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 $93.33 Median $104.71 Typical High $2,238.72 | Facility | None | $93.33 | $104.71 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $154.88 Typical High $389.05 | Facility | TC · Technical part | $64.57 | $154.88 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $83.18 | $102.33 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $30.20 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $70.79 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.92 Median $501.19 Typical High $512.86 | Facility | None | $26.92 | $501.19 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $223.87 | Professional | None (both parts) | $81.28 | $83.18 | $223.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.92 Typical High $67.61 | Professional | 26 · Professional part | $26.30 | $26.92 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $57.54 Typical High $158.49 | Professional | TC · Technical part | $56.23 | $57.54 | $158.49 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $398.11 Typical High $707.95 | Facility | None | $97.72 | $398.11 | $707.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $72.44 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $72.44 | $102.33 | $154.88 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.18 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $28.18 | $43.65 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $74.13 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $295.12 Typical High $489.78 | Facility | None | $141.25 | $295.12 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $91.20 | $104.71 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $31.62 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $72.44 | $147.91 |
Contra Costa Health Setting Professional Modifier None Typical Low $67.61 Median $141.25 Typical High $154.88 | Professional | None | $67.61 | $141.25 | $154.88 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $36.31 Typical High $39.81 | Professional | 26 · Professional part | $17.78 | $36.31 | $39.81 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $104.71 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $104.71 | $114.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $251.19 | Professional | None | $100.00 | $120.23 | $251.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $39.81 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $39.81 | $87.10 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $112.20 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $112.20 | $257.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $645.65 | $831.76 | $831.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $239.88 | $239.88 | $239.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $467.74 | $602.56 | $602.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $79.43 Typical High $95.50 | Professional | None (both parts) | $35.48 | $79.43 | $95.50 |
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 $120.23 Median $218.78 Typical High $457.09 | Facility | None | $120.23 | $218.78 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $91.20 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $91.20 | $102.33 | $199.53 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $31.62 | $48.98 |
Providence Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $72.44 | $131.83 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | None (both parts) | $354.81 | $354.81 | $354.81 |
Sutter Health Plus 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 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $251.19 | $251.19 | $251.19 |
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 $74.13 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $74.13 | $107.15 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $31.62 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $51.29 | $75.86 | $138.04 |
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 $81.28 Typical High $194.98 | Facility | 52 · Reduced service | $46.77 | $81.28 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $18.62 Median $33.11 Typical High $79.43 | Facility | 53 · Discontinued | $18.62 | $33.11 | $79.43 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $74.13 Median $131.83 Typical High $316.23 | Facility | FX · Film X-ray | $74.13 | $131.83 | $316.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $41.69 Median $46.77 Typical High $52.48 | Professional | 52 · Reduced service | $41.69 | $46.77 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $18.62 Typical High $20.89 | Professional | 53 · Discontinued | $16.60 | $18.62 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $74.13 Typical High $83.18 | Professional | FX · Film X-ray | $66.07 | $74.13 | $83.18 |
Where California sits
The same service costs 4.2 times more in Alaska than in Utah. 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· 37th of 51
$105
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.