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 $89.13 Median $102.33 Typical High $2,238.72 | Facility | None | $89.13 | $102.33 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $199.53 Typical High $478.63 | Facility | TC · Technical part | $79.43 | $199.53 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $102.33 | Professional | None (both parts) | $74.13 | $89.13 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.72 Typical High $11.22 | Professional | 26 · Professional part | $9.55 | $10.72 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $91.20 | Professional | TC · Technical part | $66.07 | $79.43 | $91.20 |
Anthem BCBS Setting Facility Modifier None Typical Low $12.30 Median $380.19 Typical High $389.05 | Facility | None | $12.30 | $380.19 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $363.08 | Professional | None (both parts) | $89.13 | $102.33 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $43.65 | Professional | 26 · Professional part | $11.75 | $13.49 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $85.11 Typical High $288.40 | Professional | TC · Technical part | $75.86 | $85.11 | $288.40 |
Blue Shield Setting Facility Modifier None Typical Low $173.78 Median $616.60 Typical High $1,047.13 | Facility | None | $173.78 | $616.60 | $1,047.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $263.03 | Professional | None (both parts) | $83.18 | $117.49 | $263.03 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $13.18 Typical High $30.90 | Professional | 26 · Professional part | $9.33 | $13.18 | $30.90 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $104.71 Typical High $229.09 | Professional | TC · Technical part | $72.44 | $104.71 | $229.09 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $125.89 | Professional | None (both parts) | $77.62 | $109.65 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $1,445.44 Typical High $2,884.03 | Facility | None | $147.91 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $223.87 | Professional | None (both parts) | $77.62 | $97.72 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $27.54 | Professional | 26 · Professional part | $9.77 | $12.59 | $27.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $204.17 | Professional | TC · Technical part | $67.61 | $87.10 | $204.17 |
Contra Costa Health Setting Professional Modifier None Typical Low $52.48 Median $97.72 Typical High $117.49 | Professional | None | $52.48 | $97.72 | $117.49 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $10.00 Typical High $12.02 | Professional | 26 · Professional part | $5.75 | $10.00 | $12.02 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $89.13 Typical High $104.71 | Professional | TC · Technical part | $45.71 | $89.13 | $104.71 |
Kaiser Permanente Setting Professional Modifier None Typical Low $75.86 Median $95.50 Typical High $245.47 | Professional | None | $75.86 | $95.50 | $245.47 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $12.59 Typical High $28.18 | Professional | 26 · Professional part | $8.71 | $12.59 | $28.18 |
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 $467.74 Median $467.74 Typical High $630.96 | Professional | None (both parts) | $467.74 | $467.74 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | 26 · Professional part | $141.25 | $141.25 | $141.25 |
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 $10.96 Median $63.10 Typical High $75.86 | Professional | None (both parts) | $10.96 | $63.10 | $75.86 |
Providence Setting Facility Modifier None Typical Low $107.15 Median $302.00 Typical High $2,238.72 | Facility | None | $107.15 | $302.00 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $245.47 | Professional | None (both parts) | $77.62 | $93.33 | $245.47 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.02 Typical High $30.20 | Professional | 26 · Professional part | $9.77 | $12.02 | $30.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $213.80 | Professional | TC · Technical part | $67.61 | $85.11 | $213.80 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $31.62 | $31.62 | $31.62 |
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 $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 $63.10 Median $87.10 Typical High $309.03 | Professional | None (both parts) | $63.10 | $87.10 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $37.15 | Professional | 26 · Professional part | $8.51 | $11.22 | $37.15 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $269.15 | Professional | TC · Technical part | $53.70 | $74.13 | $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 $44.67 Median $100.00 Typical High $239.88 | Facility | 52 · Reduced service | $44.67 | $100.00 | $239.88 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $17.78 Median $39.81 Typical High $104.71 | Facility | 53 · Discontinued | $17.78 | $39.81 | $104.71 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $70.79 Median $162.18 Typical High $389.05 | Facility | FX · Film X-ray | $70.79 | $162.18 | $389.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $37.15 Median $44.67 Typical High $51.29 | Professional | 52 · Reduced service | $37.15 | $44.67 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $17.78 Typical High $20.42 | Professional | 53 · Discontinued | $15.14 | $17.78 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $70.79 Typical High $81.28 | Professional | FX · Film X-ray | $60.26 | $70.79 | $81.28 |
Where California sits
The same service costs 7.2 times more in Alabama 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· 16th of 51
$117
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.