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 $158.49 Median $407.38 Typical High $977.24 | Facility | TC · Technical part | $158.49 | $407.38 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $223.87 | Professional | None (both parts) | $173.78 | $199.53 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $38.02 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $181.97 | Professional | TC · Technical part | $141.25 | $162.18 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $43.65 Median $891.25 Typical High $912.01 | Facility | None | $43.65 | $891.25 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $218.78 Typical High $812.83 | Professional | None (both parts) | $173.78 | $218.78 | $812.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $162.18 | Professional | 26 · Professional part | $42.66 | $47.86 | $162.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $169.82 Typical High $630.96 | Professional | TC · Technical part | $141.25 | $169.82 | $630.96 |
Blue Shield Setting Facility Modifier None Typical Low $223.87 Median $724.44 Typical High $1,174.90 | Facility | None | $223.87 | $724.44 | $1,174.90 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $158.49 Median $223.87 Typical High $575.44 | Professional | None (both parts) | $158.49 | $223.87 | $575.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $107.15 | Professional | 26 · Professional part | $30.20 | $42.66 | $107.15 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $181.97 Typical High $467.74 | Professional | TC · Technical part | $128.82 | $181.97 | $467.74 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $194.98 | $257.04 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $1,445.44 Typical High $2,884.03 | Facility | None | $323.59 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $218.78 Typical High $537.03 | Professional | None (both parts) | $158.49 | $218.78 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $44.67 Typical High $104.71 | Professional | 26 · Professional part | $31.62 | $44.67 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $436.52 | Professional | TC · Technical part | $120.23 | $165.96 | $436.52 |
Contra Costa Health Setting Professional Modifier None Typical Low $229.09 Median $251.19 Typical High $309.03 | Professional | None | $229.09 | $251.19 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $229.09 Typical High $537.03 | Professional | None | $177.83 | $229.09 | $537.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $112.20 | Professional | 26 · Professional part | $34.67 | $50.12 | $112.20 |
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 $1,148.15 Median $1,148.15 Typical High $1,479.11 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $1,202.26 | Professional | TC · Technical part | $933.25 | $933.25 | $1,202.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $128.82 Typical High $165.96 | Professional | None (both parts) | $35.48 | $128.82 | $165.96 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $630.96 Typical High $2,238.72 | Facility | None | $194.98 | $630.96 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $158.49 Median $204.17 Typical High $549.54 | Professional | None (both parts) | $158.49 | $204.17 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $43.65 Typical High $104.71 | Professional | 26 · Professional part | $31.62 | $43.65 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $436.52 | Professional | TC · Technical part | $120.23 | $165.96 | $436.52 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | None (both parts) | $630.96 | $630.96 | $630.96 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | 26 · Professional part | $123.03 | $123.03 | $123.03 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | TC · Technical part | $501.19 | $501.19 | $501.19 |
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 $141.25 Median $204.17 Typical High $758.58 | Professional | None (both parts) | $141.25 | $204.17 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $41.69 Typical High $144.54 | Professional | 26 · Professional part | $30.90 | $41.69 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $154.88 Typical High $645.65 | Professional | TC · Technical part | $112.20 | $154.88 | $645.65 |
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 $204.17 Typical High $489.78 | Facility | 52 · Reduced service | $97.72 | $204.17 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $38.90 Median $81.28 Typical High $194.98 | Facility | 53 · Discontinued | $38.90 | $81.28 | $194.98 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $323.59 Typical High $776.25 | Facility | FX · Film X-ray | $158.49 | $323.59 | $776.25 |
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 $134.90 Median $158.49 Typical High $177.83 | Professional | FX · Film X-ray | $134.90 | $158.49 | $177.83 |
Where California sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 27th of 51
$229
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.