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 $208.93 Median $234.42 Typical High $2,238.72 | Facility | None | $208.93 | $234.42 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $407.38 Typical High $977.24 | Facility | TC · Technical part | $158.49 | $407.38 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $229.09 | Professional | None (both parts) | $131.83 | $208.93 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $54.95 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $158.49 Typical High $173.78 | Professional | TC · Technical part | $77.62 | $158.49 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $41.69 | $43.65 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $602.56 Typical High $630.96 | Facility | None | $54.95 | $602.56 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $645.65 | Professional | None (both parts) | $165.96 | $218.78 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $245.47 | Professional | 26 · Professional part | $52.48 | $56.23 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $416.87 | Professional | TC · Technical part | $120.23 | $162.18 | $416.87 |
Blue Shield Setting Facility Modifier None Typical Low $891.25 Median $3,388.44 Typical High $6,165.95 | Facility | None | $891.25 | $3,388.44 | $6,165.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $173.78 | $245.47 | $398.11 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $57.54 | $97.72 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $190.55 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $190.55 | $295.12 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $549.54 | Professional | None (both parts) | $128.82 | $169.82 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $3,548.13 Typical High $8,128.31 | Facility | None | $218.78 | $3,548.13 | $8,128.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $208.93 Typical High $588.84 | Professional | None (both parts) | $117.49 | $208.93 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $45.71 | $57.54 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $144.54 Typical High $537.03 | Professional | TC · Technical part | $70.79 | $144.54 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $109.65 Median $151.36 Typical High $204.17 | Professional | None | $109.65 | $151.36 | $204.17 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $57.54 | $77.62 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $67.61 | $93.33 | $125.89 |
Kaiser Permanente Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $295.12 | Professional | None | $117.49 | $144.54 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $154.88 | Professional | 26 · Professional part | $52.48 | $69.18 | $154.88 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $245.47 | Professional | TC · Technical part | $74.13 | $107.15 | $245.47 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $3,388.44 | $3,388.44 | $3,388.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $630.96 | $630.96 | $630.96 |
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 $64.57 Typical High $138.04 | Professional | None (both parts) | $33.11 | $64.57 | $138.04 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $2,630.27 Typical High $7,762.47 | Facility | None | $208.93 | $2,630.27 | $7,762.47 |
Providence Setting Professional Modifier None (both parts) Typical Low $117.49 Median $204.17 Typical High $588.84 | Professional | None (both parts) | $117.49 | $204.17 | $588.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $57.54 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $147.91 Typical High $537.03 | Professional | TC · Technical part | $70.79 | $147.91 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
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 $251.19 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $251.19 | $251.19 | $251.19 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,981.07 | Facility | None | $2,570.40 | $2,570.40 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $446.68 | Professional | None (both parts) | $120.23 | $154.88 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $43.65 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $346.74 | Professional | TC · Technical part | $69.18 | $91.20 | $346.74 |
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 $104.71 Median $204.17 Typical High $489.78 | Facility | 52 · Reduced service | $104.71 | $204.17 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $41.69 Median $81.28 Typical High $213.80 | Facility | 53 · Discontinued | $41.69 | $81.28 | $213.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $169.82 Median $323.59 Typical High $776.25 | Facility | FX · Film X-ray | $169.82 | $323.59 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $56.23 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $22.39 | $41.69 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $169.82 Typical High $190.55 | Professional | FX · Film X-ray | $91.20 | $169.82 | $190.55 |
Where California sits
The same service costs 4.8 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· 17th of 51
$214
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.