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 $134.90 Median $1,202.26 Typical High $2,818.38 | Facility | None | $134.90 | $1,202.26 | $2,818.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $204.17 Typical High $489.78 | Facility | TC · Technical part | $79.43 | $204.17 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $199.53 | Professional | None (both parts) | $125.89 | $144.54 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $87.10 | Professional | 26 · Professional part | $53.70 | $58.88 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $83.18 Typical High $112.20 | Professional | TC · Technical part | $69.18 | $83.18 | $112.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $64.57 Median $575.44 Typical High $588.84 | Facility | None | $64.57 | $575.44 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $154.88 Typical High $549.54 | Professional | None (both parts) | $120.23 | $154.88 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $70.79 Typical High $251.19 | Professional | 26 · Professional part | $63.10 | $70.79 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $87.10 Typical High $288.40 | Professional | TC · Technical part | $77.62 | $87.10 | $288.40 |
Blue Shield Setting Facility Modifier None Typical Low $223.87 Median $1,023.29 Typical High $1,584.89 | Facility | None | $223.87 | $1,023.29 | $1,584.89 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $338.84 | Professional | None (both parts) | $100.00 | $144.54 | $338.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $151.36 | Professional | 26 · Professional part | $46.77 | $67.61 | $151.36 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $75.86 Typical High $190.55 | Professional | TC · Technical part | $53.70 | $75.86 | $190.55 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $380.19 | Professional | None (both parts) | $123.03 | $162.18 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $323.59 Typical High $6,165.95 | Facility | None | $144.54 | $323.59 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $346.74 | Professional | None (both parts) | $102.33 | $154.88 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $162.18 | Professional | 26 · Professional part | $48.98 | $60.26 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $87.10 Typical High $208.93 | Professional | TC · Technical part | $53.70 | $87.10 | $208.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $104.71 Median $144.54 Typical High $173.78 | Professional | None | $104.71 | $144.54 | $173.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $61.66 | $74.13 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $97.72 | Professional | TC · Technical part | $56.23 | $81.28 | $97.72 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $323.59 | Professional | None | $120.23 | $151.36 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $79.43 Typical High $173.78 | Professional | 26 · Professional part | $56.23 | $79.43 | $173.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $229.09 | Professional | TC · Technical part | $74.13 | $97.72 | $229.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $562.34 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $562.34 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $1,230.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $109.65 | Professional | None (both parts) | $53.70 | $66.07 | $109.65 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $323.59 | Facility | None | $141.25 | $245.47 | $323.59 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $147.91 Typical High $346.74 | Professional | None (both parts) | $102.33 | $147.91 | $346.74 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $162.18 | Professional | 26 · Professional part | $48.98 | $60.26 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $87.10 Typical High $208.93 | Professional | TC · Technical part | $53.70 | $87.10 | $208.93 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $213.80 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $371.54 | Professional | None (both parts) | $109.65 | $123.03 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $169.82 | Professional | 26 · Professional part | $45.71 | $60.26 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $199.53 | Professional | TC · Technical part | $56.23 | $64.57 | $199.53 |
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 $58.88 Median $102.33 Typical High $245.47 | Facility | 52 · Reduced service | $58.88 | $102.33 | $245.47 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $23.44 Median $40.74 Typical High $107.15 | Facility | 53 · Discontinued | $23.44 | $40.74 | $107.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $93.33 Median $162.18 Typical High $389.05 | Facility | FX · Film X-ray | $93.33 | $162.18 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $58.88 Median $67.61 Typical High $74.13 | Professional | 52 · Reduced service | $58.88 | $67.61 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $26.92 Typical High $29.51 | Professional | 53 · Discontinued | $23.99 | $26.92 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $107.15 Typical High $120.23 | Professional | FX · Film X-ray | $95.50 | $107.15 | $120.23 |
Where California sits
The same service costs 5.6 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· 27th of 51
$148
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.