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 $177.83 Median $1,288.25 Typical High $2,754.23 | Facility | None | $177.83 | $1,288.25 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $281.84 Typical High $724.44 | Facility | TC · Technical part | $117.49 | $281.84 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $144.54 | $177.83 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $47.86 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $102.33 | $128.82 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $676.08 Typical High $707.95 | Facility | None | $46.77 | $676.08 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $501.19 | Professional | None (both parts) | $141.25 | $162.18 | $501.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $138.04 | Professional | 26 · Professional part | $45.71 | $48.98 | $138.04 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $331.13 | Professional | TC · Technical part | $97.72 | $112.20 | $331.13 |
Blue Shield Setting Facility Modifier None Typical Low $162.18 Median $891.25 Typical High $1,698.24 | Facility | None | $162.18 | $891.25 | $1,698.24 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $95.50 | $138.04 | $239.88 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $58.88 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $58.88 | $100.00 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $134.90 | Professional | TC · Technical part | $53.70 | $77.62 | $134.90 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $346.74 | Professional | None (both parts) | $147.91 | $194.98 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $2,884.03 | Facility | None | $177.83 | $302.00 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $104.71 | $186.21 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $46.77 Typical High $97.72 | Professional | 26 · Professional part | $28.18 | $46.77 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $79.43 | $128.82 | $257.04 |
Contra Costa Health Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $234.42 | Professional | None | $125.89 | $173.78 | $234.42 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $51.29 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $51.29 | $69.18 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $123.03 | $165.96 |
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 $45.71 Median $60.26 Typical High $134.90 | Professional | 26 · Professional part | $45.71 | $60.26 | $134.90 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $141.25 Typical High $331.13 | Professional | TC · Technical part | $102.33 | $141.25 | $331.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,148.15 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,148.15 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $371.54 | Professional | 26 · Professional part | $288.40 | $288.40 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $794.33 | $812.83 | $812.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $53.70 Typical High $128.82 | Professional | None (both parts) | $33.11 | $53.70 | $128.82 |
Providence Setting Facility Modifier None Typical Low $141.25 Median $245.47 Typical High $446.68 | Facility | None | $141.25 | $245.47 | $446.68 |
Providence Setting Professional Modifier None (both parts) Typical Low $104.71 Median $181.97 Typical High $338.84 | Professional | None (both parts) | $104.71 | $181.97 | $338.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $42.66 Typical High $83.18 | Professional | 26 · Professional part | $28.18 | $42.66 | $83.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $234.42 | Professional | TC · Technical part | $75.86 | $123.03 | $234.42 |
Sutter Health Plus Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | None (both parts) | $478.63 | $478.63 | $478.63 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $912.01 | Facility | None | $144.54 | $144.54 | $912.01 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $125.89 | $151.36 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $93.33 | Professional | 26 · Professional part | $38.02 | $44.67 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $218.78 | Professional | TC · Technical part | $83.18 | $104.71 | $218.78 |
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 $81.28 Median $147.91 Typical High $354.81 | Facility | 52 · Reduced service | $81.28 | $147.91 | $354.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $32.36 Median $60.26 Typical High $158.49 | Facility | 53 · Discontinued | $32.36 | $60.26 | $158.49 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $128.82 Median $239.88 Typical High $575.44 | Facility | FX · Film X-ray | $128.82 | $239.88 | $575.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $81.28 Typical High $91.20 | Professional | 52 · Reduced service | $69.18 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $32.36 Typical High $36.31 | Professional | 53 · Discontinued | $27.54 | $32.36 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $128.82 Typical High $144.54 | Professional | FX · Film X-ray | $109.65 | $128.82 | $144.54 |
Where California sits
The same service costs 4.3 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· 28th of 51
$178
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.