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 $1,000.00 Median $1,819.70 Typical High $2,754.23 | Facility | None | $1,000.00 | $1,819.70 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $891.25 Median $2,290.87 Typical High $5,495.41 | Facility | TC · Technical part | $891.25 | $2,290.87 | $5,495.41 |
Aetna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $1,000.00 Typical High $1,148.15 | Professional | None (both parts) | $891.25 | $1,000.00 | $1,148.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $100.00 | Professional | 26 · Professional part | $87.10 | $95.50 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $891.25 Typical High $1,023.29 | Professional | TC · Technical part | $794.33 | $891.25 | $1,023.29 |
Anthem BCBS Setting Facility Modifier None Typical Low $112.20 Median $120.23 Typical High $602.56 | Facility | None | $112.20 | $120.23 | $602.56 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $562.34 Median $1,000.00 Typical High $4,265.80 | Professional | None (both parts) | $562.34 | $1,000.00 | $4,265.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $407.38 | Professional | 26 · Professional part | $112.20 | $123.03 | $407.38 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $891.25 Typical High $3,890.45 | Professional | TC · Technical part | $389.05 | $891.25 | $3,890.45 |
Blue Shield Setting Facility Modifier None Typical Low $398.11 Median $1,288.25 Typical High $1,995.26 | Facility | None | $398.11 | $1,288.25 | $1,995.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $316.23 Typical High $870.96 | Professional | None (both parts) | $218.78 | $316.23 | $870.96 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $123.03 Typical High $288.40 | Professional | 26 · Professional part | $85.11 | $123.03 | $288.40 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $537.03 | Professional | TC · Technical part | $134.90 | $190.55 | $537.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $1,348.96 Typical High $1,659.59 | Professional | None (both parts) | $426.58 | $1,348.96 | $1,659.59 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $3,090.30 Typical High $5,623.41 | Facility | None | $1,288.25 | $3,090.30 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,071.52 Typical High $2,454.71 | Professional | None (both parts) | $524.81 | $1,071.52 | $2,454.71 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $251.19 | Professional | 26 · Professional part | $89.13 | $114.82 | $251.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $954.99 Typical High $2,238.72 | Professional | TC · Technical part | $416.87 | $954.99 | $2,238.72 |
Contra Costa Health Setting Professional Modifier None Typical Low $229.09 Median $1,479.11 Typical High $1,995.26 | Professional | None | $229.09 | $1,479.11 | $1,995.26 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $20.42 | $114.82 | $154.88 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $1,348.96 Typical High $1,819.70 | Professional | TC · Technical part | $208.93 | $1,348.96 | $1,819.70 |
Kaiser Permanente Setting Professional Modifier None Typical Low $1,122.02 Median $1,380.38 Typical High $2,951.21 | Professional | None | $1,122.02 | $1,380.38 | $2,951.21 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $141.25 Typical High $309.03 | Professional | 26 · Professional part | $97.72 | $141.25 | $309.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,621.81 Typical High $3,630.78 | Professional | TC · Technical part | $1,071.52 | $1,621.81 | $3,630.78 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $6,918.31 Median $6,918.31 Typical High $9,332.54 | Professional | None (both parts) | $6,918.31 | $6,918.31 | $9,332.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $1,148.15 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $6,309.57 Median $6,309.57 Typical High $8,511.38 | Professional | TC · Technical part | $6,309.57 | $6,309.57 | $8,511.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $97.72 Typical High $1,000.00 | Professional | None (both parts) | $33.11 | $97.72 | $1,000.00 |
Providence Setting Facility Modifier None Typical Low $489.78 Median $1,479.11 Typical High $3,801.89 | Facility | None | $489.78 | $1,479.11 | $3,801.89 |
Providence Setting Professional Modifier None (both parts) Typical Low $478.63 Median $1,047.13 Typical High $2,511.89 | Professional | None (both parts) | $478.63 | $1,047.13 | $2,511.89 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $109.65 Typical High $251.19 | Professional | 26 · Professional part | $89.13 | $109.65 | $251.19 |
Providence Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $933.25 Typical High $2,290.87 | Professional | TC · Technical part | $380.19 | $933.25 | $2,290.87 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $3,630.78 Median $3,630.78 Typical High $3,630.78 | Professional | None (both parts) | $3,630.78 | $3,630.78 | $3,630.78 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $323.59 | $323.59 | $323.59 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Professional | TC · Technical part | $3,311.31 | $3,311.31 | $3,311.31 |
United Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $1,380.38 | Facility | None | $912.01 | $912.01 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,348.96 Typical High $3,890.45 | Professional | None (both parts) | $691.83 | $1,348.96 | $3,890.45 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $125.89 Typical High $331.13 | Professional | 26 · Professional part | $81.28 | $125.89 | $331.13 |
United Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $1,230.27 Typical High $3,801.89 | Professional | TC · Technical part | $602.56 | $1,230.27 | $3,801.89 |
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 $501.19 Median $1,148.15 Typical High $2,754.23 | Facility | 52 · Reduced service | $501.19 | $1,148.15 | $2,754.23 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $199.53 Median $457.09 Typical High $1,096.48 | Facility | 53 · Discontinued | $199.53 | $457.09 | $1,096.48 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $794.33 Median $1,819.70 Typical High $4,365.16 | Facility | FX · Film X-ray | $794.33 | $1,819.70 | $4,365.16 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $446.68 Median $501.19 Typical High $562.34 | Professional | 52 · Reduced service | $446.68 | $501.19 | $562.34 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $177.83 Median $199.53 Typical High $229.09 | Professional | 53 · Discontinued | $177.83 | $199.53 | $229.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $707.95 Median $794.33 Typical High $912.01 | Professional | FX · Film X-ray | $707.95 | $794.33 | $912.01 |
Where California sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 37th of 51
$1,096
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.