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 $251.19 Median $288.40 Typical High $2,238.72 | Facility | None | $251.19 | $288.40 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $218.78 Median $549.54 Typical High $1,318.26 | Facility | TC · Technical part | $218.78 | $549.54 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $213.80 | $251.19 | $288.40 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $37.15 | Professional | 26 · Professional part | $32.36 | $35.48 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $218.78 Typical High $251.19 | Professional | TC · Technical part | $181.97 | $218.78 | $251.19 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $1,148.15 Typical High $1,174.90 | Facility | None | $43.65 | $1,148.15 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $1,071.52 | Professional | None (both parts) | $229.09 | $275.42 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $162.18 | Professional | 26 · Professional part | $42.66 | $47.86 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $912.01 | Professional | TC · Technical part | $194.98 | $229.09 | $912.01 |
Blue Shield Setting Facility Modifier None Typical Low $309.03 Median $1,174.90 Typical High $1,995.26 | Facility | None | $309.03 | $1,174.90 | $1,995.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $213.80 Median $309.03 Typical High $758.58 | Professional | None (both parts) | $213.80 | $309.03 | $758.58 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $30.90 | $43.65 | $104.71 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $263.03 Typical High $645.65 | Professional | TC · Technical part | $186.21 | $263.03 | $645.65 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $251.19 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $1,445.44 Typical High $2,884.03 | Facility | None | $457.09 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $218.78 | $288.40 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $44.67 Typical High $104.71 | Professional | 26 · Professional part | $32.36 | $44.67 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $616.60 | Professional | TC · Technical part | $186.21 | $245.47 | $616.60 |
Contra Costa Health Setting Professional Modifier None Typical Low $302.00 Median $331.13 Typical High $407.38 | Professional | None | $302.00 | $331.13 | $407.38 |
Kaiser Permanente Setting Professional Modifier None Typical Low $229.09 Median $295.12 Typical High $724.44 | Professional | None | $229.09 | $295.12 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $51.29 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $724.44 | Professional | TC · Technical part | $204.17 | $309.03 | $724.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,905.46 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,905.46 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $389.05 | $389.05 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,288.25 Median $1,288.25 Typical High $1,621.81 | Professional | TC · Technical part | $1,288.25 | $1,288.25 | $1,621.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $181.97 Typical High $218.78 | Professional | None (both parts) | $43.65 | $181.97 | $218.78 |
Providence Setting Facility Modifier None Typical Low $263.03 Median $831.76 Typical High $2,238.72 | Facility | None | $263.03 | $831.76 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $741.31 | Professional | None (both parts) | $218.78 | $269.15 | $741.31 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $32.36 | $43.65 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $630.96 | Professional | TC · Technical part | $186.21 | $234.42 | $630.96 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | None (both parts) | $851.14 | $851.14 | $851.14 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $724.44 | $724.44 | $724.44 |
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 $177.83 Median $269.15 Typical High $1,000.00 | Professional | None (both parts) | $177.83 | $269.15 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $144.54 | Professional | 26 · Professional part | $30.90 | $41.69 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $218.78 Typical High $912.01 | Professional | TC · Technical part | $147.91 | $218.78 | $912.01 |
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 $125.89 Median $275.42 Typical High $660.69 | Facility | 52 · Reduced service | $125.89 | $275.42 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $109.65 Typical High $263.03 | Facility | 53 · Discontinued | $50.12 | $109.65 | $263.03 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $204.17 Median $446.68 Typical High $1,071.52 | Facility | FX · Film X-ray | $204.17 | $446.68 | $1,071.52 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $107.15 Median $125.89 Typical High $144.54 | Professional | 52 · Reduced service | $107.15 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $50.12 Typical High $57.54 | Professional | 53 · Discontinued | $42.66 | $50.12 | $57.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $204.17 Typical High $229.09 | Professional | FX · Film X-ray | $173.78 | $204.17 | $229.09 |
Where California sits
The same service costs 4.6 times more in Alaska than in Florida. 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· 20th of 51
$324
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.