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 $169.82 Median $190.55 Typical High $2,238.72 | Facility | None | $169.82 | $190.55 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $380.19 Typical High $912.01 | Facility | TC · Technical part | $147.91 | $380.19 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $190.55 | Professional | None (both parts) | $144.54 | $169.82 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.42 Typical High $21.38 | Professional | 26 · Professional part | $18.20 | $20.42 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $169.82 | Professional | TC · Technical part | $125.89 | $147.91 | $169.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $24.55 Median $812.83 Typical High $851.14 | Facility | None | $24.55 | $812.83 | $851.14 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $177.83 Typical High $741.31 | Professional | None (both parts) | $158.49 | $177.83 | $741.31 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $93.33 | Professional | 26 · Professional part | $23.99 | $26.92 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $151.36 Typical High $616.60 | Professional | TC · Technical part | $138.04 | $151.36 | $616.60 |
Blue Shield Setting Facility Modifier None Typical Low $218.78 Median $691.83 Typical High $1,148.15 | Facility | None | $218.78 | $691.83 | $1,148.15 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $123.03 Median $177.83 Typical High $501.19 | Professional | None (both parts) | $123.03 | $177.83 | $501.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $21.38 Typical High $60.26 | Professional | 26 · Professional part | $15.14 | $21.38 | $60.26 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $446.68 | Professional | TC · Technical part | $109.65 | $154.88 | $446.68 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $177.83 Typical High $239.88 | Professional | None (both parts) | $91.20 | $177.83 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $1,445.44 Typical High $2,884.03 | Facility | None | $338.84 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $512.86 | Professional | None (both parts) | $131.83 | $186.21 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $60.26 | Professional | 26 · Professional part | $19.05 | $25.70 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $162.18 Typical High $446.68 | Professional | TC · Technical part | $112.20 | $162.18 | $446.68 |
Contra Costa Health Setting Professional Modifier None Typical Low $60.26 Median $213.80 Typical High $257.04 | Professional | None | $60.26 | $213.80 | $257.04 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $23.99 Typical High $28.84 | Professional | 26 · Professional part | $7.24 | $23.99 | $28.84 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $190.55 Typical High $229.09 | Professional | TC · Technical part | $53.70 | $190.55 | $229.09 |
Kaiser Permanente Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $501.19 | Professional | None | $165.96 | $208.93 | $501.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $67.61 | Professional | 26 · Professional part | $20.89 | $30.20 | $67.61 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $229.09 Typical High $537.03 | Professional | TC · Technical part | $147.91 | $229.09 | $537.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,380.38 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,380.38 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | 26 · Professional part | $169.82 | $169.82 | $177.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $1,202.26 | Professional | TC · Technical part | $954.99 | $954.99 | $1,202.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $131.83 Typical High $154.88 | Professional | None (both parts) | $20.89 | $131.83 | $154.88 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $562.34 Typical High $2,238.72 | Facility | None | $169.82 | $562.34 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $512.86 | Professional | None (both parts) | $128.82 | $177.83 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $60.26 | Professional | 26 · Professional part | $19.05 | $24.55 | $60.26 |
Providence Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $154.88 Typical High $457.09 | Professional | TC · Technical part | $107.15 | $154.88 | $457.09 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $588.84 Median $588.84 Typical High $588.84 | Professional | None (both parts) | $588.84 | $588.84 | $588.84 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | TC · Technical part | $524.81 | $524.81 | $524.81 |
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 $117.49 Median $181.97 Typical High $724.44 | Professional | None (both parts) | $117.49 | $181.97 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $23.44 Typical High $85.11 | Professional | 26 · Professional part | $17.38 | $23.44 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $158.49 Typical High $660.69 | Professional | TC · Technical part | $97.72 | $158.49 | $660.69 |
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 $85.11 Median $190.55 Typical High $457.09 | Facility | 52 · Reduced service | $85.11 | $190.55 | $457.09 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $33.88 Median $75.86 Typical High $181.97 | Facility | 53 · Discontinued | $33.88 | $75.86 | $181.97 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $134.90 Median $302.00 Typical High $724.44 | Facility | FX · Film X-ray | $134.90 | $302.00 | $724.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $85.11 Typical High $95.50 | Professional | 52 · Reduced service | $72.44 | $85.11 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $33.88 Typical High $38.02 | Professional | 53 · Discontinued | $28.84 | $33.88 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $134.90 Typical High $154.88 | Professional | FX · Film X-ray | $114.82 | $134.90 | $154.88 |
Where California sits
The same service costs 4.7 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· 26th of 51
$214
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.