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 $147.91 Median $645.65 Typical High $2,344.23 | Facility | None | $147.91 | $645.65 | $2,344.23 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $162.18 Typical High $288.40 | Professional | None | $138.04 | $162.18 | $288.40 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $162.18 Typical High $380.19 | Professional | None | $144.54 | $162.18 | $380.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $169.82 Median $181.97 Typical High $933.25 | Facility | None | $169.82 | $181.97 | $933.25 |
Anthem BCBS Setting Professional Modifier None Typical Low $169.82 Median $190.55 Typical High $630.96 | Professional | None | $169.82 | $190.55 | $630.96 |
Blue Shield Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $467.74 | Professional | None | $131.83 | $190.55 | $467.74 |
Central California Alliance for Health Setting Professional Modifier None Typical Low $177.83 Median $218.78 Typical High $512.86 | Professional | None | $177.83 | $218.78 | $512.86 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $707.95 Typical High $6,165.95 | Facility | None | $616.60 | $707.95 | $6,165.95 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $181.97 Typical High $389.05 | Professional | None | $141.25 | $181.97 | $389.05 |
Contra Costa Health Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $269.15 | Professional | None | $144.54 | $199.53 | $269.15 |
HealthNet Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | None | $457.09 | $457.09 | $457.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $524.81 | Professional | None | $162.18 | $204.17 | $524.81 |
Lucent Health Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | None | $2,511.89 | $2,511.89 | $2,511.89 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $199.53 | Professional | None | $33.11 | $33.11 | $199.53 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $218.78 Typical High $776.25 | Facility | None | $147.91 | $218.78 | $776.25 |
Providence Setting Professional Modifier None Typical Low $141.25 Median $173.78 Typical High $389.05 | Professional | None | $141.25 | $173.78 | $389.05 |
Sutter Health Plus Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None | $549.54 | $549.54 | $549.54 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
United Setting Professional Modifier None Typical Low $125.89 Median $218.78 Typical High $575.44 | Professional | None | $125.89 | $218.78 | $575.44 |
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 $74.13 Median $186.21 Typical High $446.68 | Facility | 52 · Reduced service | $74.13 | $186.21 | $446.68 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $29.51 Median $75.86 Typical High $181.97 | Facility | 53 · Discontinued | $29.51 | $75.86 | $181.97 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $117.49 Median $302.00 Typical High $724.44 | Facility | FX · Film X-ray | $117.49 | $302.00 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $69.18 Median $74.13 Typical High $83.18 | Professional | 52 · Reduced service | $69.18 | $74.13 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $29.51 Typical High $33.11 | Professional | 53 · Discontinued | $27.54 | $29.51 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $117.49 Typical High $134.90 | Professional | FX · Film X-ray | $109.65 | $117.49 | $134.90 |
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· 39th of 51
$191
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.