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 $457.09 Median $1,288.25 Typical High $2,754.23 | Facility | None | $457.09 | $1,288.25 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $794.33 Typical High $2,137.96 | Facility | TC · Technical part | $346.74 | $794.33 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $489.78 Typical High $758.58 | Professional | None (both parts) | $416.87 | $489.78 | $758.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $120.23 Typical High $173.78 | Professional | 26 · Professional part | $109.65 | $120.23 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $588.84 | Professional | TC · Technical part | $309.03 | $363.08 | $588.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $371.54 | $371.54 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $162.18 Typical High $177.83 | Professional | 26 · Professional part | $107.15 | $162.18 | $177.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $117.49 Median $2,137.96 Typical High $2,187.76 | Facility | None | $117.49 | $2,137.96 | $2,187.76 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $416.87 Median $446.68 Typical High $1,445.44 | Professional | None (both parts) | $416.87 | $446.68 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $338.84 | Professional | 26 · Professional part | $102.33 | $117.49 | $338.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $1,096.48 | Professional | TC · Technical part | $309.03 | $338.84 | $1,096.48 |
Blue Shield Setting Facility Modifier None Typical Low $457.09 Median $4,265.80 Typical High $7,585.78 | Facility | None | $457.09 | $4,265.80 | $7,585.78 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $295.12 Median $446.68 Typical High $776.25 | Professional | None (both parts) | $295.12 | $446.68 | $776.25 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $144.54 Typical High $245.47 | Professional | 26 · Professional part | $100.00 | $144.54 | $245.47 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $199.53 | $302.00 | $537.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $426.58 Typical High $512.86 | Professional | None (both parts) | $338.84 | $426.58 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,047.13 Typical High $9,332.54 | Facility | None | $389.05 | $1,047.13 | $9,332.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $562.34 Typical High $1,096.48 | Professional | None (both parts) | $309.03 | $562.34 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $117.49 Typical High $234.42 | Professional | 26 · Professional part | $69.18 | $117.49 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $416.87 Typical High $891.25 | Professional | TC · Technical part | $223.87 | $416.87 | $891.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $338.84 Median $407.38 Typical High $512.86 | Professional | None | $338.84 | $407.38 | $512.86 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $169.82 | Professional | 26 · Professional part | $102.33 | $125.89 | $169.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $338.84 | Professional | TC · Technical part | $239.88 | $275.42 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $416.87 Median $512.86 Typical High $1,047.13 | Professional | None | $416.87 | $512.86 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $151.36 Typical High $331.13 | Professional | 26 · Professional part | $112.20 | $151.36 | $331.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $489.78 Typical High $1,122.02 | Professional | TC · Technical part | $338.84 | $489.78 | $1,122.02 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Professional | None (both parts) | $4,786.30 | $4,786.30 | $4,786.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | 26 · Professional part | $1,698.24 | $1,698.24 | $1,698.24 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | TC · Technical part | $3,630.78 | $3,630.78 | $3,630.78 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $131.83 Typical High $478.63 | Professional | None (both parts) | $33.11 | $131.83 | $478.63 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $588.84 Typical High $1,584.89 | Facility | None | $331.13 | $588.84 | $1,584.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $1,096.48 | Professional | None (both parts) | $309.03 | $524.81 | $1,096.48 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $107.15 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $107.15 | $199.53 |
Providence Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $354.81 Typical High $851.14 | Professional | TC · Technical part | $223.87 | $354.81 | $851.14 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,479.11 | $1,479.11 | $1,479.11 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $380.19 | $380.19 | $380.19 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
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 $380.19 Median $446.68 Typical High $954.99 | Professional | None (both parts) | $380.19 | $446.68 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $229.09 | Professional | 26 · Professional part | $93.33 | $109.65 | $229.09 |
United Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $758.58 | Professional | TC · Technical part | $281.84 | $338.84 | $758.58 |
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 $229.09 Median $446.68 Typical High $1,071.52 | Facility | 52 · Reduced service | $229.09 | $446.68 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $93.33 Median $177.83 Typical High $426.58 | Facility | 53 · Discontinued | $93.33 | $177.83 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $371.54 Median $707.95 Typical High $1,698.24 | Facility | FX · Film X-ray | $371.54 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $165.96 Median $229.09 Typical High $257.04 | Professional | 52 · Reduced service | $165.96 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $93.33 Typical High $104.71 | Professional | 53 · Discontinued | $66.07 | $93.33 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $371.54 Typical High $416.87 | Professional | FX · Film X-ray | $245.47 | $371.54 | $416.87 |
Where California sits
The same service costs 6.8 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· 28th of 51
$490
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.