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 $234.42 Median $263.03 Typical High $2,238.72 | Facility | None | $234.42 | $263.03 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $501.19 Typical High $1,202.26 | Facility | TC · Technical part | $199.53 | $501.19 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $263.03 | Professional | None (both parts) | $194.98 | $234.42 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $38.90 | Professional | 26 · Professional part | $31.62 | $33.88 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $229.09 | Professional | TC · Technical part | $165.96 | $199.53 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $40.74 Median $1,071.52 Typical High $1,096.48 | Facility | None | $40.74 | $1,071.52 | $1,096.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $891.25 | Professional | None (both parts) | $213.80 | $245.47 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $147.91 | Professional | 26 · Professional part | $39.81 | $44.67 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $204.17 Typical High $741.31 | Professional | TC · Technical part | $186.21 | $204.17 | $741.31 |
Blue Shield Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $1,412.54 | Facility | None | $281.84 | $912.01 | $1,412.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $194.98 | $275.42 | $676.08 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $97.72 | Professional | 26 · Professional part | $29.51 | $41.69 | $97.72 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $234.42 Typical High $575.44 | Professional | TC · Technical part | $165.96 | $234.42 | $575.44 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $275.42 Typical High $316.23 | Professional | None (both parts) | $194.98 | $275.42 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,445.44 Typical High $2,884.03 | Facility | None | $389.05 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $616.60 | Professional | None (both parts) | $177.83 | $251.19 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $41.69 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $41.69 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $524.81 | Professional | TC · Technical part | $144.54 | $213.80 | $524.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $128.82 Median $281.84 Typical High $338.84 | Professional | None | $128.82 | $281.84 | $338.84 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $19.50 | $38.90 | $46.77 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $239.88 Typical High $288.40 | Professional | TC · Technical part | $109.65 | $239.88 | $288.40 |
Kaiser Permanente Setting Professional Modifier None Typical Low $213.80 Median $275.42 Typical High $645.65 | Professional | None | $213.80 | $275.42 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $47.86 Typical High $107.15 | Professional | 26 · Professional part | $33.11 | $47.86 | $107.15 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $288.40 Typical High $676.08 | Professional | TC · Technical part | $186.21 | $288.40 | $676.08 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,778.28 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,778.28 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | 26 · Professional part | $257.04 | $257.04 | $281.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,513.56 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,513.56 |
Molina Setting Professional Modifier None (both parts) Typical Low $34.67 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $34.67 | $154.88 | $186.21 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $758.58 Typical High $2,238.72 | Facility | None | $234.42 | $758.58 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $645.65 | Professional | None (both parts) | $177.83 | $239.88 | $645.65 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $40.74 | $97.72 |
Providence Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $549.54 | Professional | TC · Technical part | $144.54 | $199.53 | $549.54 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $741.31 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $741.31 | $741.31 | $741.31 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $114.82 | $114.82 | $114.82 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | TC · Technical part | $616.60 | $616.60 | $616.60 |
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 $162.18 Median $229.09 Typical High $870.96 | Professional | None (both parts) | $162.18 | $229.09 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $131.83 | Professional | 26 · Professional part | $28.84 | $38.02 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $776.25 | Professional | TC · Technical part | $134.90 | $190.55 | $776.25 |
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 $114.82 Median $251.19 Typical High $602.56 | Facility | 52 · Reduced service | $114.82 | $251.19 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $46.77 Median $100.00 Typical High $239.88 | Facility | 53 · Discontinued | $46.77 | $100.00 | $239.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $186.21 Median $407.38 Typical High $977.24 | Facility | FX · Film X-ray | $186.21 | $407.38 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $97.72 Median $114.82 Typical High $131.83 | Professional | 52 · Reduced service | $97.72 | $114.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $46.77 Typical High $52.48 | Professional | 53 · Discontinued | $39.81 | $46.77 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $186.21 Typical High $208.93 | Professional | FX · Film X-ray | $158.49 | $186.21 | $208.93 |
Where California sits
The same service costs 4.6 times more in Alaska 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· 25th of 51
$275
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.