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 $194.98 Median $223.87 Typical High $2,238.72 | Facility | None | $194.98 | $223.87 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $446.68 Typical High $1,071.52 | Facility | TC · Technical part | $173.78 | $446.68 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $309.03 | Professional | None (both parts) | $165.96 | $194.98 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.39 Typical High $36.31 | Professional | 26 · Professional part | $20.89 | $22.39 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $173.78 | $275.42 |
Anthem BCBS Setting Facility Modifier None Typical Low $26.30 Median $933.25 Typical High $954.99 | Facility | None | $26.30 | $933.25 | $954.99 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $794.33 | Professional | None (both parts) | $181.97 | $204.17 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $102.33 | Professional | 26 · Professional part | $25.70 | $28.84 | $102.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $691.83 | Professional | TC · Technical part | $158.49 | $177.83 | $691.83 |
Blue Shield Setting Facility Modifier None Typical Low $288.40 Median $933.25 Typical High $1,445.44 | Facility | None | $288.40 | $933.25 | $1,445.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $588.84 | Professional | None (both parts) | $169.82 | $245.47 | $588.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $66.07 | Professional | 26 · Professional part | $19.50 | $27.54 | $66.07 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $524.81 | Professional | TC · Technical part | $151.36 | $218.78 | $524.81 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $208.93 Typical High $275.42 | Professional | None (both parts) | $128.82 | $208.93 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $1,445.44 Typical High $2,884.03 | Facility | None | $380.19 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $562.34 | Professional | None (both parts) | $158.49 | $223.87 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $64.57 | Professional | 26 · Professional part | $19.95 | $27.54 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $512.86 | Professional | TC · Technical part | $134.90 | $190.55 | $512.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $87.10 Median $245.47 Typical High $295.12 | Professional | None | $87.10 | $245.47 | $295.12 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $25.70 Typical High $30.90 | Professional | 26 · Professional part | $9.55 | $25.70 | $30.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $218.78 Typical High $263.03 | Professional | TC · Technical part | $77.62 | $218.78 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $239.88 Typical High $478.63 | Professional | None | $186.21 | $239.88 | $478.63 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $32.36 Typical High $69.18 | Professional | 26 · Professional part | $22.39 | $32.36 | $69.18 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $588.84 | Professional | TC · Technical part | $169.82 | $263.03 | $588.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,202.26 Typical High $1,548.82 | Professional | None (both parts) | $1,202.26 | $1,202.26 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,348.96 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,348.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $26.92 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $26.92 | $147.91 | $204.17 |
Providence Setting Facility Modifier None Typical Low $208.93 Median $660.69 Typical High $2,238.72 | Facility | None | $208.93 | $660.69 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $213.80 Typical High $588.84 | Professional | None (both parts) | $158.49 | $213.80 | $588.84 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $64.57 | Professional | 26 · Professional part | $19.95 | $26.92 | $64.57 |
Providence Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $186.21 Typical High $524.81 | Professional | TC · Technical part | $134.90 | $186.21 | $524.81 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $77.62 | $77.62 | $77.62 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | TC · Technical part | $588.84 | $588.84 | $588.84 |
United Setting Facility Modifier None Typical Low $109.65 Median $275.42 Typical High $275.42 | Facility | None | $109.65 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $794.33 | Professional | None (both parts) | $134.90 | $199.53 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $25.70 Typical High $91.20 | Professional | 26 · Professional part | $18.62 | $25.70 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $741.31 | Professional | TC · Technical part | $117.49 | $177.83 | $741.31 |
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 $97.72 Median $218.78 Typical High $524.81 | Facility | 52 · Reduced service | $97.72 | $218.78 | $524.81 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $89.13 Typical High $213.80 | Facility | 53 · Discontinued | $38.90 | $89.13 | $213.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $354.81 Typical High $851.14 | Facility | FX · Film X-ray | $158.49 | $354.81 | $851.14 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $97.72 Typical High $112.20 | Professional | 52 · Reduced service | $83.18 | $97.72 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $44.67 | Professional | 53 · Discontinued | $33.11 | $38.90 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $158.49 Typical High $177.83 | Professional | FX · Film X-ray | $131.83 | $158.49 | $177.83 |
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· 23rd of 51
$257
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.