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 $61.66 Median $154.88 Typical High $371.54 | Facility | TC · Technical part | $61.66 | $154.88 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $104.71 | Professional | None (both parts) | $85.11 | $93.33 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $37.15 | Professional | 26 · Professional part | $30.90 | $34.67 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $53.70 | $61.66 | $69.18 |
Anthem BCBS Setting Facility Modifier None Typical Low $30.20 Median $31.62 Typical High $35.48 | Facility | None | $30.20 | $31.62 | $35.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $85.11 Typical High $346.74 | Professional | None (both parts) | $83.18 | $85.11 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.11 Typical High $147.91 | Professional | 26 · Professional part | $30.20 | $33.11 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $56.23 Typical High $223.87 | Professional | TC · Technical part | $52.48 | $56.23 | $223.87 |
Blue Shield Setting Facility Modifier None Typical Low $109.65 Median $489.78 Typical High $776.25 | Facility | None | $109.65 | $489.78 | $776.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $70.79 | $102.33 | $186.21 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $36.31 Typical High $72.44 | Professional | 26 · Professional part | $25.70 | $36.31 | $72.44 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $64.57 Typical High $117.49 | Professional | TC · Technical part | $45.71 | $64.57 | $117.49 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $154.88 Typical High $162.18 | Professional | None (both parts) | $100.00 | $154.88 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $218.78 Typical High $6,165.95 | Facility | None | $85.11 | $218.78 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $75.86 | $109.65 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $95.50 | Professional | 26 · Professional part | $27.54 | $37.15 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $70.79 Typical High $162.18 | Professional | TC · Technical part | $48.98 | $70.79 | $162.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None | $67.61 | $67.61 | $79.43 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $26.92 | $40.74 | $48.98 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $117.49 Typical High $275.42 | Professional | None | $102.33 | $117.49 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $114.82 | Professional | 26 · Professional part | $36.31 | $52.48 | $114.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $831.76 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $831.76 | $954.99 | $954.99 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | 26 · Professional part | $245.47 | $245.47 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $758.58 Typical High $758.58 | Professional | TC · Technical part | $676.08 | $758.58 | $758.58 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Providence Setting Facility Modifier None Typical Low $67.61 Median $131.83 Typical High $218.78 | Facility | None | $67.61 | $131.83 | $218.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $251.19 | Professional | None (both parts) | $75.86 | $102.33 | $251.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $91.20 | Professional | 26 · Professional part | $27.54 | $36.31 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $66.07 Typical High $162.18 | Professional | TC · Technical part | $48.98 | $66.07 | $162.18 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $102.33 Typical High $338.84 | Professional | None (both parts) | $77.62 | $102.33 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $104.71 | Professional | 26 · Professional part | $27.54 | $35.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $223.87 | Professional | TC · Technical part | $50.12 | $67.61 | $223.87 |
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 $44.67 Median $77.62 Typical High $186.21 | Facility | 52 · Reduced service | $44.67 | $77.62 | $186.21 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $30.90 Typical High $74.13 | Facility | 53 · Discontinued | $17.78 | $30.90 | $74.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $70.79 Median $123.03 Typical High $295.12 | Facility | FX · Film X-ray | $70.79 | $123.03 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $39.81 Median $46.77 Typical High $51.29 | Professional | 52 · Reduced service | $39.81 | $46.77 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $18.62 Typical High $20.89 | Professional | 53 · Discontinued | $16.22 | $18.62 | $20.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $74.13 Typical High $83.18 | Professional | FX · Film X-ray | $64.57 | $74.13 | $83.18 |
Where California sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 31st 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.