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 $173.78 Median $199.53 Typical High $2,238.72 | Facility | None | $173.78 | $199.53 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $407.38 Typical High $977.24 | Facility | TC · Technical part | $158.49 | $407.38 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $199.53 | Professional | None (both parts) | $147.91 | $173.78 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $41.69 | Professional | 26 · Professional part | $35.48 | $39.81 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $181.97 | Professional | TC · Technical part | $141.25 | $158.49 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $43.65 Typical High $47.86 | Facility | None | $40.74 | $43.65 | $47.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $213.80 | Professional | None (both parts) | $151.36 | $190.55 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $38.90 | $41.69 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $151.36 Typical High $190.55 | Professional | TC · Technical part | $117.49 | $151.36 | $190.55 |
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 $72.44 Median $102.33 Typical High $131.83 | Professional | None (both parts) | $72.44 | $102.33 | $131.83 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $29.51 | $42.66 | $51.29 |
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 $102.33 Median $165.96 Typical High $165.96 | Professional | None (both parts) | $102.33 | $165.96 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $616.60 Typical High $1,412.54 | Facility | None | $158.49 | $616.60 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $154.88 | Professional | None (both parts) | $91.20 | $109.65 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $36.31 | $42.66 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $95.50 | Professional | TC · Technical part | $54.95 | $66.07 | $95.50 |
Contra Costa Health Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $57.54 | Professional | None | $47.86 | $47.86 | $57.54 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $51.29 Typical High $56.23 | Professional | 26 · Professional part | $21.88 | $51.29 | $56.23 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $30.90 | Professional | TC · Technical part | $25.70 | $25.70 | $30.90 |
Kaiser Permanente Setting Professional Modifier None Typical Low $112.20 Median $123.03 Typical High $275.42 | Professional | None | $112.20 | $123.03 | $275.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $117.49 | Professional | 26 · Professional part | $44.67 | $58.88 | $117.49 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $1,258.93 | $1,258.93 | $1,258.93 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $575.44 | $575.44 | $575.44 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None (both parts) | $39.81 | $39.81 | $39.81 |
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 $134.90 Median $269.15 Typical High $1,258.93 | Facility | None | $134.90 | $269.15 | $1,258.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $151.36 | Professional | None (both parts) | $91.20 | $109.65 | $151.36 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $42.66 | $56.23 |
Providence Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $64.57 Typical High $93.33 | Professional | TC · Technical part | $54.95 | $64.57 | $93.33 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
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 $75.86 Median $257.04 Typical High $371.54 | Professional | None (both parts) | $75.86 | $257.04 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $29.51 | $42.66 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $45.71 | $223.87 | $323.59 |
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 $87.10 Median $199.53 Typical High $478.63 | Facility | 52 · Reduced service | $87.10 | $199.53 | $478.63 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $34.67 Median $81.28 Typical High $194.98 | Facility | 53 · Discontinued | $34.67 | $81.28 | $194.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $138.04 Median $323.59 Typical High $776.25 | Facility | FX · Film X-ray | $138.04 | $323.59 | $776.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $74.13 Median $87.10 Typical High $100.00 | Professional | 52 · Reduced service | $74.13 | $87.10 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $34.67 Typical High $39.81 | Professional | 53 · Discontinued | $29.51 | $34.67 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $138.04 Typical High $181.97 | Professional | FX · Film X-ray | $123.03 | $138.04 | $181.97 |
Where California sits
The same service costs 3.6 times more in Nebraska than in New Jersey. 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· 35th of 51
$155
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.