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 $81.28 Median $91.20 Typical High $2,238.72 | Facility | None | $81.28 | $91.20 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $57.54 Median $147.91 Typical High $354.81 | Facility | TC · Technical part | $57.54 | $147.91 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $81.28 Typical High $83.18 | Professional | None (both parts) | $44.67 | $81.28 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $26.30 | Professional | 26 · Professional part | $21.88 | $23.44 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $57.54 Typical High $66.07 | Professional | TC · Technical part | $20.89 | $57.54 | $66.07 |
Anthem BCBS Setting Facility Modifier None Typical Low $28.18 Median $218.78 Typical High $223.87 | Facility | None | $28.18 | $218.78 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $107.15 Typical High $281.84 | Professional | None (both parts) | $57.54 | $107.15 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $104.71 | Professional | 26 · Professional part | $27.54 | $30.90 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $77.62 Typical High $194.98 | Professional | TC · Technical part | $36.31 | $77.62 | $194.98 |
Blue Shield Setting Facility Modifier None Typical Low $501.19 Median $2,290.87 Typical High $3,548.13 | Facility | None | $501.19 | $2,290.87 | $3,548.13 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $37.15 Median $53.70 Typical High $218.78 | Professional | None (both parts) | $37.15 | $53.70 | $218.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $67.61 | Professional | 26 · Professional part | $19.50 | $27.54 | $67.61 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $25.70 Typical High $138.04 | Professional | TC · Technical part | $17.78 | $25.70 | $138.04 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $43.65 Median $60.26 Typical High $204.17 | Professional | None (both parts) | $43.65 | $60.26 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $288.40 Typical High $6,165.95 | Facility | None | $100.00 | $288.40 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $81.28 Typical High $309.03 | Professional | None (both parts) | $38.90 | $81.28 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $28.84 Typical High $67.61 | Professional | 26 · Professional part | $20.42 | $28.84 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $44.67 Typical High $281.84 | Professional | TC · Technical part | $19.05 | $44.67 | $281.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $64.57 | Professional | None | $38.02 | $53.70 | $64.57 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $19.95 | $26.92 | $32.36 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.92 Typical High $32.36 | Professional | TC · Technical part | $18.20 | $26.92 | $32.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $42.66 Median $54.95 Typical High $144.54 | Professional | None | $42.66 | $54.95 | $144.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $74.13 | Professional | 26 · Professional part | $22.91 | $33.11 | $74.13 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $32.36 Typical High $75.86 | Professional | TC · Technical part | $20.89 | $32.36 | $75.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Professional | None (both parts) | $1,737.80 | $1,737.80 | $1,737.80 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
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 $18.20 Median $22.91 Typical High $40.74 | Professional | None (both parts) | $18.20 | $22.91 | $40.74 |
Providence Setting Facility Modifier None Typical Low $81.28 Median $114.82 Typical High $489.78 | Facility | None | $81.28 | $114.82 | $489.78 |
Providence Setting Professional Modifier None (both parts) Typical Low $38.90 Median $85.11 Typical High $323.59 | Professional | None (both parts) | $38.90 | $85.11 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $27.54 Typical High $67.61 | Professional | 26 · Professional part | $20.42 | $27.54 | $67.61 |
Providence Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $51.29 Typical High $295.12 | Professional | TC · Technical part | $18.20 | $51.29 | $295.12 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None (both parts) | $144.54 | $144.54 | $144.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $79.43 | $79.43 | $79.43 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | TC · Technical part | $64.57 | $64.57 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $38.02 Median $63.10 Typical High $223.87 | Professional | None (both parts) | $38.02 | $63.10 | $223.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $26.30 Typical High $93.33 | Professional | 26 · Professional part | $19.95 | $26.30 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $29.51 Typical High $125.89 | Professional | TC · Technical part | $16.60 | $29.51 | $125.89 |
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 $40.74 Median $74.13 Typical High $194.98 | Facility | 52 · Reduced service | $40.74 | $74.13 | $194.98 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $16.22 Median $29.51 Typical High $77.62 | Facility | 53 · Discontinued | $16.22 | $29.51 | $77.62 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $64.57 Median $144.54 Typical High $309.03 | Facility | FX · Film X-ray | $64.57 | $144.54 | $309.03 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $21.38 Median $40.74 Typical High $45.71 | Professional | 52 · Reduced service | $21.38 | $40.74 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $16.22 Typical High $18.20 | Professional | 53 · Discontinued | $8.71 | $16.22 | $18.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $64.57 Typical High $72.44 | Professional | FX · Film X-ray | $39.81 | $64.57 | $72.44 |
Where California sits
The same service costs 7.2 times more in Alabama 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· 7th of 51
$102
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.