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 $489.78 Median $1,819.70 Typical High $2,754.23 | Facility | None | $489.78 | $1,819.70 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $1,071.52 Typical High $2,570.40 | Facility | TC · Technical part | $416.87 | $1,071.52 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $489.78 Typical High $602.56 | Professional | None (both parts) | $436.52 | $489.78 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $69.18 Typical High $81.28 | Professional | 26 · Professional part | $66.07 | $69.18 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $416.87 Typical High $524.81 | Professional | TC · Technical part | $371.54 | $416.87 | $524.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $79.43 Median $87.10 Typical High $436.52 | Facility | None | $79.43 | $87.10 | $436.52 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $2,187.76 | Professional | None (both parts) | $407.38 | $478.63 | $2,187.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $323.59 | Professional | 26 · Professional part | $79.43 | $89.13 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $389.05 Typical High $1,995.26 | Professional | TC · Technical part | $251.19 | $389.05 | $1,995.26 |
Blue Shield Setting Facility Modifier None Typical Low $302.00 Median $977.24 Typical High $1,621.81 | Facility | None | $302.00 | $977.24 | $1,621.81 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $169.82 Median $239.88 Typical High $676.08 | Professional | None (both parts) | $169.82 | $239.88 | $676.08 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $239.88 | Professional | 26 · Professional part | $67.61 | $97.72 | $239.88 |
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 |
Cigna Setting Facility Modifier None Typical Low $1,202.26 Median $1,479.11 Typical High $4,073.80 | Facility | None | $1,202.26 | $1,479.11 | $4,073.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $1,348.96 | Professional | None (both parts) | $288.40 | $549.54 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $70.79 | $89.13 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $467.74 Typical High $1,174.90 | Professional | TC · Technical part | $204.17 | $467.74 | $1,174.90 |
Contra Costa Health Setting Professional Modifier None Typical Low $1,000.00 Median $1,096.48 Typical High $1,348.96 | Professional | None | $1,000.00 | $1,096.48 | $1,348.96 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $104.71 Typical High $128.82 | Professional | 26 · Professional part | $95.50 | $104.71 | $128.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $1,000.00 Typical High $1,230.27 | Professional | TC · Technical part | $912.01 | $1,000.00 | $1,230.27 |
Kaiser Permanente Setting Professional Modifier None Typical Low $758.58 Median $954.99 Typical High $1,862.09 | Professional | None | $758.58 | $954.99 | $1,862.09 |
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 $707.95 Median $1,096.48 Typical High $2,398.83 | Professional | TC · Technical part | $707.95 | $1,096.48 | $2,398.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $4,168.69 Median $4,168.69 Typical High $6,456.54 | Professional | None (both parts) | $4,168.69 | $4,168.69 | $6,456.54 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $676.08 Median $676.08 Typical High $758.58 | Professional | 26 · Professional part | $676.08 | $676.08 | $758.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,715.35 Median $3,715.35 Typical High $5,623.41 | Professional | TC · Technical part | $3,715.35 | $3,715.35 | $5,623.41 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $83.18 Typical High $588.84 | Professional | None (both parts) | $33.11 | $83.18 | $588.84 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $851.14 Typical High $2,041.74 | Facility | None | $316.23 | $851.14 | $2,041.74 |
Providence Setting Professional Modifier None (both parts) Typical Low $288.40 Median $524.81 Typical High $1,380.38 | Professional | None (both parts) | $288.40 | $524.81 | $1,380.38 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $199.53 | Professional | 26 · Professional part | $70.79 | $87.10 | $199.53 |
Providence Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $457.09 Typical High $1,174.90 | Professional | TC · Technical part | $204.17 | $457.09 | $1,174.90 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | None (both parts) | $2,041.74 | $2,041.74 | $2,041.74 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $269.15 | $269.15 | $269.15 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | TC · Technical part | $1,778.28 | $1,778.28 | $1,778.28 |
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 $316.23 Median $776.25 Typical High $2,290.87 | Professional | None (both parts) | $316.23 | $776.25 | $2,290.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $109.65 Typical High $275.42 | Professional | 26 · Professional part | $60.26 | $109.65 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $676.08 Typical High $2,089.30 | Professional | TC · Technical part | $257.04 | $676.08 | $2,089.30 |
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 $245.47 Median $537.03 Typical High $1,288.25 | Facility | 52 · Reduced service | $245.47 | $537.03 | $1,288.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $97.72 Median $213.80 Typical High $512.86 | Facility | 53 · Discontinued | $97.72 | $213.80 | $512.86 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $389.05 Median $851.14 Typical High $2,041.74 | Facility | FX · Film X-ray | $389.05 | $851.14 | $2,041.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $218.78 Median $245.47 Typical High $302.00 | Professional | 52 · Reduced service | $218.78 | $245.47 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $87.10 Median $97.72 Typical High $120.23 | Professional | 53 · Discontinued | $87.10 | $97.72 | $120.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $389.05 Typical High $489.78 | Professional | FX · Film X-ray | $346.74 | $389.05 | $489.78 |
Where California sits
The same service costs 6.0 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· 43rd 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.