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 $416.87 Median $1,819.70 Typical High $2,754.23 | Facility | None | $416.87 | $1,819.70 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $870.96 Typical High $2,089.30 | Facility | TC · Technical part | $338.84 | $870.96 | $2,089.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $467.74 Typical High $1,023.29 | Professional | None (both parts) | $371.54 | $467.74 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $114.82 | Professional | 26 · Professional part | $67.61 | $77.62 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $389.05 Typical High $851.14 | Professional | TC · Technical part | $302.00 | $389.05 | $851.14 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $89.13 Typical High $457.09 | Facility | None | $83.18 | $89.13 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $1,905.46 | Professional | None (both parts) | $371.54 | $426.58 | $1,905.46 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $93.33 Typical High $302.00 | Professional | 26 · Professional part | $83.18 | $93.33 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $331.13 Typical High $1,698.24 | Professional | TC · Technical part | $251.19 | $331.13 | $1,698.24 |
Blue Shield Setting Facility Modifier None Typical Low $245.47 Median $912.01 Typical High $1,513.56 | Facility | None | $245.47 | $912.01 | $1,513.56 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $234.42 Typical High $660.69 | Professional | None (both parts) | $165.96 | $234.42 | $660.69 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $91.20 Typical High $213.80 | Professional | 26 · Professional part | $64.57 | $91.20 | $213.80 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $398.11 | Professional | TC · Technical part | $100.00 | $144.54 | $398.11 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $691.83 Typical High $851.14 | Professional | None (both parts) | $316.23 | $691.83 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $1,258.93 Typical High $3,162.28 | Facility | None | $588.84 | $1,258.93 | $3,162.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $457.09 Typical High $1,174.90 | Professional | None (both parts) | $288.40 | $457.09 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $85.11 Typical High $181.97 | Professional | 26 · Professional part | $66.07 | $85.11 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $380.19 Typical High $954.99 | Professional | TC · Technical part | $208.93 | $380.19 | $954.99 |
Contra Costa Health Setting Professional Modifier None Typical Low $169.82 Median $758.58 Typical High $1,023.29 | Professional | None | $169.82 | $758.58 | $1,023.29 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $83.18 Typical High $112.20 | Professional | 26 · Professional part | $26.92 | $83.18 | $112.20 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $676.08 Typical High $912.01 | Professional | TC · Technical part | $141.25 | $676.08 | $912.01 |
Kaiser Permanente Setting Professional Modifier None Typical Low $575.44 Median $707.95 Typical High $1,412.54 | Professional | None | $575.44 | $707.95 | $1,412.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $102.33 Typical High $223.87 | Professional | 26 · Professional part | $72.44 | $102.33 | $223.87 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $812.83 Typical High $1,778.28 | Professional | TC · Technical part | $524.81 | $812.83 | $1,778.28 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,235.94 Median $3,235.94 Typical High $4,786.30 | Professional | None (both parts) | $3,235.94 | $3,235.94 | $4,786.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $1,047.13 | $1,047.13 | $1,047.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,818.38 Median $2,818.38 Typical High $4,168.69 | Professional | TC · Technical part | $2,818.38 | $2,818.38 | $4,168.69 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $69.18 Typical High $489.78 | Professional | None (both parts) | $33.11 | $69.18 | $489.78 |
Providence Setting Facility Modifier None Typical Low $363.08 Median $616.60 Typical High $1,621.81 | Facility | None | $363.08 | $616.60 | $1,621.81 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $1,174.90 | Professional | None (both parts) | $288.40 | $446.68 | $1,174.90 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $186.21 | Professional | 26 · Professional part | $66.07 | $81.28 | $186.21 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $371.54 Typical High $954.99 | Professional | TC · Technical part | $204.17 | $371.54 | $954.99 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,584.89 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,584.89 |
Sutter Health Plus 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 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $1,348.96 | $1,348.96 | $1,348.96 |
United Setting Facility Modifier None Typical Low $630.96 Median $630.96 Typical High $977.24 | Facility | None | $630.96 | $630.96 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $588.84 Typical High $1,949.84 | Professional | None (both parts) | $288.40 | $588.84 | $1,949.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $245.47 | Professional | 26 · Professional part | $60.26 | $91.20 | $245.47 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $501.19 Typical High $1,737.80 | Professional | TC · Technical part | $229.09 | $501.19 | $1,737.80 |
7 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 $208.93 Median $436.52 Typical High $1,047.13 | Facility | 52 · Reduced service | $208.93 | $436.52 | $1,047.13 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $83.18 Median $173.78 Typical High $416.87 | Facility | 53 · Discontinued | $83.18 | $173.78 | $416.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $331.13 Median $691.83 Typical High $1,659.59 | Facility | FX · Film X-ray | $331.13 | $691.83 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $208.93 Typical High $257.04 | Professional | 52 · Reduced service | $186.21 | $208.93 | $257.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $83.18 Typical High $104.71 | Professional | 53 · Discontinued | $74.13 | $83.18 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $331.13 Typical High $398.11 | Professional | FX · Film X-ray | $295.12 | $331.13 | $398.11 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | 59 · Distinct service | $501.19 | $501.19 | $501.19 |
Where California sits
The same service costs 6.3 times more in Alaska than in Kentucky. 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
$490
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.