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 $229.09 Median $295.12 Typical High $1,819.70 | Facility | None | $229.09 | $295.12 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $407.38 Typical High $977.24 | Facility | TC · Technical part | $162.18 | $407.38 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $131.83 | $229.09 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $69.18 | Professional | 26 · Professional part | $58.88 | $66.07 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $162.18 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $70.79 Median $691.83 Typical High $707.95 | Facility | None | $70.79 | $691.83 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $724.44 | Professional | None (both parts) | $177.83 | $239.88 | $724.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $72.44 Typical High $309.03 | Professional | 26 · Professional part | $64.57 | $72.44 | $309.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $457.09 | Professional | TC · Technical part | $120.23 | $165.96 | $457.09 |
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 $269.15 Typical High $426.58 | Professional | None (both parts) | $186.21 | $269.15 | $426.58 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $75.86 | $123.03 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $134.90 | $194.98 | $302.00 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $147.91 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $7,079.46 Typical High $16,595.87 | Facility | None | $245.47 | $7,079.46 | $16,595.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $134.90 | $239.88 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $141.25 | Professional | 26 · Professional part | $58.88 | $74.13 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $151.36 Typical High $537.03 | Professional | TC · Technical part | $77.62 | $151.36 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $173.78 Median $190.55 Typical High $234.42 | Professional | None | $173.78 | $190.55 | $234.42 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $95.50 | Professional | 26 · Professional part | $70.79 | $77.62 | $95.50 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $134.90 | Professional | TC · Technical part | $100.00 | $112.20 | $134.90 |
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 $63.10 Median $85.11 Typical High $190.55 | Professional | 26 · Professional part | $63.10 | $85.11 | $190.55 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $117.49 Typical High $269.15 | Professional | TC · Technical part | $81.28 | $117.49 | $269.15 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $478.63 Typical High $524.81 | Professional | 26 · Professional part | $478.63 | $478.63 | $524.81 |
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 $77.62 Typical High $144.54 | Professional | None (both parts) | $33.11 | $77.62 | $144.54 |
Providence Setting Facility Modifier None Typical Low $229.09 Median $4,897.79 Typical High $15,848.93 | Facility | None | $229.09 | $4,897.79 | $15,848.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $134.90 | $239.88 | $645.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $120.23 | Professional | 26 · Professional part | $58.88 | $74.13 | $120.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $151.36 Typical High $537.03 | Professional | TC · Technical part | $77.62 | $151.36 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $501.19 | $501.19 | $501.19 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | 26 · Professional part | $223.87 | $223.87 | $223.87 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $275.42 | $275.42 | $275.42 |
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 $138.04 Median $177.83 Typical High $467.74 | Professional | None (both parts) | $138.04 | $177.83 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $134.90 | Professional | 26 · Professional part | $56.23 | $70.79 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $380.19 | Professional | TC · Technical part | $75.86 | $97.72 | $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 $114.82 Median $204.17 Typical High $489.78 | Facility | 52 · Reduced service | $114.82 | $204.17 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $45.71 Median $83.18 Typical High $199.53 | Facility | 53 · Discontinued | $45.71 | $83.18 | $199.53 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $181.97 Median $331.13 Typical High $794.33 | Facility | FX · Film X-ray | $181.97 | $331.13 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $114.82 Typical High $128.82 | Professional | 52 · Reduced service | $64.57 | $114.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $45.71 Typical High $51.29 | Professional | 53 · Discontinued | $26.30 | $45.71 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $181.97 Typical High $204.17 | Professional | FX · Film X-ray | $104.71 | $181.97 | $204.17 |
Where California sits
The same service costs 4.5 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
$257
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.