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 $69.18 Median $218.78 Typical High $2,754.23 | Facility | None | $69.18 | $218.78 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $39.81 Median $93.33 Typical High $245.47 | Facility | TC · Technical part | $39.81 | $93.33 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $63.10 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $31.62 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $43.65 Typical High $77.62 | Professional | TC · Technical part | $35.48 | $43.65 | $77.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $60.26 | $67.61 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $31.62 | $77.62 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $38.02 Typical High $56,234.13 | Facility | None | $33.11 | $38.02 | $56,234.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $45.71 Median $79.43 Typical High $263.03 | Professional | None (both parts) | $45.71 | $79.43 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $128.82 | Professional | 26 · Professional part | $33.11 | $37.15 | $128.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $53.70 Typical High $169.82 | Professional | TC · Technical part | $40.74 | $53.70 | $169.82 |
Blue Shield Setting Facility Modifier None Typical Low $107.15 Median $407.38 Typical High $660.69 | Facility | None | $107.15 | $407.38 | $660.69 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $218.78 | Professional | None (both parts) | $64.57 | $91.20 | $218.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.90 Typical High $95.50 | Professional | 26 · Professional part | $27.54 | $38.90 | $95.50 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $52.48 Typical High $120.23 | Professional | TC · Technical part | $37.15 | $52.48 | $120.23 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $97.72 Typical High $309.03 | Professional | None (both parts) | $74.13 | $97.72 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $165.96 Typical High $954.99 | Facility | None | $67.61 | $165.96 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $89.13 Typical High $173.78 | Professional | None (both parts) | $56.23 | $89.13 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $81.28 | Professional | 26 · Professional part | $27.54 | $35.48 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $51.29 Typical High $97.72 | Professional | TC · Technical part | $28.84 | $51.29 | $97.72 |
Contra Costa Health Setting Professional Modifier None Typical Low $56.23 Median $87.10 Typical High $117.49 | Professional | None | $56.23 | $87.10 | $117.49 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.90 Typical High $52.48 | Professional | 26 · Professional part | $26.30 | $38.90 | $52.48 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $47.86 Typical High $64.57 | Professional | TC · Technical part | $29.51 | $47.86 | $64.57 |
Kaiser Permanente Setting Professional Modifier None Typical Low $67.61 Median $87.10 Typical High $234.42 | Professional | None | $67.61 | $87.10 | $234.42 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $104.71 | Professional | 26 · Professional part | $33.11 | $47.86 | $104.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $57.54 Typical High $128.82 | Professional | TC · Technical part | $38.02 | $57.54 | $128.82 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $575.44 | Professional | None (both parts) | $478.63 | $478.63 | $575.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $389.05 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $389.05 | $389.05 | $389.05 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $33.11 Typical High $75.86 | Professional | None (both parts) | $30.20 | $33.11 | $75.86 |
Providence Setting Facility Modifier None Typical Low $69.18 Median $112.20 Typical High $467.74 | Facility | None | $69.18 | $112.20 | $467.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $56.23 Median $85.11 Typical High $173.78 | Professional | None (both parts) | $56.23 | $85.11 | $173.78 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $81.28 | Professional | 26 · Professional part | $27.54 | $33.88 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $51.29 Typical High $97.72 | Professional | TC · Technical part | $28.84 | $51.29 | $97.72 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $218.78 | $218.78 | $218.78 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $107.15 | $107.15 | $107.15 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | TC · Technical part | $114.82 | $114.82 | $114.82 |
United Setting Facility Modifier None Typical Low $61.66 Median $218.78 Typical High $389.05 | Facility | None | $61.66 | $218.78 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $85.11 Typical High $234.42 | Professional | None (both parts) | $57.54 | $85.11 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $41.69 Typical High $112.20 | Professional | 26 · Professional part | $23.99 | $41.69 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $42.66 Typical High $131.83 | Professional | TC · Technical part | $31.62 | $42.66 | $131.83 |
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 $29.51 Median $51.29 Typical High $134.90 | Facility | 52 · Reduced service | $29.51 | $51.29 | $134.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $12.02 Median $20.42 Typical High $53.70 | Facility | 53 · Discontinued | $12.02 | $20.42 | $53.70 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $46.77 Median $100.00 Typical High $213.80 | Facility | FX · Film X-ray | $46.77 | $100.00 | $213.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $34.67 Typical High $38.02 | Professional | 52 · Reduced service | $29.51 | $34.67 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $13.80 Typical High $15.14 | Professional | 53 · Discontinued | $12.02 | $13.80 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $47.86 Median $54.95 Typical High $60.26 | Professional | FX · Film X-ray | $47.86 | $54.95 | $60.26 |
Where California sits
The same service costs 4.7 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· 28th of 51
$85.11
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.