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 $213.80 Median $239.88 Typical High $2,238.72 | Facility | None | $213.80 | $239.88 | $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 $134.90 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $134.90 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $51.29 | $54.95 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $158.49 Typical High $173.78 | Professional | TC · Technical part | $81.28 | $158.49 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $602.56 Typical High $630.96 | Facility | None | $57.54 | $602.56 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $660.69 | Professional | None (both parts) | $169.82 | $223.87 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $165.96 | Professional | 26 · Professional part | $51.29 | $60.26 | $165.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $436.52 | Professional | TC · Technical part | $120.23 | $162.18 | $436.52 |
Blue Shield Setting Facility Modifier None Typical Low $1,258.93 Median $4,168.69 Typical High $7,079.46 | Facility | None | $1,258.93 | $4,168.69 | $7,079.46 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $177.83 | $251.19 | $407.38 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $63.10 | $104.71 |
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 $131.83 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $131.83 | $169.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $7,079.46 Typical High $16,218.10 | Facility | None | $234.42 | $7,079.46 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $208.93 Typical High $588.84 | Professional | None (both parts) | $120.23 | $208.93 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $58.88 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $147.91 Typical High $537.03 | Professional | TC · Technical part | $74.13 | $147.91 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $151.36 Median $165.96 Typical High $204.17 | Professional | None | $151.36 | $165.96 | $204.17 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $75.86 | Professional | 26 · Professional part | $56.23 | $61.66 | $75.86 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $107.15 Typical High $128.82 | Professional | TC · Technical part | $95.50 | $107.15 | $128.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $295.12 | Professional | None | $120.23 | $144.54 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $147.91 | Professional | 26 · Professional part | $50.12 | $67.61 | $147.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $109.65 | $257.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $3,311.31 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
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 $61.66 Typical High $138.04 | Professional | None (both parts) | $33.11 | $61.66 | $138.04 |
Providence Setting Facility Modifier None Typical Low $213.80 Median $5,370.32 Typical High $15,848.93 | Facility | None | $213.80 | $5,370.32 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $208.93 Typical High $588.84 | Professional | None (both parts) | $120.23 | $208.93 | $588.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $45.71 | $58.88 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $147.91 Typical High $537.03 | Professional | TC · Technical part | $74.13 | $147.91 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $173.78 | $173.78 | $173.78 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $257.04 | $257.04 | $257.04 |
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 $123.03 Median $154.88 Typical High $446.68 | Professional | None (both parts) | $123.03 | $154.88 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $54.95 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $93.33 Typical High $354.81 | Professional | TC · Technical part | $72.44 | $93.33 | $354.81 |
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 $107.15 Median $204.17 Typical High $489.78 | Facility | 52 · Reduced service | $107.15 | $204.17 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $42.66 Median $81.28 Typical High $213.80 | Facility | 53 · Discontinued | $42.66 | $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 $57.54 Median $107.15 Typical High $120.23 | Professional | 52 · Reduced service | $57.54 | $107.15 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $42.66 Typical High $47.86 | Professional | 53 · Discontinued | $22.91 | $42.66 | $47.86 |
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 4.9 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· 16th of 51
$219
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.