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 $38.90 Median $42.66 Typical High $1,819.70 | Facility | None | $38.90 | $42.66 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $60.26 Typical High $154.88 | Facility | TC · Technical part | $25.12 | $60.26 | $154.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $42.66 Typical High $83.18 | Professional | None (both parts) | $34.67 | $42.66 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.13 Typical High $21.88 | Professional | 26 · Professional part | $12.59 | $14.13 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $27.54 Typical High $58.88 | Professional | TC · Technical part | $22.39 | $27.54 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $85.11 Typical High $100.00 | Professional | None (both parts) | $37.15 | $85.11 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $15.14 Median $239.88 Typical High $245.47 | Facility | None | $15.14 | $239.88 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $134.90 | Professional | None (both parts) | $35.48 | $40.74 | $134.90 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.14 Typical High $39.81 | Professional | 26 · Professional part | $12.30 | $15.14 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.30 Typical High $91.20 | Professional | TC · Technical part | $24.55 | $26.30 | $91.20 |
Blue Shield Setting Facility Modifier None Typical Low $63.10 Median $177.83 Typical High $302.00 | Facility | None | $63.10 | $177.83 | $302.00 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $29.51 Median $42.66 Typical High $74.13 | Professional | None (both parts) | $29.51 | $42.66 | $74.13 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $16.60 Typical High $25.70 | Professional | 26 · Professional part | $11.48 | $16.60 | $25.70 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $46.77 | Professional | TC · Technical part | $18.20 | $26.30 | $46.77 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $47.86 | $69.18 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $275.42 Typical High $676.08 | Facility | None | $87.10 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $32.36 | $45.71 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.45 Typical High $28.18 | Professional | 26 · Professional part | $12.30 | $14.45 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.90 Typical High $60.26 | Professional | TC · Technical part | $19.95 | $30.90 | $60.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $32.36 Median $61.66 Typical High $83.18 | Professional | None | $32.36 | $61.66 | $83.18 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $15.14 Typical High $20.42 | Professional | 26 · Professional part | $12.59 | $15.14 | $20.42 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $46.77 Typical High $63.10 | Professional | TC · Technical part | $19.50 | $46.77 | $63.10 |
Kaiser Permanente Setting Professional Modifier None Typical Low $47.86 Median $57.54 Typical High $117.49 | Professional | None | $47.86 | $57.54 | $117.49 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $17.78 Typical High $39.81 | Professional | 26 · Professional part | $13.18 | $17.78 | $39.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $53.70 Typical High $125.89 | Professional | TC · Technical part | $37.15 | $53.70 | $125.89 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $288.40 | $398.11 | $398.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $83.18 | $109.65 | $109.65 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $208.93 | $295.12 | $295.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $15.49 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $15.49 | $33.11 | $51.29 |
Providence Setting Facility Modifier None Typical Low $51.29 Median $234.42 Typical High $616.60 | Facility | None | $51.29 | $234.42 | $616.60 |
Providence Setting Professional Modifier None (both parts) Typical Low $32.36 Median $45.71 Typical High $91.20 | Professional | None (both parts) | $32.36 | $45.71 | $91.20 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $13.80 Typical High $25.12 | Professional | 26 · Professional part | $12.30 | $13.80 | $25.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $30.20 Typical High $54.95 | Professional | TC · Technical part | $19.95 | $30.20 | $54.95 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $44.67 | $44.67 | $44.67 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
United Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $263.03 | Facility | None | $169.82 | $169.82 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $30.90 Median $44.67 Typical High $95.50 | Professional | None (both parts) | $30.90 | $44.67 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.13 Typical High $26.92 | Professional | 26 · Professional part | $10.96 | $14.13 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $30.90 Typical High $67.61 | Professional | TC · Technical part | $20.89 | $30.90 | $67.61 |
4 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 $18.62 Median $32.36 Typical High $85.11 | Facility | 52 · Reduced service | $18.62 | $32.36 | $85.11 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $29.51 Median $63.10 Typical High $134.90 | Facility | FX · Film X-ray | $29.51 | $63.10 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.60 Median $19.50 Typical High $21.38 | Professional | 52 · Reduced service | $16.60 | $19.50 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $30.90 Typical High $34.67 | Professional | FX · Film X-ray | $26.92 | $30.90 | $34.67 |
Where California sits
The same service costs 4.0 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· 34th of 51
$46.77
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.