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 $977.24 Median $1,122.02 Typical High $2,238.72 | Facility | None | $977.24 | $1,122.02 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $912.01 Median $2,344.23 Typical High $5,623.41 | Facility | TC · Technical part | $912.01 | $2,344.23 | $5,623.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $380.19 Median $977.24 Typical High $1,348.96 | Professional | None (both parts) | $380.19 | $977.24 | $1,348.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $67.61 Typical High $194.98 | Professional | 26 · Professional part | $57.54 | $67.61 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $912.01 Typical High $1,258.93 | Professional | TC · Technical part | $239.88 | $912.01 | $1,258.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $72.44 Median $1,621.81 Typical High $1,659.59 | Facility | None | $72.44 | $1,621.81 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,071.52 Typical High $4,073.80 | Professional | None (both parts) | $1,047.13 | $1,071.52 | $4,073.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $331.13 | Professional | 26 · Professional part | $70.79 | $75.86 | $331.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,000.00 Typical High $3,801.89 | Professional | TC · Technical part | $977.24 | $1,000.00 | $3,801.89 |
Blue Shield Setting Facility Modifier None Typical Low $1,698.24 Median $7,762.47 Typical High $12,022.64 | Facility | None | $1,698.24 | $7,762.47 | $12,022.64 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,202.26 Typical High $2,691.53 | Professional | None (both parts) | $851.14 | $1,202.26 | $2,691.53 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $173.78 | Professional | 26 · Professional part | $52.48 | $75.86 | $173.78 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $1,122.02 Typical High $2,570.40 | Professional | TC · Technical part | $794.33 | $1,122.02 | $2,570.40 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $457.09 | Professional | None (both parts) | $346.74 | $457.09 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $5,623.41 Typical High $9,772.37 | Facility | None | $208.93 | $5,623.41 | $9,772.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,122.02 Typical High $2,691.53 | Professional | None (both parts) | $812.83 | $1,122.02 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $69.18 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,047.13 Typical High $2,570.40 | Professional | TC · Technical part | $758.58 | $1,047.13 | $2,570.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $407.38 Median $446.68 Typical High $489.78 | Professional | None | $407.38 | $446.68 | $489.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $154.88 Typical High $169.82 | Professional | 26 · Professional part | $141.25 | $154.88 | $169.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $295.12 Typical High $316.23 | Professional | TC · Technical part | $263.03 | $295.12 | $316.23 |
Kaiser Permanente Setting Professional Modifier None Typical Low $338.84 Median $426.58 Typical High $1,096.48 | Professional | None | $338.84 | $426.58 | $1,096.48 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $181.97 Typical High $398.11 | Professional | 26 · Professional part | $125.89 | $181.97 | $398.11 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $229.09 | $323.59 | $741.31 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $8,511.38 Median $8,511.38 Typical High $8,511.38 | Professional | None (both parts) | $8,511.38 | $8,511.38 | $8,511.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $933.25 Median $933.25 Typical High $1,122.02 | Professional | 26 · Professional part | $933.25 | $933.25 | $1,122.02 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $7,762.47 Median $7,762.47 Typical High $7,762.47 | Professional | TC · Technical part | $7,762.47 | $7,762.47 | $7,762.47 |
Molina Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $1,348.96 Typical High $2,511.89 | Facility | None | $269.15 | $1,348.96 | $2,511.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $812.83 Median $1,071.52 Typical High $2,951.21 | Professional | None (both parts) | $812.83 | $1,071.52 | $2,951.21 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $69.18 | $186.21 |
Providence Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,000.00 Typical High $2,630.27 | Professional | TC · Technical part | $758.58 | $1,000.00 | $2,630.27 |
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 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,023.29 Typical High $3,801.89 | Professional | None (both parts) | $724.44 | $1,023.29 | $3,801.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $74.13 Typical High $218.78 | Professional | 26 · Professional part | $52.48 | $74.13 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $954.99 Typical High $3,548.13 | Professional | TC · Technical part | $724.44 | $954.99 | $3,548.13 |
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 $489.78 Median $1,174.90 Typical High $2,818.38 | Facility | 52 · Reduced service | $489.78 | $1,174.90 | $2,818.38 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $194.98 Median $467.74 Typical High $1,122.02 | Facility | 53 · Discontinued | $194.98 | $467.74 | $1,122.02 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $794.33 Median $1,862.09 Typical High $4,466.84 | Facility | FX · Film X-ray | $794.33 | $1,862.09 | $4,466.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $416.87 Median $489.78 Typical High $549.54 | Professional | 52 · Reduced service | $416.87 | $489.78 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $165.96 Median $194.98 Typical High $223.87 | Professional | 53 · Discontinued | $165.96 | $194.98 | $223.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $691.83 Median $794.33 Typical High $891.25 | Professional | FX · Film X-ray | $691.83 | $794.33 | $891.25 |
Where California sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 18th of 51
$1,072
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.