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 $25.70 Median $31.62 Typical High $1,819.70 | Facility | None | $25.70 | $31.62 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $45.71 Typical High $120.23 | Facility | TC · Technical part | $19.50 | $45.71 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $58.88 | Professional | None (both parts) | $25.70 | $31.62 | $58.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.55 Typical High $14.79 | Professional | 26 · Professional part | $8.51 | $9.55 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $17.38 | $21.38 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $42.66 Typical High $46.77 | Professional | None (both parts) | $30.90 | $42.66 | $46.77 |
Anthem BCBS Setting Facility Modifier None Typical Low $11.75 Median $162.18 Typical High $169.82 | Facility | None | $11.75 | $162.18 | $169.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $19.05 Median $30.90 Typical High $95.50 | Professional | None (both parts) | $19.05 | $30.90 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $28.84 | Professional | 26 · Professional part | $10.23 | $11.75 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $25.70 Typical High $104.71 | Professional | TC · Technical part | $16.60 | $25.70 | $104.71 |
Blue Shield Setting Facility Modifier None Typical Low $63.10 Median $194.98 Typical High $316.23 | Facility | None | $63.10 | $194.98 | $316.23 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $23.44 Median $33.11 Typical High $54.95 | Professional | None (both parts) | $23.44 | $33.11 | $54.95 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $18.62 | Professional | 26 · Professional part | $8.71 | $12.59 | $18.62 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $20.89 Typical High $37.15 | Professional | TC · Technical part | $14.45 | $20.89 | $37.15 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $33.88 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $33.88 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $229.09 Typical High $489.78 | Facility | None | $66.07 | $229.09 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $25.12 | $38.90 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $21.38 | Professional | 26 · Professional part | $9.12 | $11.48 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $26.92 Typical High $50.12 | Professional | TC · Technical part | $15.85 | $26.92 | $50.12 |
Contra Costa Health Setting Professional Modifier None Typical Low $25.12 Median $41.69 Typical High $56.23 | Professional | None | $25.12 | $41.69 | $56.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $11.22 Typical High $14.45 | Professional | 26 · Professional part | $9.33 | $11.22 | $14.45 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $30.90 Typical High $41.69 | Professional | TC · Technical part | $15.85 | $30.90 | $41.69 |
Kaiser Permanente Setting Professional Modifier None Typical Low $32.36 Median $38.90 Typical High $79.43 | Professional | None | $32.36 | $38.90 | $79.43 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.88 Typical High $28.84 | Professional | 26 · Professional part | $9.55 | $12.88 | $28.84 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $36.31 Typical High $83.18 | Professional | TC · Technical part | $25.12 | $36.31 | $83.18 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $199.53 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $144.54 | $194.98 | $194.98 |
Molina Setting Professional Modifier None (both parts) Typical Low $11.48 Median $19.95 Typical High $35.48 | Professional | None (both parts) | $11.48 | $19.95 | $35.48 |
Providence Setting Facility Modifier None Typical Low $37.15 Median $190.55 Typical High $457.09 | Facility | None | $37.15 | $190.55 | $457.09 |
Providence Setting Professional Modifier None (both parts) Typical Low $25.12 Median $38.90 Typical High $69.18 | Professional | None (both parts) | $25.12 | $38.90 | $69.18 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $11.48 Typical High $19.05 | Professional | 26 · Professional part | $9.12 | $11.48 | $19.05 |
Providence Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $26.30 Typical High $46.77 | Professional | TC · Technical part | $15.85 | $26.30 | $46.77 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | 26 · Professional part | $33.11 | $33.11 | $33.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | TC · Technical part | $74.13 | $74.13 | $74.13 |
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 $20.89 Median $31.62 Typical High $69.18 | Professional | None (both parts) | $20.89 | $31.62 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.55 Typical High $19.95 | Professional | 26 · Professional part | $7.59 | $9.55 | $19.95 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $20.89 Typical High $48.98 | Professional | TC · Technical part | $12.88 | $20.89 | $48.98 |
3 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 FX · Film X-ray Typical Low $22.91 Median $48.98 Typical High $104.71 | Facility | FX · Film X-ray | $22.91 | $48.98 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.42 Median $22.91 Typical High $25.12 | Professional | FX · Film X-ray | $20.42 | $22.91 | $25.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 59 · Distinct service | $30.90 | $30.90 | $30.90 |
Where California sits
The same service costs 3.8 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
$33.11
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.