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 $97.72 Median $141.25 Typical High $1,819.70 | Facility | None | $97.72 | $141.25 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $77.62 Median $194.98 Typical High $467.74 | Facility | TC · Technical part | $77.62 | $194.98 | $467.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $83.18 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $22.39 Typical High $23.99 | Professional | 26 · Professional part | $20.42 | $22.39 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $77.62 Typical High $89.13 | Professional | TC · Technical part | $61.66 | $77.62 | $89.13 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | 26 · Professional part | $54.95 | $54.95 | $54.95 |
Anthem BCBS Setting Facility Modifier None Typical Low $25.70 Median $436.52 Typical High $457.09 | Facility | None | $25.70 | $436.52 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $95.50 Typical High $309.03 | Professional | None (both parts) | $89.13 | $95.50 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.70 Typical High $67.61 | Professional | 26 · Professional part | $21.38 | $25.70 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $229.09 | Professional | TC · Technical part | $69.18 | $72.44 | $229.09 |
Blue Shield Setting Facility Modifier None Typical Low $85.11 Median $251.19 Typical High $389.05 | Facility | None | $85.11 | $251.19 | $389.05 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $83.18 Median $120.23 Typical High $186.21 | Professional | None (both parts) | $83.18 | $120.23 | $186.21 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $27.54 Typical High $44.67 | Professional | 26 · Professional part | $19.05 | $27.54 | $44.67 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $144.54 | Professional | TC · Technical part | $64.57 | $93.33 | $144.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $46.77 | $128.82 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $309.03 Typical High $676.08 | Facility | None | $141.25 | $309.03 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $194.98 | Professional | None (both parts) | $66.07 | $91.20 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $24.55 Typical High $47.86 | Professional | 26 · Professional part | $19.95 | $24.55 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $70.79 Typical High $147.91 | Professional | TC · Technical part | $43.65 | $70.79 | $147.91 |
Contra Costa Health Setting Professional Modifier None Typical Low $24.55 Median $114.82 Typical High $154.88 | Professional | None | $24.55 | $114.82 | $154.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $5.75 | $26.92 | $36.31 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $19.05 | $87.10 | $117.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $87.10 Median $104.71 Typical High $213.80 | Professional | None | $87.10 | $104.71 | $213.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $31.62 Typical High $70.79 | Professional | 26 · Professional part | $23.44 | $31.62 | $70.79 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $100.00 Typical High $234.42 | Professional | TC · Technical part | $69.18 | $100.00 | $234.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $1,047.13 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,047.13 |
Molina Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $77.62 | Professional | None (both parts) | $27.54 | $33.11 | $77.62 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $239.88 Typical High $602.56 | Facility | None | $107.15 | $239.88 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $66.07 Median $91.20 Typical High $194.98 | Professional | None (both parts) | $66.07 | $91.20 | $194.98 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $41.69 | Professional | 26 · Professional part | $19.95 | $23.99 | $41.69 |
Providence Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $70.79 Typical High $134.90 | Professional | TC · Technical part | $43.65 | $70.79 | $134.90 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | 26 · Professional part | $75.86 | $75.86 | $75.86 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | TC · Technical part | $229.09 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Facility | None | $169.82 | $169.82 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $67.61 | $93.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $23.99 Typical High $45.71 | Professional | 26 · Professional part | $18.20 | $23.99 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $69.18 Typical High $147.91 | Professional | TC · Technical part | $48.98 | $69.18 | $147.91 |
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 $48.98 Median $97.72 Typical High $234.42 | Facility | 52 · Reduced service | $48.98 | $97.72 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $38.90 Typical High $93.33 | Facility | 53 · Discontinued | $19.95 | $38.90 | $93.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $79.43 Median $158.49 Typical High $380.19 | Facility | FX · Film X-ray | $79.43 | $158.49 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $48.98 Typical High $56.23 | Professional | 52 · Reduced service | $38.90 | $48.98 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $19.95 Typical High $22.39 | Professional | 53 · Discontinued | $15.49 | $19.95 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $79.43 Typical High $89.13 | Professional | FX · Film X-ray | $61.66 | $79.43 | $89.13 |
Where California sits
The same service costs 3.8 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· 21st of 51
$107
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.