How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $1,819.70 Median $1,819.70 Typical High $2,238.72 | Facility | None | $1,819.70 | $1,819.70 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $120.23 Typical High $288.40 | Facility | TC · Technical part | $46.77 | $120.23 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $467.74 Typical High $645.65 | Professional | None (both parts) | $177.83 | $467.74 | $645.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $46.77 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $46.77 | $63.10 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $37.15 | $37.15 | $37.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $50.12 Median $52.48 Typical High $58.88 | Facility | None | $50.12 | $52.48 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | None (both parts) | $50.12 | $50.12 | $50.12 |
Blue Shield Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $275.42 | Facility | None | $67.61 | $102.33 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $263.03 Typical High $501.19 | Facility | None | $151.36 | $263.03 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $204.17 Typical High $234.42 | Professional | None (both parts) | $50.12 | $204.17 | $234.42 |
Kaiser Permanente Setting Professional Modifier None Typical Low $39.81 Median $407.38 Typical High $1,737.80 | Professional | None | $39.81 | $407.38 | $1,737.80 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
Providence Setting Facility Modifier None Typical Low $58.88 Median $229.09 Typical High $467.74 | Facility | None | $58.88 | $229.09 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $50.12 Median $79.43 Typical High $234.42 | Professional | None (both parts) | $50.12 | $79.43 | $234.42 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
4 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 $33.88 Median $87.10 Typical High $162.18 | Facility | 52 · Reduced service | $33.88 | $87.10 | $162.18 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $13.49 Median $34.67 Typical High $64.57 | Facility | 53 · Discontinued | $13.49 | $34.67 | $64.57 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $54.95 Median $128.82 Typical High $251.19 | Facility | FX · Film X-ray | $54.95 | $128.82 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Where California sits
The same service costs 20.9 times more in New Hampshire than in Delaware. 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· 3rd of 51
$398
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.