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 $87.10 Median $97.72 Typical High $2,238.72 | Facility | None | $87.10 | $97.72 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $141.25 Typical High $371.54 | Facility | TC · Technical part | $56.23 | $141.25 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $91.20 Typical High $141.25 | Professional | None (both parts) | $79.43 | $91.20 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $54.95 | Professional | 26 · Professional part | $29.51 | $33.88 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $85.11 | Professional | TC · Technical part | $48.98 | $56.23 | $85.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $36.31 Median $398.11 Typical High $407.38 | Facility | None | $36.31 | $398.11 | $407.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $89.13 Typical High $162.18 | Professional | None (both parts) | $53.70 | $89.13 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $79.43 | Professional | 26 · Professional part | $30.20 | $36.31 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $60.26 Typical High $208.93 | Professional | TC · Technical part | $53.70 | $60.26 | $208.93 |
Blue Shield Setting Facility Modifier None Typical Low $89.13 Median $269.15 Typical High $416.87 | Facility | None | $89.13 | $269.15 | $416.87 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $128.82 | Professional | None (both parts) | $60.26 | $87.10 | $128.82 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $33.11 | $48.98 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $79.43 | Professional | TC · Technical part | $37.15 | $53.70 | $79.43 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $144.54 | Professional | None (both parts) | $93.33 | $112.20 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $275.42 Typical High $676.08 | Facility | None | $114.82 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $83.18 | $102.33 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $66.07 | Professional | 26 · Professional part | $30.20 | $36.31 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $66.07 Typical High $120.23 | Professional | TC · Technical part | $51.29 | $66.07 | $120.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $112.20 Typical High $120.23 | Professional | None | $66.07 | $112.20 | $120.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $42.66 | $46.77 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $67.61 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $67.61 | $74.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $190.55 | Professional | None | $79.43 | $95.50 | $190.55 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $104.71 | Professional | 26 · Professional part | $33.88 | $46.77 | $104.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $50.12 | $72.44 | $165.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $602.56 | $660.69 | $660.69 |
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 $363.08 Median $363.08 Typical High $389.05 | Professional | TC · Technical part | $363.08 | $363.08 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $51.29 Typical High $89.13 | Professional | None (both parts) | $33.11 | $51.29 | $89.13 |
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 $104.71 Median $234.42 Typical High $602.56 | Facility | None | $104.71 | $234.42 | $602.56 |
Providence Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $83.18 | $102.33 | $173.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $36.31 | $54.95 |
Providence Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $64.57 | $112.20 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
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 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 $66.07 Median $102.33 Typical High $173.78 | Professional | None (both parts) | $66.07 | $102.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $37.15 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $64.57 Typical High $112.20 | Professional | TC · Technical part | $38.02 | $64.57 | $112.20 |
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 $40.74 Median $70.79 Typical High $186.21 | Facility | 52 · Reduced service | $40.74 | $70.79 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $28.18 Typical High $67.61 | Facility | 53 · Discontinued | $16.22 | $28.18 | $67.61 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $64.57 Median $114.82 Typical High $275.42 | Facility | FX · Film X-ray | $64.57 | $114.82 | $275.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.02 Median $43.65 Typical High $48.98 | Professional | 52 · Reduced service | $38.02 | $43.65 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.38 Typical High $19.50 | Professional | 53 · Discontinued | $15.14 | $17.38 | $19.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $70.79 Typical High $77.62 | Professional | FX · Film X-ray | $58.88 | $70.79 | $77.62 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $104.71 Median $128.82 Typical High $213.80 | Professional | 50 · Both sides | $104.71 | $128.82 | $213.80 |
Where California sits
The same service costs 3.7 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· 33rd of 51
$93.33
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.