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 $97.72 Median $109.65 Typical High $2,238.72 | Facility | None | $97.72 | $109.65 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $151.36 Typical High $398.11 | Facility | TC · Technical part | $64.57 | $151.36 | $398.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $89.13 | $109.65 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $36.31 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $70.79 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $70.79 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $151.36 | $151.36 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $32.36 Median $676.08 Typical High $707.95 | Facility | None | $32.36 | $676.08 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $89.13 Typical High $263.03 | Professional | None (both parts) | $87.10 | $89.13 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $32.36 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $32.36 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $190.55 | Professional | TC · Technical part | $56.23 | $57.54 | $190.55 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $416.87 Typical High $758.58 | Facility | None | $97.72 | $416.87 | $758.58 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $199.53 | Professional | None (both parts) | $93.33 | $134.90 | $199.53 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $23.99 | $33.88 | $51.29 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $100.00 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $309.03 Typical High $524.81 | Facility | None | $141.25 | $309.03 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $275.42 | Professional | None (both parts) | $112.20 | $138.04 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $69.18 | Professional | 26 · Professional part | $30.90 | $38.02 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $213.80 | Professional | TC · Technical part | $75.86 | $102.33 | $213.80 |
Contra Costa Health Setting Professional Modifier None Typical Low $75.86 Median $181.97 Typical High $194.98 | Professional | None | $75.86 | $181.97 | $194.98 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $18.20 | $42.66 | $46.77 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $138.04 Typical High $147.91 | Professional | TC · Technical part | $57.54 | $138.04 | $147.91 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $346.74 | Professional | None | $134.90 | $165.96 | $346.74 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $46.77 Typical High $104.71 | Professional | 26 · Professional part | $34.67 | $46.77 | $104.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $158.49 Typical High $363.08 | Professional | TC · Technical part | $109.65 | $158.49 | $363.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $741.31 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $269.15 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $776.25 Typical High $776.25 | Professional | TC · Technical part | $512.86 | $776.25 | $776.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $41.69 Median $93.33 Typical High $154.88 | Professional | None (both parts) | $41.69 | $93.33 | $154.88 |
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 $125.89 Median $239.88 Typical High $467.74 | Facility | None | $125.89 | $239.88 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $112.20 Median $134.90 Typical High $269.15 | Professional | None (both parts) | $112.20 | $134.90 | $269.15 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $38.02 Typical High $60.26 | Professional | 26 · Professional part | $30.90 | $38.02 | $60.26 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $102.33 | $190.55 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | TC · Technical part | $363.08 | $363.08 | $363.08 |
United Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $218.78 | Facility | None | $144.54 | $144.54 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $93.33 | $144.54 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $38.02 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $107.15 Typical High $199.53 | Professional | TC · Technical part | $67.61 | $107.15 | $199.53 |
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 $46.77 Median $83.18 Typical High $218.78 | Facility | 52 · Reduced service | $46.77 | $83.18 | $218.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.05 Median $33.11 Typical High $87.10 | Facility | 53 · Discontinued | $19.05 | $33.11 | $87.10 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $75.86 Median $131.83 Typical High $316.23 | Facility | FX · Film X-ray | $75.86 | $131.83 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $48.98 Typical High $54.95 | Professional | 52 · Reduced service | $44.67 | $48.98 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $19.95 Typical High $21.88 | Professional | 53 · Discontinued | $17.78 | $19.95 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $79.43 Typical High $89.13 | Professional | FX · Film X-ray | $70.79 | $79.43 | $89.13 |
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· 36th of 51
$135
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.