26 · Professional part | $20.42 | $25.12 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $257.04 | Professional | TC · Technical part | $95.50 | $120.23 | $257.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $100.00 Median $208.93 Typical High $281.84 | Professional | None | $100.00 | $208.93 | $281.84 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $25.70 Typical High $35.48 | Professional | 26 · Professional part | $16.98 | $25.70 | $35.48 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $181.97 Typical High $245.47 | Professional | TC · Technical part | $83.18 | $181.97 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $389.05 | Professional | None | $158.49 | $190.55 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $69.18 | Professional | 26 · Professional part | $22.91 | $30.90 | $69.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $478.63 | Professional | TC · Technical part | $144.54 | $208.93 | $478.63 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,318.26 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | 26 · Professional part | $229.09 | $229.09 | $229.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,122.02 | Professional | TC · Technical part | $870.96 | $870.96 | $1,122.02 |
Molina Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $144.54 | Professional | None (both parts) | $23.44 | $33.11 | $144.54 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $398.11 Typical High $1,122.02 | Facility | None | $169.82 | $398.11 | $1,122.02 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $323.59 | Professional | None (both parts) | $117.49 | $144.54 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.12 Typical High $42.66 | Professional | 26 · Professional part | $20.42 | $25.12 | $42.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $234.42 | Professional | TC · Technical part | $95.50 | $109.65 | $234.42 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $426.58 | $426.58 | $426.58 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $97.72 | $154.88 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.12 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $25.12 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $128.82 Typical High $281.84 | Professional | TC · Technical part | $77.62 | $128.82 | $281.84 |
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 $69.18 Median $147.91 Typical High $389.05 | Facility | 52 · Reduced service | $69.18 | $147.91 | $389.05 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $27.54 Median $58.88 Typical High $154.88 | Facility | 53 · Discontinued | $27.54 | $58.88 | $154.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $112.20 Median $239.88 Typical High $562.34 | Facility | FX · Film X-ray | $112.20 | $239.88 | $562.34 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $69.18 Typical High $79.43 | Professional | 52 · Reduced service | $58.88 | $69.18 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $27.54 Typical High $31.62 | Professional | 53 · Discontinued | $23.44 | $27.54 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | FX · Film X-ray | $95.50 | $112.20 | $125.89 |
Where California sits
The same service costs 3.8 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· 27th of 51
$166
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.