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 $562.34 Median $1,698.24 Typical High $2,951.21 | Facility | None | $562.34 | $1,698.24 | $2,951.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $812.83 Typical High $2,137.96 | Facility | TC · Technical part | $346.74 | $812.83 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $588.84 Typical High $1,023.29 | Professional | None (both parts) | $501.19 | $588.84 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $229.09 Typical High $371.54 | Professional | 26 · Professional part | $199.53 | $229.09 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $354.81 Typical High $676.08 | Professional | TC · Technical part | $309.03 | $354.81 | $676.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $489.78 | Professional | None (both parts) | $436.52 | $489.78 | $489.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $245.47 Median $275.42 Typical High $56,234.13 | Facility | None | $245.47 | $275.42 | $56,234.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $645.65 Median $724.44 Typical High $2,630.27 | Professional | None (both parts) | $645.65 | $724.44 | $2,630.27 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $245.47 Median $269.15 Typical High $891.25 | Professional | 26 · Professional part | $245.47 | $269.15 | $891.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $446.68 Typical High $1,621.81 | Professional | TC · Technical part | $398.11 | $446.68 | $1,621.81 |
Blue Shield Setting Facility Modifier None Typical Low $1,513.56 Median $7,585.78 Typical High $13,803.84 | Facility | None | $1,513.56 | $7,585.78 | $13,803.84 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $562.34 Median $794.33 Typical High $1,819.70 | Professional | None (both parts) | $562.34 | $794.33 | $1,819.70 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $288.40 Typical High $707.95 | Professional | 26 · Professional part | $199.53 | $288.40 | $707.95 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $512.86 Typical High $1,148.15 | Professional | TC · Technical part | $354.81 | $512.86 | $1,148.15 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $537.03 Median $707.95 Typical High $1,995.26 | Professional | None (both parts) | $537.03 | $707.95 | $1,995.26 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,659.59 Typical High $6,456.54 | Facility | None | $512.86 | $1,659.59 | $6,456.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $758.58 Typical High $1,621.81 | Professional | None (both parts) | $416.87 | $758.58 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $257.04 Typical High $562.34 | Professional | 26 · Professional part | $190.55 | $257.04 | $562.34 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $467.74 Typical High $1,258.93 | Professional | TC · Technical part | $229.09 | $467.74 | $1,258.93 |
Contra Costa Health Setting Professional Modifier None Typical Low $426.58 Median $630.96 Typical High $851.14 | Professional | None | $426.58 | $630.96 | $851.14 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $186.21 Median $269.15 Typical High $363.08 | Professional | 26 · Professional part | $186.21 | $269.15 | $363.08 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $489.78 | Professional | TC · Technical part | $245.47 | $363.08 | $489.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $489.78 Median $616.60 Typical High $1,698.24 | Professional | None | $489.78 | $616.60 | $1,698.24 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $229.09 Median $331.13 Typical High $707.95 | Professional | 26 · Professional part | $229.09 | $331.13 | $707.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $977.24 | Professional | TC · Technical part | $288.40 | $436.52 | $977.24 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | None (both parts) | $7,585.78 | $7,585.78 | $7,585.78 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,698.24 Median $1,698.24 Typical High $1,862.09 | Professional | 26 · Professional part | $1,698.24 | $1,698.24 | $1,862.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,456.54 Median $6,456.54 Typical High $6,456.54 | Professional | TC · Technical part | $6,456.54 | $6,456.54 | $6,456.54 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $33.11 | $234.42 | $549.54 |
Providence Setting Facility Modifier None Typical Low $562.34 Median $977.24 Typical High $5,128.61 | Facility | None | $562.34 | $977.24 | $5,128.61 |
Providence Setting Professional Modifier None (both parts) Typical Low $416.87 Median $741.31 Typical High $1,621.81 | Professional | None (both parts) | $416.87 | $741.31 | $1,621.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $245.47 Typical High $575.44 | Professional | 26 · Professional part | $190.55 | $245.47 | $575.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $467.74 Typical High $1,258.93 | Professional | TC · Technical part | $229.09 | $467.74 | $1,258.93 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $1,621.81 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | 26 · Professional part | $741.31 | $741.31 | $741.31 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | TC · Technical part | $891.25 | $891.25 | $891.25 |
United Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Facility | None | $1,288.25 | $1,288.25 | $1,288.25 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $645.65 Typical High $1,819.70 | Professional | None (both parts) | $467.74 | $645.65 | $1,819.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $177.83 Median $288.40 Typical High $776.25 | Professional | 26 · Professional part | $177.83 | $288.40 | $776.25 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $1,202.26 | Professional | TC · Technical part | $263.03 | $346.74 | $1,202.26 |
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 $251.19 Median $446.68 Typical High $1,071.52 | Facility | 52 · Reduced service | $251.19 | $446.68 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $102.33 Median $177.83 Typical High $426.58 | Facility | 53 · Discontinued | $102.33 | $177.83 | $426.58 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $407.38 Median $707.95 Typical High $1,698.24 | Facility | FX · Film X-ray | $407.38 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $239.88 Median $281.84 Typical High $309.03 | Professional | 52 · Reduced service | $239.88 | $281.84 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $112.20 Typical High $123.03 | Professional | 53 · Discontinued | $95.50 | $112.20 | $123.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $446.68 Typical High $501.19 | Professional | FX · Film X-ray | $380.19 | $446.68 | $501.19 |
Where California sits
The same service costs 4.9 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· 20th of 51
$741
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.