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 $288.40 Median $323.59 Typical High $2,238.72 | Facility | None | $288.40 | $323.59 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $588.84 Typical High $1,412.54 | Facility | TC · Technical part | $229.09 | $588.84 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $288.40 Typical High $323.59 | Professional | None (both parts) | $120.23 | $288.40 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $58.88 | Professional | 26 · Professional part | $50.12 | $56.23 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $229.09 Typical High $269.15 | Professional | TC · Technical part | $72.44 | $229.09 | $269.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $645.65 Typical High $660.69 | Facility | None | $57.54 | $645.65 | $660.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $263.03 Typical High $707.95 | Professional | None (both parts) | $251.19 | $263.03 | $707.95 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $275.42 | Professional | 26 · Professional part | $53.70 | $60.26 | $275.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $208.93 Typical High $467.74 | Professional | TC · Technical part | $199.53 | $208.93 | $467.74 |
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 $263.03 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $263.03 | $371.54 | $588.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $72.44 | $125.89 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $302.00 Typical High $467.74 | Professional | TC · Technical part | $186.21 | $302.00 | $467.74 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $138.04 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $1,584.89 Typical High $3,467.37 | Facility | None | $251.19 | $1,584.89 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $263.03 Typical High $616.60 | Professional | None (both parts) | $125.89 | $263.03 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $47.86 | $63.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $186.21 Typical High $537.03 | Professional | TC · Technical part | $79.43 | $186.21 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $162.18 Median $177.83 Typical High $218.78 | Professional | None | $162.18 | $177.83 | $218.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $60.26 | $66.07 | $81.28 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $138.04 | Professional | TC · Technical part | $102.33 | $112.20 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $125.89 Median $154.88 Typical High $309.03 | Professional | None | $125.89 | $154.88 | $309.03 |
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 $81.28 Median $117.49 Typical High $275.42 | Professional | TC · Technical part | $81.28 | $117.49 | $275.42 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,548.13 Median $3,548.13 Typical High $3,548.13 | Professional | None (both parts) | $3,548.13 | $3,548.13 | $3,548.13 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $616.60 | $616.60 | $616.60 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,019.95 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $3,019.95 | $3,019.95 | $3,019.95 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $53.70 Typical High $125.89 | Professional | None (both parts) | $33.11 | $53.70 | $125.89 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $1,122.02 Typical High $3,235.94 | Facility | None | $251.19 | $1,122.02 | $3,235.94 |
Providence Setting Professional Modifier None (both parts) Typical Low $125.89 Median $275.42 Typical High $616.60 | Professional | None (both parts) | $125.89 | $275.42 | $616.60 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $63.10 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $223.87 Typical High $537.03 | Professional | TC · Technical part | $79.43 | $223.87 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,584.89 | Facility | None | $1,023.29 | $1,023.29 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $165.96 Typical High $467.74 | Professional | None (both parts) | $128.82 | $165.96 | $467.74 |
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 $79.43 Median $100.00 Typical High $380.19 | Professional | TC · Technical part | $79.43 | $100.00 | $380.19 |
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 $144.54 Median $295.12 Typical High $707.95 | Facility | 52 · Reduced service | $144.54 | $295.12 | $707.95 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $57.54 Median $117.49 Typical High $281.84 | Facility | 53 · Discontinued | $57.54 | $117.49 | $281.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $229.09 Median $467.74 Typical High $1,122.02 | Facility | FX · Film X-ray | $229.09 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $61.66 Median $144.54 Typical High $162.18 | Professional | 52 · Reduced service | $61.66 | $144.54 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $57.54 Typical High $64.57 | Professional | 53 · Discontinued | $24.55 | $57.54 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $229.09 Typical High $263.03 | Professional | FX · Film X-ray | $97.72 | $229.09 | $263.03 |
Where California sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 6th of 51
$288
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.