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 $91.20 Median $100.00 Typical High $2,238.72 | Facility | None | $91.20 | $100.00 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $107.15 Typical High $257.04 | Facility | TC · Technical part | $41.69 | $107.15 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $91.20 Typical High $123.03 | Professional | None (both parts) | $54.95 | $91.20 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $66.07 | Professional | 26 · Professional part | $33.88 | $48.98 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $41.69 Typical High $57.54 | Professional | TC · Technical part | $21.38 | $41.69 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | None (both parts) | $46.77 | $46.77 | $48.98 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $251.19 Typical High $257.04 | Facility | None | $42.66 | $251.19 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $70.79 | $95.50 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $45.71 | $53.70 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $107.15 | Professional | TC · Technical part | $37.15 | $42.66 | $107.15 |
Blue Shield Setting Facility Modifier None Typical Low $83.18 Median $239.88 Typical High $389.05 | Facility | None | $83.18 | $239.88 | $389.05 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $131.83 | Professional | None (both parts) | $64.57 | $91.20 | $131.83 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $50.12 | $70.79 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $41.69 Typical High $58.88 | Professional | TC · Technical part | $28.84 | $41.69 | $58.88 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $144.54 | Professional | None (both parts) | $57.54 | $69.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $275.42 Typical High $676.08 | Facility | None | $60.26 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $102.33 Typical High $162.18 | Professional | None (both parts) | $61.66 | $102.33 | $162.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $50.12 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $50.12 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $24.55 | $46.77 | $91.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $42.66 Median $69.18 Typical High $74.13 | Professional | None | $42.66 | $69.18 | $74.13 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $40.74 Typical High $43.65 | Professional | 26 · Professional part | $23.99 | $40.74 | $43.65 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $28.18 Typical High $30.90 | Professional | TC · Technical part | $19.05 | $28.18 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $48.98 Median $60.26 Typical High $120.23 | Professional | None | $48.98 | $60.26 | $120.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $43.65 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.20 Typical High $67.61 | Professional | TC · Technical part | $20.89 | $30.20 | $67.61 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $676.08 Typical High $691.83 | Professional | None (both parts) | $676.08 | $676.08 | $691.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | TC · Technical part | $416.87 | $416.87 | $416.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $36.31 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $36.31 | $44.67 | $87.10 |
Optum Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $70.79 | Professional | None (both parts) | $54.95 | $54.95 | $70.79 |
Providence Setting Facility Modifier None Typical Low $91.20 Median $218.78 Typical High $602.56 | Facility | None | $91.20 | $218.78 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $64.57 Median $102.33 Typical High $158.49 | Professional | None (both parts) | $64.57 | $102.33 | $158.49 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $36.31 | $48.98 | $75.86 |
Providence Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $46.77 Typical High $91.20 | Professional | TC · Technical part | $27.54 | $46.77 | $91.20 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $104.71 | $104.71 | $104.71 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | TC · Technical part | $70.79 | $70.79 | $70.79 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Facility | None | $169.82 | $169.82 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $64.57 Typical High $117.49 | Professional | None (both parts) | $50.12 | $64.57 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $30.90 | $34.67 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $25.70 Typical High $53.70 | Professional | TC · Technical part | $19.50 | $25.70 | $53.70 |
7 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 $37.15 Median $53.70 Typical High $141.25 | Facility | 52 · Reduced service | $37.15 | $53.70 | $141.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $21.38 Typical High $56.23 | Facility | 53 · Discontinued | $15.14 | $21.38 | $56.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $48.98 Median $85.11 Typical High $204.17 | Facility | FX · Film X-ray | $48.98 | $85.11 | $204.17 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $33.88 Median $44.67 Typical High $50.12 | Professional | 52 · Reduced service | $33.88 | $44.67 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $18.20 Typical High $19.95 | Professional | 53 · Discontinued | $13.49 | $18.20 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $72.44 Typical High $79.43 | Professional | FX · Film X-ray | $38.90 | $72.44 | $79.43 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $75.86 Median $95.50 Typical High $199.53 | Professional | 50 · Both sides | $75.86 | $95.50 | $199.53 |
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· 12th of 51
$95.50
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.