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 $436.52 Median $501.19 Typical High $2,238.72 | Facility | None | $436.52 | $501.19 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $407.38 Median $1,023.29 Typical High $2,454.71 | Facility | TC · Technical part | $407.38 | $1,023.29 | $2,454.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $501.19 | Professional | None (both parts) | $371.54 | $436.52 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $29.51 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $407.38 Typical High $467.74 | Professional | TC · Technical part | $338.84 | $407.38 | $467.74 |
Anthem BCBS Setting Facility Modifier None Typical Low $39.81 Median $2,041.74 Typical High $2,089.30 | Facility | None | $39.81 | $2,041.74 | $2,089.30 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $446.68 Typical High $1,995.26 | Professional | None (both parts) | $398.11 | $446.68 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $154.88 | Professional | 26 · Professional part | $38.90 | $43.65 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $416.87 Typical High $1,698.24 | Professional | TC · Technical part | $371.54 | $416.87 | $1,698.24 |
Blue Shield Setting Facility Modifier None Typical Low $537.03 Median $1,819.70 Typical High $3,019.95 | Facility | None | $537.03 | $1,819.70 | $3,019.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $380.19 Median $537.03 Typical High $1,318.26 | Professional | None (both parts) | $380.19 | $537.03 | $1,318.26 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $28.18 | $39.81 | $95.50 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $501.19 Typical High $1,202.26 | Professional | TC · Technical part | $346.74 | $501.19 | $1,202.26 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $489.78 Typical High $602.56 | Professional | None (both parts) | $323.59 | $489.78 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $4,677.35 Typical High $7,943.28 | Facility | None | $870.96 | $4,677.35 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $467.74 Typical High $1,258.93 | Professional | None (both parts) | $323.59 | $467.74 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $30.90 | $42.66 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $446.68 Typical High $1,202.26 | Professional | TC · Technical part | $295.12 | $446.68 | $1,202.26 |
Contra Costa Health Setting Professional Modifier None Typical Low $218.78 Median $537.03 Typical High $645.65 | Professional | None | $218.78 | $537.03 | $645.65 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $15.14 | $38.90 | $46.77 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $501.19 Typical High $588.84 | Professional | TC · Technical part | $204.17 | $501.19 | $588.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $524.81 Typical High $1,288.25 | Professional | None | $407.38 | $524.81 | $1,288.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $109.65 | Professional | 26 · Professional part | $33.88 | $48.98 | $109.65 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $588.84 Typical High $1,380.38 | Professional | TC · Technical part | $389.05 | $588.84 | $1,380.38 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,754.23 Median $2,754.23 Typical High $3,388.44 | Professional | None (both parts) | $2,754.23 | $2,754.23 | $3,388.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,511.89 Median $2,511.89 Typical High $3,090.30 | Professional | TC · Technical part | $2,511.89 | $2,511.89 | $3,090.30 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $346.74 Typical High $380.19 | Professional | None (both parts) | $34.67 | $346.74 | $380.19 |
Providence Setting Facility Modifier None Typical Low $436.52 Median $1,548.82 Typical High $7,244.36 | Facility | None | $436.52 | $1,548.82 | $7,244.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $1,288.25 | Professional | None (both parts) | $316.23 | $446.68 | $1,288.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $40.74 Typical High $100.00 | Professional | 26 · Professional part | $30.90 | $40.74 | $100.00 |
Providence Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $416.87 Typical High $1,202.26 | Professional | TC · Technical part | $275.42 | $416.87 | $1,202.26 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | 26 · Professional part | $120.23 | $120.23 | $120.23 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,412.54 Typical High $1,412.54 | Professional | TC · Technical part | $1,412.54 | $1,412.54 | $1,412.54 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,235.94 | Facility | None | $2,137.96 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $467.74 Typical High $1,778.28 | Professional | None (both parts) | $302.00 | $467.74 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $141.25 | Professional | 26 · Professional part | $28.18 | $38.02 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $426.58 Typical High $1,737.80 | Professional | TC · Technical part | $269.15 | $426.58 | $1,737.80 |
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 $218.78 Median $512.86 Typical High $1,230.27 | Facility | 52 · Reduced service | $218.78 | $512.86 | $1,230.27 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $87.10 Median $204.17 Typical High $489.78 | Facility | 53 · Discontinued | $87.10 | $204.17 | $489.78 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $346.74 Median $831.76 Typical High $1,949.84 | Facility | FX · Film X-ray | $346.74 | $831.76 | $1,949.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $186.21 Median $218.78 Typical High $251.19 | Professional | 52 · Reduced service | $186.21 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $87.10 Typical High $100.00 | Professional | 53 · Discontinued | $74.13 | $87.10 | $100.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $346.74 Typical High $398.11 | Professional | FX · Film X-ray | $295.12 | $346.74 | $398.11 |
Where California sits
The same service costs 4.6 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· 26th of 51
$537
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.