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 $309.03 Median $354.81 Typical High $2,238.72 | Facility | None | $309.03 | $354.81 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $707.95 Typical High $1,698.24 | Facility | TC · Technical part | $275.42 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $354.81 | Professional | None (both parts) | $263.03 | $309.03 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $35.48 | Professional | 26 · Professional part | $30.90 | $34.67 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $316.23 | Professional | TC · Technical part | $234.42 | $275.42 | $316.23 |
Anthem BCBS Setting Facility Modifier None Typical Low $42.66 Median $1,318.26 Typical High $1,348.96 | Facility | None | $42.66 | $1,318.26 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $338.84 Typical High $1,202.26 | Professional | None (both parts) | $275.42 | $338.84 | $1,202.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $151.36 | Professional | 26 · Professional part | $41.69 | $46.77 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $1,047.13 | Professional | TC · Technical part | $239.88 | $281.84 | $1,047.13 |
Blue Shield Setting Facility Modifier None Typical Low $309.03 Median $1,047.13 Typical High $1,698.24 | Facility | None | $309.03 | $1,047.13 | $1,698.24 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $912.01 | Professional | None (both parts) | $245.47 | $354.81 | $912.01 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $100.00 | Professional | 26 · Professional part | $26.92 | $38.90 | $100.00 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $812.83 | Professional | TC · Technical part | $218.78 | $309.03 | $812.83 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $281.84 Typical High $389.05 | Professional | None (both parts) | $165.96 | $281.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $1,445.44 Typical High $2,884.03 | Facility | None | $512.86 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $776.25 | Professional | None (both parts) | $229.09 | $323.59 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $42.66 Typical High $93.33 | Professional | 26 · Professional part | $28.84 | $42.66 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $288.40 Typical High $707.95 | Professional | TC · Technical part | $186.21 | $288.40 | $707.95 |
Contra Costa Health Setting Professional Modifier None Typical Low $109.65 Median $346.74 Typical High $416.87 | Professional | None | $109.65 | $346.74 | $416.87 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $12.02 | $36.31 | $43.65 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $309.03 Typical High $371.54 | Professional | TC · Technical part | $97.72 | $309.03 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $812.83 | Professional | None | $263.03 | $338.84 | $812.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $45.71 Typical High $102.33 | Professional | 26 · Professional part | $31.62 | $45.71 | $102.33 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $371.54 Typical High $851.14 | Professional | TC · Technical part | $239.88 | $371.54 | $851.14 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $2,187.76 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,513.56 Median $1,513.56 Typical High $1,905.46 | Professional | TC · Technical part | $1,513.56 | $1,513.56 | $1,905.46 |
Molina Setting Professional Modifier None (both parts) Typical Low $32.36 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $32.36 | $208.93 | $239.88 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $1,071.52 Typical High $2,238.72 | Facility | None | $295.12 | $1,071.52 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $812.83 | Professional | None (both parts) | $229.09 | $316.23 | $812.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $95.50 | Professional | 26 · Professional part | $28.84 | $41.69 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $275.42 Typical High $758.58 | Professional | TC · Technical part | $186.21 | $275.42 | $758.58 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | None (both parts) | $954.99 | $954.99 | $954.99 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $112.20 | $112.20 | $112.20 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $1,000.00 | Facility | None | $660.69 | $660.69 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $1,096.48 | Professional | None (both parts) | $223.87 | $295.12 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $128.82 | Professional | 26 · Professional part | $29.51 | $38.90 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $257.04 Typical High $1,023.29 | Professional | TC · Technical part | $190.55 | $257.04 | $1,023.29 |
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 $154.88 Median $354.81 Typical High $851.14 | Facility | 52 · Reduced service | $154.88 | $354.81 | $851.14 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $61.66 Median $141.25 Typical High $338.84 | Facility | 53 · Discontinued | $61.66 | $141.25 | $338.84 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $562.34 Typical High $1,348.96 | Facility | FX · Film X-ray | $251.19 | $562.34 | $1,348.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $131.83 Median $154.88 Typical High $177.83 | Professional | 52 · Reduced service | $131.83 | $154.88 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $61.66 Typical High $70.79 | Professional | 53 · Discontinued | $52.48 | $61.66 | $70.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $251.19 Typical High $281.84 | Professional | FX · Film X-ray | $208.93 | $251.19 | $281.84 |
Where California sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 24th of 51
$363
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.