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 $302.00 Median $338.84 Typical High $1,819.70 | Facility | None | $302.00 | $338.84 | $1,819.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $251.19 Median $575.44 Typical High $1,548.82 | Facility | TC · Technical part | $251.19 | $575.44 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $269.15 | $331.13 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $43.65 | $48.98 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $223.87 | $281.84 | $457.09 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $83.18 Typical High $89.13 | Professional | 26 · Professional part | $44.67 | $83.18 | $89.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $1,584.89 Typical High $1,621.81 | Facility | None | $54.95 | $1,584.89 | $1,621.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $346.74 Typical High $1,412.54 | Professional | None (both parts) | $281.84 | $346.74 | $1,412.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $208.93 | Professional | 26 · Professional part | $53.70 | $60.26 | $208.93 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $288.40 Typical High $1,202.26 | Professional | TC · Technical part | $229.09 | $288.40 | $1,202.26 |
Blue Shield Setting Facility Modifier None Typical Low $338.84 Median $1,318.26 Typical High $2,344.23 | Facility | None | $338.84 | $1,318.26 | $2,344.23 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $302.00 Median $436.52 Typical High $912.01 | Professional | None (both parts) | $302.00 | $436.52 | $912.01 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $134.90 | Professional | 26 · Professional part | $40.74 | $57.54 | $134.90 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $776.25 | Professional | TC · Technical part | $263.03 | $380.19 | $776.25 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $194.98 | $338.84 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $1,479.11 Typical High $2,884.03 | Facility | None | $630.96 | $1,479.11 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $977.24 | Professional | None (both parts) | $275.42 | $389.05 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $134.90 | Professional | 26 · Professional part | $41.69 | $57.54 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $331.13 Typical High $870.96 | Professional | TC · Technical part | $229.09 | $331.13 | $870.96 |
Contra Costa Health Setting Professional Modifier None Typical Low $131.83 Median $416.87 Typical High $501.19 | Professional | None | $131.83 | $416.87 | $501.19 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $52.48 Typical High $63.10 | Professional | 26 · Professional part | $16.98 | $52.48 | $63.10 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $363.08 Typical High $436.52 | Professional | TC · Technical part | $114.82 | $363.08 | $436.52 |
Kaiser Permanente Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $954.99 | Professional | None | $316.23 | $407.38 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $66.07 Typical High $147.91 | Professional | 26 · Professional part | $45.71 | $66.07 | $147.91 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $436.52 Typical High $1,000.00 | Professional | TC · Technical part | $281.84 | $436.52 | $1,000.00 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,630.27 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,630.27 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $380.19 | Professional | 26 · Professional part | $363.08 | $363.08 | $380.19 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,819.70 Median $1,819.70 Typical High $2,238.72 | Professional | TC · Technical part | $1,819.70 | $1,819.70 | $2,238.72 |
Molina Setting Professional Modifier None (both parts) Typical Low $56.23 Median $251.19 Typical High $363.08 | Professional | None (both parts) | $56.23 | $251.19 | $363.08 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $1,122.02 Typical High $2,238.72 | Facility | None | $316.23 | $1,122.02 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $275.42 Median $371.54 Typical High $1,023.29 | Professional | None (both parts) | $275.42 | $371.54 | $1,023.29 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $54.95 Typical High $134.90 | Professional | 26 · Professional part | $41.69 | $54.95 | $134.90 |
Providence Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $323.59 Typical High $891.25 | Professional | TC · Technical part | $229.09 | $323.59 | $891.25 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $162.18 | $162.18 | $162.18 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,023.29 Median $1,023.29 Typical High $1,023.29 | Professional | TC · Technical part | $1,023.29 | $1,023.29 | $1,023.29 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $354.81 Typical High $1,380.38 | Professional | None (both parts) | $245.47 | $354.81 | $1,380.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $190.55 | Professional | 26 · Professional part | $38.90 | $52.48 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $1,258.93 | Professional | TC · Technical part | $204.17 | $309.03 | $1,258.93 |
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 $151.36 Median $323.59 Typical High $776.25 | Facility | 52 · Reduced service | $151.36 | $323.59 | $776.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $60.26 Median $128.82 Typical High $309.03 | Facility | 53 · Discontinued | $60.26 | $128.82 | $309.03 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $239.88 Median $512.86 Typical High $1,230.27 | Facility | FX · Film X-ray | $239.88 | $512.86 | $1,230.27 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $128.82 Median $151.36 Typical High $169.82 | Professional | 52 · Reduced service | $128.82 | $151.36 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $60.26 Typical High $67.61 | Professional | 53 · Discontinued | $51.29 | $60.26 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $239.88 Typical High $269.15 | Professional | FX · Film X-ray | $213.80 | $239.88 | $269.15 |
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
$407
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.