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 $223.87 Median $257.04 Typical High $2,238.72 | Facility | None | $223.87 | $257.04 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $446.68 Typical High $1,071.52 | Facility | TC · Technical part | $173.78 | $446.68 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $257.04 | Professional | None (both parts) | $128.82 | $223.87 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $52.48 Typical High $54.95 | Professional | 26 · Professional part | $46.77 | $52.48 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $173.78 Typical High $199.53 | Professional | TC · Technical part | $81.28 | $173.78 | $199.53 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $691.83 Typical High $707.95 | Facility | None | $56.23 | $691.83 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $234.42 Typical High $724.44 | Professional | None (both parts) | $181.97 | $234.42 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $57.54 Typical High $263.03 | Professional | 26 · Professional part | $52.48 | $57.54 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $173.78 Typical High $512.86 | Professional | TC · Technical part | $131.83 | $173.78 | $512.86 |
Blue Shield Setting Facility Modifier None Typical Low $1,000.00 Median $3,801.89 Typical High $6,165.95 | Facility | None | $1,000.00 | $3,801.89 | $6,165.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $186.21 Median $263.03 Typical High $426.58 | Professional | None (both parts) | $186.21 | $263.03 | $426.58 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $60.26 | $102.33 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $141.25 | $204.17 | $323.59 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $549.54 | Professional | None (both parts) | $147.91 | $194.98 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $7,079.46 Typical High $16,218.10 | Facility | None | $281.84 | $7,079.46 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $131.83 | $234.42 | $630.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $46.77 | $58.88 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $165.96 Typical High $537.03 | Professional | TC · Technical part | $85.11 | $165.96 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $234.42 | Professional | None | $123.03 | $173.78 | $234.42 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $57.54 | $77.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $79.43 | $117.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $331.13 | Professional | None | $134.90 | $165.96 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $69.18 Typical High $154.88 | Professional | 26 · Professional part | $51.29 | $69.18 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $134.90 Typical High $309.03 | Professional | TC · Technical part | $93.33 | $134.90 | $309.03 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
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 $63.10 Typical High $138.04 | Professional | None (both parts) | $33.11 | $63.10 | $138.04 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $4,897.79 Typical High $15,848.93 | Facility | None | $223.87 | $4,897.79 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $630.96 | Professional | None (both parts) | $131.83 | $234.42 | $630.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $58.88 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $165.96 Typical High $537.03 | Professional | TC · Technical part | $85.11 | $165.96 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | 26 · Professional part | $177.83 | $177.83 | $177.83 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $302.00 | $302.00 | $302.00 |
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 $134.90 Median $173.78 Typical High $457.09 | Professional | None (both parts) | $134.90 | $173.78 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $44.67 | $56.23 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $389.05 | Professional | TC · Technical part | $85.11 | $109.65 | $389.05 |
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 $112.20 Median $218.78 Typical High $524.81 | Facility | 52 · Reduced service | $112.20 | $218.78 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $89.13 Typical High $213.80 | Facility | 53 · Discontinued | $45.71 | $89.13 | $213.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $181.97 Median $354.81 Typical High $851.14 | Facility | FX · Film X-ray | $181.97 | $354.81 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $64.57 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $45.71 Typical High $51.29 | Professional | 53 · Discontinued | $25.70 | $45.71 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $181.97 Typical High $204.17 | Professional | FX · Film X-ray | $102.33 | $181.97 | $204.17 |
Where California sits
The same service costs 4.3 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
$245
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.