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 $141.25 Median $158.49 Typical High $2,238.72 | Facility | None | $141.25 | $158.49 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $288.40 Typical High $691.83 | Facility | TC · Technical part | $112.20 | $288.40 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $158.49 | Professional | None (both parts) | $112.20 | $141.25 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $29.51 | Professional | 26 · Professional part | $25.12 | $28.18 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $112.20 Typical High $128.82 | Professional | TC · Technical part | $89.13 | $112.20 | $128.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $575.44 Typical High $588.84 | Facility | None | $33.11 | $575.44 | $588.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $549.54 | Professional | None (both parts) | $141.25 | $165.96 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $112.20 | Professional | 26 · Professional part | $31.62 | $36.31 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $128.82 Typical High $436.52 | Professional | TC · Technical part | $114.82 | $128.82 | $436.52 |
Blue Shield Setting Facility Modifier None Typical Low $316.23 Median $1,174.90 Typical High $1,949.84 | Facility | None | $316.23 | $1,174.90 | $1,949.84 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $407.38 | Professional | None (both parts) | $120.23 | $169.82 | $407.38 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $34.67 Typical High $81.28 | Professional | 26 · Professional part | $24.55 | $34.67 | $81.28 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $331.13 | Professional | TC · Technical part | $95.50 | $134.90 | $331.13 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $208.93 | Professional | None (both parts) | $120.23 | $165.96 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $1,445.44 Typical High $2,884.03 | Facility | None | $204.17 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $354.81 | Professional | None (both parts) | $120.23 | $177.83 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $72.44 | Professional | 26 · Professional part | $25.12 | $33.11 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $147.91 | $288.40 |
Contra Costa Health Setting Professional Modifier None Typical Low $87.10 Median $147.91 Typical High $177.83 | Professional | None | $87.10 | $147.91 | $177.83 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $17.38 | $26.92 | $32.36 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $120.23 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $120.23 | $144.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $114.82 Median $144.54 Typical High $389.05 | Professional | None | $114.82 | $144.54 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $75.86 | Professional | 26 · Professional part | $23.44 | $33.88 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $144.54 Typical High $338.84 | Professional | TC · Technical part | $93.33 | $144.54 | $338.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | TC · Technical part | $912.01 | $912.01 | $912.01 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.84 Median $95.50 Typical High $123.03 | Professional | None (both parts) | $28.84 | $95.50 | $123.03 |
Providence Setting Facility Modifier None Typical Low $177.83 Median $457.09 Typical High $2,238.72 | Facility | None | $177.83 | $457.09 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $177.83 Typical High $398.11 | Professional | None (both parts) | $120.23 | $177.83 | $398.11 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $81.28 | Professional | 26 · Professional part | $25.12 | $31.62 | $81.28 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $147.91 Typical High $323.59 | Professional | TC · Technical part | $95.50 | $147.91 | $323.59 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $295.12 | $295.12 | $295.12 |
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 $97.72 Median $141.25 Typical High $467.74 | Professional | None (both parts) | $97.72 | $141.25 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $97.72 | Professional | 26 · Professional part | $22.39 | $29.51 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $107.15 Typical High $380.19 | Professional | TC · Technical part | $75.86 | $107.15 | $380.19 |
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 $70.79 Median $144.54 Typical High $346.74 | Facility | 52 · Reduced service | $70.79 | $144.54 | $346.74 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $28.18 Median $57.54 Typical High $138.04 | Facility | 53 · Discontinued | $28.18 | $57.54 | $138.04 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $112.20 Median $229.09 Typical High $549.54 | Facility | FX · Film X-ray | $112.20 | $229.09 | $549.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $56.23 Median $70.79 Typical High $79.43 | Professional | 52 · Reduced service | $56.23 | $70.79 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $28.18 Typical High $31.62 | Professional | 53 · Discontinued | $22.39 | $28.18 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | FX · Film X-ray | $95.50 | $112.20 | $125.89 |
Where California sits
The same service costs 4.6 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· 14th of 51
$195
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.