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 $239.88 Median $269.15 Typical High $2,238.72 | Facility | None | $239.88 | $269.15 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $467.74 Typical High $1,122.02 | Facility | TC · Technical part | $186.21 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $144.54 | $239.88 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $53.70 Typical High $56.23 | Professional | 26 · Professional part | $47.86 | $53.70 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $186.21 Typical High $213.80 | Professional | TC · Technical part | $93.33 | $186.21 | $213.80 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $776.25 Typical High $794.33 | Facility | None | $57.54 | $776.25 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $245.47 Typical High $776.25 | Professional | None (both parts) | $181.97 | $245.47 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $251.19 | Professional | 26 · Professional part | $53.70 | $60.26 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $131.83 | $186.21 | $562.34 |
Blue Shield Setting Facility Modifier None Typical Low $1,230.27 Median $4,168.69 Typical High $6,309.57 | Facility | None | $1,230.27 | $4,168.69 | $6,309.57 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $501.19 | Professional | None (both parts) | $213.80 | $309.03 | $501.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $48.98 | $69.18 | $120.23 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $239.88 | $389.05 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $549.54 | Professional | None (both parts) | $169.82 | $223.87 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $7,079.46 Typical High $16,218.10 | Facility | None | $338.84 | $7,079.46 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $144.54 | $251.19 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $58.88 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $181.97 Typical High $537.03 | Professional | TC · Technical part | $97.72 | $181.97 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $138.04 Median $199.53 Typical High $269.15 | Professional | None | $138.04 | $199.53 | $269.15 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $44.67 | $60.26 | $81.28 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $95.50 | $138.04 | $186.21 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $380.19 | Professional | None | $151.36 | $186.21 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $72.44 Typical High $158.49 | Professional | 26 · Professional part | $53.70 | $72.44 | $158.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $371.54 | Professional | TC · Technical part | $109.65 | $158.49 | $371.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $3,162.28 | $3,162.28 | $3,162.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,884.03 Median $2,884.03 Typical High $2,884.03 | Professional | TC · Technical part | $2,884.03 | $2,884.03 | $2,884.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $53.70 Typical High $154.88 | Professional | None (both parts) | $33.11 | $53.70 | $154.88 |
Providence Setting Facility Modifier None Typical Low $239.88 Median $4,365.16 Typical High $15,848.93 | Facility | None | $239.88 | $4,365.16 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $251.19 Typical High $676.08 | Professional | None (both parts) | $144.54 | $251.19 | $676.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $58.88 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $169.82 Typical High $537.03 | Professional | TC · Technical part | $97.72 | $169.82 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $186.21 | $186.21 | $186.21 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
United Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $7,943.28 | Facility | None | $5,128.61 | $5,128.61 | $7,943.28 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $501.19 | Professional | None (both parts) | $151.36 | $186.21 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $45.71 | $58.88 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $398.11 | Professional | TC · Technical part | $97.72 | $125.89 | $398.11 |
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 $120.23 Median $234.42 Typical High $562.34 | Facility | 52 · Reduced service | $120.23 | $234.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $93.33 Typical High $223.87 | Facility | 53 · Discontinued | $47.86 | $93.33 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $371.54 Typical High $891.25 | Facility | FX · Film X-ray | $190.55 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $72.44 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $47.86 Typical High $53.70 | Professional | 53 · Discontinued | $28.84 | $47.86 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $190.55 Typical High $213.80 | Professional | FX · Film X-ray | $114.82 | $190.55 | $213.80 |
Where California sits
The same service costs 4.4 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· 15th of 51
$275
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.