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 $269.15 Median $309.03 Typical High $2,238.72 | Facility | None | $269.15 | $309.03 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $549.54 Typical High $1,318.26 | Facility | TC · Technical part | $213.80 | $549.54 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $229.09 | $269.15 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $63.10 | Professional | 26 · Professional part | $52.48 | $58.88 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $245.47 | Professional | TC · Technical part | $181.97 | $213.80 | $245.47 |
Anthem BCBS Setting Facility Modifier None Typical Low $67.61 Median $1,096.48 Typical High $1,122.02 | Facility | None | $67.61 | $1,096.48 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $316.23 Typical High $1,071.52 | Professional | None (both parts) | $288.40 | $316.23 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $245.47 | Professional | 26 · Professional part | $61.66 | $72.44 | $245.47 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $812.83 | Professional | TC · Technical part | $218.78 | $245.47 | $812.83 |
Blue Shield Setting Facility Modifier None Typical Low $457.09 Median $1,905.46 Typical High $3,467.37 | Facility | None | $457.09 | $1,905.46 | $3,467.37 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $194.98 Median $281.84 Typical High $794.33 | Professional | None (both parts) | $194.98 | $281.84 | $794.33 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $66.07 Typical High $162.18 | Professional | 26 · Professional part | $46.77 | $66.07 | $162.18 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $213.80 Typical High $630.96 | Professional | TC · Technical part | $147.91 | $213.80 | $630.96 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $676.08 | Professional | None (both parts) | $229.09 | $316.23 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $1,445.44 Typical High $2,884.03 | Facility | None | $371.54 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $199.53 | $338.84 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $69.18 Typical High $162.18 | Professional | 26 · Professional part | $48.98 | $69.18 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $162.18 | $275.42 | $512.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $338.84 | Professional | None | $204.17 | $281.84 | $338.84 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $63.10 Typical High $75.86 | Professional | 26 · Professional part | $48.98 | $63.10 | $75.86 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $263.03 | Professional | TC · Technical part | $154.88 | $218.78 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $281.84 Typical High $707.95 | Professional | None | $218.78 | $281.84 | $707.95 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $77.62 Typical High $177.83 | Professional | 26 · Professional part | $54.95 | $77.62 | $177.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $616.60 | Professional | TC · Technical part | $169.82 | $263.03 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $2,089.30 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $891.25 | $891.25 | $891.25 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $66.07 | $151.36 | $204.17 |
Providence Setting Facility Modifier None Typical Low $316.23 Median $870.96 Typical High $2,238.72 | Facility | None | $316.23 | $870.96 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $199.53 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $199.53 | $338.84 | $676.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $162.18 | Professional | 26 · Professional part | $48.98 | $66.07 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $151.36 | $275.42 | $512.86 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $758.58 | $758.58 | $758.58 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $575.44 | $575.44 | $575.44 |
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 $199.53 Median $275.42 Typical High $912.01 | Professional | None (both parts) | $199.53 | $275.42 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $218.78 | Professional | 26 · Professional part | $46.77 | $63.10 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $208.93 Typical High $741.31 | Professional | TC · Technical part | $147.91 | $208.93 | $741.31 |
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 $134.90 Median $275.42 Typical High $660.69 | Facility | 52 · Reduced service | $134.90 | $275.42 | $660.69 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $53.70 Median $109.65 Typical High $263.03 | Facility | 53 · Discontinued | $53.70 | $109.65 | $263.03 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $218.78 Median $436.52 Typical High $1,047.13 | Facility | FX · Film X-ray | $218.78 | $436.52 | $1,047.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $109.65 Median $134.90 Typical High $154.88 | Professional | 52 · Reduced service | $109.65 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $53.70 Typical High $61.66 | Professional | 53 · Discontinued | $44.67 | $53.70 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $218.78 Typical High $245.47 | Professional | FX · Film X-ray | $186.21 | $218.78 | $245.47 |
Where California sits
The same service costs 4.7 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· 22nd of 51
$324
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.