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 $56.23 Median $69.18 Typical High $2,238.72 | Facility | None | $56.23 | $69.18 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $93.33 Typical High $223.87 | Facility | TC · Technical part | $37.15 | $93.33 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $56.23 | $64.57 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $25.12 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $67.61 | Professional | TC · Technical part | $32.36 | $37.15 | $67.61 |
Ambetter 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 |
Anthem BCBS Setting Facility Modifier None Typical Low $29.51 Median $302.00 Typical High $309.03 | Facility | None | $29.51 | $302.00 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $66.07 Typical High $199.53 | Professional | None (both parts) | $54.95 | $66.07 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $87.10 | Professional | 26 · Professional part | $26.30 | $30.90 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $37.15 Typical High $123.03 | Professional | TC · Technical part | $33.11 | $37.15 | $123.03 |
Blue Shield Setting Facility Modifier None Typical Low $104.71 Median $371.54 Typical High $676.08 | Facility | None | $104.71 | $371.54 | $676.08 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $45.71 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $45.71 | $66.07 | $114.82 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $48.98 | Professional | 26 · Professional part | $20.89 | $30.20 | $48.98 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $35.48 Typical High $61.66 | Professional | TC · Technical part | $24.55 | $35.48 | $61.66 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $89.13 | Professional | None (both parts) | $63.10 | $85.11 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $1,230.27 Typical High $2,884.03 | Facility | None | $112.20 | $1,230.27 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $125.89 | Professional | None (both parts) | $47.86 | $69.18 | $125.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $53.70 | Professional | 26 · Professional part | $21.88 | $28.18 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $41.69 Typical High $75.86 | Professional | TC · Technical part | $26.30 | $41.69 | $75.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $41.69 Median $75.86 Typical High $102.33 | Professional | None | $41.69 | $75.86 | $102.33 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $36.31 | Professional | 26 · Professional part | $19.05 | $26.92 | $36.31 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $48.98 Typical High $66.07 | Professional | TC · Technical part | $22.39 | $48.98 | $66.07 |
Kaiser Permanente Setting Professional Modifier None Typical Low $58.88 Median $72.44 Typical High $144.54 | Professional | None | $58.88 | $72.44 | $144.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $32.36 Typical High $72.44 | Professional | 26 · Professional part | $23.99 | $32.36 | $72.44 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $128.82 | Professional | TC · Technical part | $38.90 | $56.23 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $389.05 | $389.05 | $501.19 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $199.53 | Professional | 26 · Professional part | $158.49 | $158.49 | $199.53 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $302.00 | Professional | TC · Technical part | $239.88 | $239.88 | $302.00 |
Molina Setting Professional Modifier None (both parts) Typical Low $29.51 Median $32.36 Typical High $69.18 | Professional | None (both parts) | $29.51 | $32.36 | $69.18 |
Providence Setting Facility Modifier None Typical Low $79.43 Median $891.25 Typical High $2,691.53 | Facility | None | $79.43 | $891.25 | $2,691.53 |
Providence Setting Professional Modifier None (both parts) Typical Low $48.98 Median $69.18 Typical High $128.82 | Professional | None (both parts) | $48.98 | $69.18 | $128.82 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $28.18 | $45.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $40.74 Typical High $72.44 | Professional | TC · Technical part | $26.30 | $40.74 | $72.44 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | TC · Technical part | $112.20 | $112.20 | $112.20 |
United Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $60.26 Typical High $125.89 | Professional | None (both parts) | $48.98 | $60.26 | $125.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $26.92 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.88 Typical High $74.13 | Professional | TC · Technical part | $28.84 | $33.88 | $74.13 |
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 $26.92 Median $46.77 Typical High $112.20 | Facility | 52 · Reduced service | $26.92 | $46.77 | $112.20 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $10.72 Median $18.62 Typical High $48.98 | Facility | 53 · Discontinued | $10.72 | $18.62 | $48.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $42.66 Median $91.20 Typical High $199.53 | Facility | FX · Film X-ray | $42.66 | $91.20 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $26.92 Median $30.90 Typical High $33.88 | Professional | 52 · Reduced service | $26.92 | $30.90 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $12.30 Typical High $13.80 | Professional | 53 · Discontinued | $10.72 | $12.30 | $13.80 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $48.98 Typical High $54.95 | Professional | FX · Film X-ray | $42.66 | $48.98 | $54.95 |
Where California sits
The same service costs 3.8 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· 35th of 51
$67.61
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.