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 $295.12 Median $331.13 Typical High $2,238.72 | Facility | None | $295.12 | $331.13 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $562.34 Typical High $1,348.96 | Facility | TC · Technical part | $223.87 | $562.34 | $1,348.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $331.13 | Professional | None (both parts) | $234.42 | $295.12 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $70.79 Typical High $74.13 | Professional | 26 · Professional part | $63.10 | $70.79 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $257.04 | Professional | TC · Technical part | $165.96 | $223.87 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $1,148.15 Typical High $1,174.90 | Facility | None | $85.11 | $1,148.15 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $354.81 Typical High $1,122.02 | Professional | None (both parts) | $309.03 | $354.81 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $323.59 | Professional | 26 · Professional part | $81.28 | $93.33 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $812.83 | Professional | TC · Technical part | $218.78 | $263.03 | $812.83 |
Blue Shield Setting Facility Modifier None Typical Low $457.09 Median $2,187.76 Typical High $3,890.45 | Facility | None | $457.09 | $2,187.76 | $3,890.45 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $208.93 Median $302.00 Typical High $851.14 | Professional | None (both parts) | $208.93 | $302.00 | $851.14 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $208.93 | Professional | 26 · Professional part | $57.54 | $81.28 | $208.93 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $645.65 | Professional | TC · Technical part | $151.36 | $218.78 | $645.65 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $239.88 | $331.13 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $1,995.26 Typical High $3,801.89 | Facility | None | $363.08 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $208.93 | $380.19 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $199.53 | Professional | 26 · Professional part | $60.26 | $85.11 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $288.40 Typical High $537.03 | Professional | TC · Technical part | $158.49 | $288.40 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $213.80 Median $288.40 Typical High $346.74 | Professional | None | $213.80 | $288.40 | $346.74 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $93.33 | Professional | 26 · Professional part | $57.54 | $77.62 | $93.33 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $257.04 | Professional | TC · Technical part | $158.49 | $213.80 | $257.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $223.87 Median $288.40 Typical High $724.44 | Professional | None | $223.87 | $288.40 | $724.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $97.72 Typical High $218.78 | Professional | 26 · Professional part | $67.61 | $97.72 | $218.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $257.04 Typical High $602.56 | Professional | TC · Technical part | $165.96 | $257.04 | $602.56 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,691.53 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $2,691.53 | $3,311.31 | $3,311.31 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | 26 · Professional part | $1,148.15 | $1,148.15 | $1,148.15 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $2,290.87 Typical High $2,290.87 | Professional | TC · Technical part | $1,862.09 | $2,290.87 | $2,290.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $67.61 Median $154.88 Typical High $223.87 | Professional | None (both parts) | $67.61 | $154.88 | $223.87 |
Providence Setting Facility Modifier None Typical Low $331.13 Median $933.25 Typical High $3,019.95 | Facility | None | $331.13 | $933.25 | $3,019.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $208.93 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $208.93 | $380.19 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $199.53 | Professional | 26 · Professional part | $60.26 | $83.18 | $199.53 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $288.40 Typical High $537.03 | Professional | TC · Technical part | $151.36 | $288.40 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | 26 · Professional part | $234.42 | $234.42 | $234.42 |
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 $891.25 Median $891.25 Typical High $1,380.38 | Facility | None | $891.25 | $891.25 | $1,380.38 |
United Setting Professional Modifier None (both parts) Typical Low $213.80 Median $295.12 Typical High $954.99 | Professional | None (both parts) | $213.80 | $295.12 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $275.42 | Professional | 26 · Professional part | $60.26 | $79.43 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $724.44 | Professional | TC · Technical part | $147.91 | $208.93 | $724.44 |
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 $147.91 Median $281.84 Typical High $676.08 | Facility | 52 · Reduced service | $147.91 | $281.84 | $676.08 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $58.88 Median $112.20 Typical High $269.15 | Facility | 53 · Discontinued | $58.88 | $112.20 | $269.15 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $234.42 Median $457.09 Typical High $1,096.48 | Facility | FX · Film X-ray | $234.42 | $457.09 | $1,096.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $147.91 Typical High $165.96 | Professional | 52 · Reduced service | $117.49 | $147.91 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $58.88 Typical High $66.07 | Professional | 53 · Discontinued | $46.77 | $58.88 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $234.42 Typical High $263.03 | Professional | FX · Film X-ray | $199.53 | $234.42 | $263.03 |
Where California sits
The same service costs 5.0 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· 13th of 51
$398
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.