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 $91.20 Median $104.71 Typical High $2,238.72 | Facility | None | $91.20 | $104.71 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $194.98 Typical High $467.74 | Facility | TC · Technical part | $75.86 | $194.98 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $81.28 | $100.00 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $14.13 | $16.22 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $83.18 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
Anthem BCBS Setting Facility Modifier None Typical Low $18.20 Median $549.54 Typical High $562.34 | Facility | None | $18.20 | $549.54 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $95.50 Typical High $354.81 | Professional | None (both parts) | $83.18 | $95.50 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.20 Typical High $75.86 | Professional | 26 · Professional part | $14.13 | $18.20 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $295.12 | Professional | TC · Technical part | $67.61 | $77.62 | $295.12 |
Blue Shield Setting Facility Modifier None Typical Low $158.49 Median $501.19 Typical High $794.33 | Facility | None | $158.49 | $501.19 | $794.33 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $173.78 | Professional | None (both parts) | $69.18 | $97.72 | $173.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $19.05 Typical High $30.20 | Professional | 26 · Professional part | $13.18 | $19.05 | $30.20 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $54.95 | $79.43 | $138.04 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $162.18 Typical High $162.18 | Professional | None (both parts) | $112.20 | $162.18 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $616.60 Typical High $1,412.54 | Facility | None | $234.42 | $616.60 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $74.13 | $95.50 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $33.88 | Professional | 26 · Professional part | $13.49 | $17.38 | $33.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $60.26 | $77.62 | $165.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $60.26 Median $144.54 Typical High $194.98 | Professional | None | $60.26 | $144.54 | $194.98 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $11.48 | $18.20 | $24.55 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $48.98 | $125.89 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $269.15 | Professional | None | $109.65 | $131.83 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.38 Typical High $47.86 | Professional | 26 · Professional part | $15.85 | $21.38 | $47.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $338.84 | Professional | TC · Technical part | $102.33 | $144.54 | $338.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $691.83 Median $691.83 Typical High $912.01 | Professional | None (both parts) | $691.83 | $691.83 | $912.01 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $776.25 | Professional | TC · Technical part | $588.84 | $588.84 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $18.20 Median $33.11 Typical High $117.49 | Professional | None (both parts) | $18.20 | $33.11 | $117.49 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $436.52 Typical High $1,288.25 | Facility | None | $117.49 | $436.52 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $74.13 Median $95.50 Typical High $204.17 | Professional | None (both parts) | $74.13 | $95.50 | $204.17 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.38 Typical High $28.84 | Professional | 26 · Professional part | $13.49 | $17.38 | $28.84 |
Providence Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $77.62 | $151.36 |
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 $52.48 Median $52.48 Typical High $52.48 | Professional | 26 · Professional part | $52.48 | $52.48 | $52.48 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Facility | None | $389.05 | $389.05 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $213.80 | Professional | None (both parts) | $66.07 | $100.00 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $16.60 Typical High $31.62 | Professional | 26 · Professional part | $12.88 | $16.60 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $83.18 Typical High $181.97 | Professional | TC · Technical part | $54.95 | $83.18 | $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 $45.71 Median $97.72 Typical High $234.42 | Facility | 52 · Reduced service | $45.71 | $97.72 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.20 Median $38.90 Typical High $102.33 | Facility | 53 · Discontinued | $18.20 | $38.90 | $102.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $72.44 Median $154.88 Typical High $371.54 | Facility | FX · Film X-ray | $72.44 | $154.88 | $371.54 |
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 $20.89 | Professional | 53 · Discontinued | $15.49 | $18.20 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $72.44 Typical High $83.18 | Professional | FX · Film X-ray | $61.66 | $72.44 | $83.18 |
Where California sits
The same service costs 3.8 times more in Alaska than in New York. 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
$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.