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 $123.03 Median $134.90 Typical High $2,238.72 | Facility | None | $123.03 | $134.90 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $151.36 Typical High $363.08 | Facility | TC · Technical part | $60.26 | $151.36 | $363.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $134.90 | Professional | None (both parts) | $107.15 | $123.03 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $66.07 | Professional | 26 · Professional part | $56.23 | $63.10 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $67.61 | Professional | TC · Technical part | $50.12 | $60.26 | $67.61 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $61.66 Typical High $67.61 | Facility | None | $57.54 | $61.66 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $123.03 Typical High $138.04 | Professional | None (both parts) | $66.07 | $123.03 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $66.07 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | TC · Technical part | $57.54 | $57.54 | $69.18 |
Blue Shield Setting Facility Modifier None Typical Low $107.15 Median $489.78 Typical High $776.25 | Facility | None | $107.15 | $489.78 | $776.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $91.20 Median $131.83 Typical High $165.96 | Professional | None (both parts) | $91.20 | $131.83 | $165.96 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $85.11 | Professional | 26 · Professional part | $48.98 | $70.79 | $85.11 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $83.18 | Professional | TC · Technical part | $42.66 | $60.26 | $83.18 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $141.25 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $218.78 Typical High $6,165.95 | Facility | None | $104.71 | $218.78 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $190.55 | Professional | None (both parts) | $107.15 | $128.82 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $97.72 | Professional | 26 · Professional part | $56.23 | $69.18 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $63.10 Typical High $91.20 | Professional | TC · Technical part | $51.29 | $63.10 | $91.20 |
Contra Costa Health Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $134.90 | Professional | None | $112.20 | $112.20 | $134.90 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $81.28 | Professional | 26 · Professional part | $61.66 | $74.13 | $81.28 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $61.66 | Professional | TC · Technical part | $52.48 | $52.48 | $61.66 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $144.54 Typical High $323.59 | Professional | None | $131.83 | $144.54 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $85.11 | $169.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $1,023.29 | Professional | None (both parts) | $741.31 | $741.31 | $1,023.29 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $407.38 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
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 $83.18 Median $128.82 Typical High $239.88 | Facility | None | $83.18 | $128.82 | $239.88 |
Providence Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $107.15 | $128.82 | $181.97 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $93.33 | Professional | 26 · Professional part | $56.23 | $67.61 | $93.33 |
Providence Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $51.29 | $61.66 | $89.13 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $138.04 Typical High $229.09 | Professional | None (both parts) | $95.50 | $138.04 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $95.50 | Professional | 26 · Professional part | $48.98 | $69.18 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $69.18 | $123.03 |
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 $53.70 Median $75.86 Typical High $199.53 | Facility | 52 · Reduced service | $53.70 | $75.86 | $199.53 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $21.38 Median $30.20 Typical High $79.43 | Facility | 53 · Discontinued | $21.38 | $30.20 | $79.43 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $69.18 Median $120.23 Typical High $288.40 | Facility | FX · Film X-ray | $69.18 | $120.23 | $288.40 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $53.70 Median $61.66 Typical High $66.07 | Professional | 52 · Reduced service | $53.70 | $61.66 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $24.55 Typical High $26.92 | Professional | 53 · Discontinued | $21.38 | $24.55 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $97.72 Typical High $107.15 | Professional | FX · Film X-ray | $83.18 | $97.72 | $107.15 |
Where California sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 38th of 51
$132
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.