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 $537.03 Median $1,584.89 Typical High $2,754.23 | Facility | None | $537.03 | $1,584.89 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $467.74 Median $1,096.48 Typical High $2,884.03 | Facility | TC · Technical part | $467.74 | $1,096.48 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $549.54 Typical High $977.24 | Professional | None (both parts) | $478.63 | $549.54 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $79.43 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $478.63 Typical High $776.25 | Professional | TC · Technical part | $416.87 | $478.63 | $776.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $407.38 Median $407.38 Typical High $457.09 | Professional | None (both parts) | $407.38 | $407.38 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $72.44 Typical High $380.19 | Professional | 26 · Professional part | $70.79 | $72.44 | $380.19 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | TC · Technical part | $338.84 | $338.84 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $95.50 Typical High $56,234.13 | Facility | None | $83.18 | $95.50 | $56,234.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $2,041.74 | Professional | None (both parts) | $489.78 | $562.34 | $2,041.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $323.59 | Professional | 26 · Professional part | $83.18 | $93.33 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $467.74 Typical High $1,737.80 | Professional | TC · Technical part | $426.58 | $467.74 | $1,737.80 |
Blue Shield Setting Facility Modifier None Typical Low $407.38 Median $1,778.28 Typical High $3,235.94 | Facility | None | $407.38 | $1,778.28 | $3,235.94 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $354.81 Median $501.19 Typical High $1,258.93 | Professional | None (both parts) | $354.81 | $501.19 | $1,258.93 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $72.44 Typical High $190.55 | Professional | 26 · Professional part | $51.29 | $72.44 | $190.55 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $426.58 Typical High $1,071.52 | Professional | TC · Technical part | $302.00 | $426.58 | $1,071.52 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $676.08 | Professional | None (both parts) | $288.40 | $549.54 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $776.25 Median $1,584.89 Typical High $2,630.27 | Facility | None | $776.25 | $1,584.89 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $575.44 Typical High $1,288.25 | Professional | None (both parts) | $407.38 | $575.44 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $69.18 | $89.13 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $478.63 Typical High $1,096.48 | Professional | TC · Technical part | $354.81 | $478.63 | $1,096.48 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $602.56 Typical High $812.83 | Professional | None | $154.88 | $602.56 | $812.83 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $23.44 | $97.72 | $131.83 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $501.19 Typical High $676.08 | Professional | TC · Technical part | $131.83 | $501.19 | $676.08 |
Kaiser Permanente Setting Professional Modifier None Typical Low $457.09 Median $588.84 Typical High $1,348.96 | Professional | None | $457.09 | $588.84 | $1,348.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $257.04 | Professional | 26 · Professional part | $83.18 | $120.23 | $257.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $602.56 Typical High $1,348.96 | Professional | TC · Technical part | $398.11 | $602.56 | $1,348.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,466.84 Median $4,466.84 Typical High $4,466.84 | Professional | None (both parts) | $4,466.84 | $4,466.84 | $4,466.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | 26 · Professional part | $1,348.96 | $1,348.96 | $1,348.96 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,162.28 Median $3,162.28 Typical High $3,162.28 | Professional | TC · Technical part | $3,162.28 | $3,162.28 | $3,162.28 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $501.19 | Professional | None (both parts) | $33.11 | $97.72 | $501.19 |
Providence Setting Facility Modifier None Typical Low $537.03 Median $776.25 Typical High $2,238.72 | Facility | None | $537.03 | $776.25 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $407.38 Median $562.34 Typical High $1,258.93 | Professional | None (both parts) | $407.38 | $562.34 | $1,258.93 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $204.17 | Professional | 26 · Professional part | $69.18 | $85.11 | $204.17 |
Providence Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $467.74 Typical High $1,096.48 | Professional | TC · Technical part | $331.13 | $467.74 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $1,698.24 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,412.54 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $302.00 Median $309.03 Typical High $309.03 | Facility | None | $302.00 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $630.96 Typical High $1,778.28 | Professional | None (both parts) | $380.19 | $630.96 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $107.15 Typical High $281.84 | Professional | 26 · Professional part | $60.26 | $107.15 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $524.81 Typical High $1,479.11 | Professional | TC · Technical part | $316.23 | $524.81 | $1,479.11 |
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 $269.15 Median $602.56 Typical High $1,445.44 | Facility | 52 · Reduced service | $269.15 | $602.56 | $1,445.44 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $107.15 Median $239.88 Typical High $575.44 | Facility | 53 · Discontinued | $107.15 | $239.88 | $575.44 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $436.52 Median $954.99 Typical High $2,290.87 | Facility | FX · Film X-ray | $436.52 | $954.99 | $2,290.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $229.09 Median $269.15 Typical High $309.03 | Professional | 52 · Reduced service | $229.09 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $107.15 Typical High $123.03 | Professional | 53 · Discontinued | $91.20 | $107.15 | $123.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $436.52 Typical High $489.78 | Professional | FX · Film X-ray | $363.08 | $436.52 | $489.78 |
Where California sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 25th of 51
$562
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.