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 $85.11 Median $95.50 Typical High $2,238.72 | Facility | None | $85.11 | $95.50 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $190.55 Typical High $457.09 | Facility | TC · Technical part | $75.86 | $190.55 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $95.50 | Professional | None (both parts) | $70.79 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $8.71 Typical High $9.12 | Professional | 26 · Professional part | $7.76 | $8.71 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $87.10 | Professional | TC · Technical part | $63.10 | $75.86 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $10.47 Median $371.54 Typical High $380.19 | Facility | None | $10.47 | $371.54 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $87.10 Typical High $309.03 | Professional | None (both parts) | $77.62 | $87.10 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $35.48 | Professional | 26 · Professional part | $10.00 | $11.48 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $269.15 | Professional | TC · Technical part | $67.61 | $77.62 | $269.15 |
Blue Shield Setting Facility Modifier None Typical Low $97.72 Median $338.84 Typical High $912.01 | Facility | None | $97.72 | $338.84 | $912.01 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $83.18 | $117.49 | $245.47 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $10.96 Typical High $25.70 | Professional | 26 · Professional part | $7.59 | $10.96 | $25.70 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $223.87 | Professional | TC · Technical part | $74.13 | $107.15 | $223.87 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $85.11 Typical High $109.65 | Professional | None (both parts) | $52.48 | $85.11 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $4,677.35 Typical High $7,943.28 | Facility | None | $147.91 | $4,677.35 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $95.50 Typical High $223.87 | Professional | None (both parts) | $58.88 | $95.50 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.47 Typical High $22.91 | Professional | 26 · Professional part | $8.32 | $10.47 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $89.13 Typical High $204.17 | Professional | TC · Technical part | $50.12 | $89.13 | $204.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $34.67 Median $97.72 Typical High $114.82 | Professional | None | $34.67 | $97.72 | $114.82 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $3.09 Median $8.51 Typical High $10.23 | Professional | 26 · Professional part | $3.09 | $8.51 | $10.23 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $31.62 | $89.13 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $74.13 Median $95.50 Typical High $239.88 | Professional | None | $74.13 | $95.50 | $239.88 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.72 Typical High $23.99 | Professional | 26 · Professional part | $7.41 | $10.72 | $23.99 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $104.71 Typical High $245.47 | Professional | TC · Technical part | $69.18 | $104.71 | $245.47 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $616.60 | Professional | None (both parts) | $446.68 | $446.68 | $616.60 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $128.82 | $128.82 | $128.82 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $562.34 | Professional | TC · Technical part | $407.38 | $407.38 | $562.34 |
Molina Setting Professional Modifier None (both parts) Typical Low $8.91 Median $56.23 Typical High $64.57 | Professional | None (both parts) | $8.91 | $56.23 | $64.57 |
Providence Setting Facility Modifier None Typical Low $85.11 Median $281.84 Typical High $7,244.36 | Facility | None | $85.11 | $281.84 | $7,244.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $58.88 Median $91.20 Typical High $223.87 | Professional | None (both parts) | $58.88 | $91.20 | $223.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.23 Typical High $26.30 | Professional | 26 · Professional part | $8.32 | $10.23 | $26.30 |
Providence Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $83.18 Typical High $213.80 | Professional | TC · Technical part | $50.12 | $83.18 | $213.80 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $234.42 | $234.42 | $234.42 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $26.30 | Professional | 26 · Professional part | $26.30 | $26.30 | $26.30 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $208.93 | $208.93 | $208.93 |
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 $57.54 Median $83.18 Typical High $302.00 | Professional | None (both parts) | $57.54 | $83.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.12 Typical High $30.20 | Professional | 26 · Professional part | $7.08 | $9.12 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $269.15 | Professional | TC · Technical part | $50.12 | $72.44 | $269.15 |
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 $42.66 Median $95.50 Typical High $229.09 | Facility | 52 · Reduced service | $42.66 | $95.50 | $229.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.98 Median $38.90 Typical High $102.33 | Facility | 53 · Discontinued | $16.98 | $38.90 | $102.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $67.61 Median $154.88 Typical High $371.54 | Facility | FX · Film X-ray | $67.61 | $154.88 | $371.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $35.48 Median $42.66 Typical High $47.86 | Professional | 52 · Reduced service | $35.48 | $42.66 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $16.98 Typical High $19.05 | Professional | 53 · Discontinued | $14.45 | $16.98 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $67.61 Typical High $77.62 | Professional | FX · Film X-ray | $57.54 | $67.61 | $77.62 |
Where California sits
The same service costs 8.1 times more in Alabama 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· 16th of 51
$110
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.