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 $125.89 Median $141.25 Typical High $2,238.72 | Facility | None | $125.89 | $141.25 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $239.88 Typical High $575.44 | Facility | TC · Technical part | $93.33 | $239.88 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $114.82 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $36.31 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $162.18 | Professional | TC · Technical part | $83.18 | $97.72 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | None (both parts) | $120.23 | $120.23 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $34.67 Median $602.56 Typical High $630.96 | Facility | None | $34.67 | $602.56 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $263.03 | Professional | None (both parts) | $117.49 | $117.49 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $34.67 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $34.67 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $173.78 | Professional | TC · Technical part | $83.18 | $85.11 | $173.78 |
Blue Shield Setting Facility Modifier None Typical Low $151.36 Median $489.78 Typical High $776.25 | Facility | None | $151.36 | $489.78 | $776.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $165.96 | Professional | None (both parts) | $77.62 | $109.65 | $165.96 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $30.90 | $54.95 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $54.95 | $75.86 | $112.20 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $131.83 | $173.78 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $616.60 Typical High $1,412.54 | Facility | None | $218.78 | $616.60 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $102.33 | $123.03 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $37.15 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $70.79 | $87.10 | $165.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $75.86 Median $173.78 Typical High $186.21 | Professional | None | $75.86 | $173.78 | $186.21 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $44.67 Typical High $47.86 | Professional | 26 · Professional part | $21.88 | $44.67 | $47.86 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $128.82 Typical High $138.04 | Professional | TC · Technical part | $53.70 | $128.82 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $295.12 | Professional | None | $120.23 | $144.54 | $295.12 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $35.48 | $47.86 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $309.03 | Professional | TC · Technical part | $95.50 | $134.90 | $309.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $758.58 | $1,000.00 | $1,000.00 |
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 $537.03 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $537.03 | $724.44 | $724.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $40.74 Median $75.86 Typical High $131.83 | Professional | None (both parts) | $40.74 | $75.86 | $131.83 |
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 $162.18 Median $436.52 Typical High $1,288.25 | Facility | None | $162.18 | $436.52 | $1,288.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $102.33 | $123.03 | $229.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $37.15 | $56.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $81.28 | $147.91 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
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 $281.84 Median $281.84 Typical High $281.84 | Professional | TC · Technical part | $281.84 | $281.84 | $281.84 |
United Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $602.56 | Facility | None | $389.05 | $389.05 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $85.11 | $120.23 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $25.12 | $37.15 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $154.88 | Professional | TC · Technical part | $60.26 | $85.11 | $154.88 |
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 $63.10 Median $120.23 Typical High $288.40 | Facility | 52 · Reduced service | $63.10 | $120.23 | $288.40 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $47.86 Typical High $114.82 | Facility | 53 · Discontinued | $25.12 | $47.86 | $114.82 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $100.00 Median $190.55 Typical High $457.09 | Facility | FX · Film X-ray | $100.00 | $190.55 | $457.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $63.10 Typical High $70.79 | Professional | 52 · Reduced service | $53.70 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.12 Typical High $28.18 | Professional | 53 · Discontinued | $21.88 | $25.12 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $100.00 Typical High $114.82 | Professional | FX · Film X-ray | $87.10 | $100.00 | $114.82 |
Where California sits
The same service costs 3.9 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· 29th of 51
$129
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.