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 $181.97 Median $208.93 Typical High $2,238.72 | Facility | None | $181.97 | $208.93 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $416.87 Typical High $1,000.00 | Facility | TC · Technical part | $162.18 | $416.87 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $208.93 | Professional | None (both parts) | $154.88 | $181.97 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.95 Typical High $21.38 | Professional | 26 · Professional part | $18.20 | $19.95 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $186.21 | Professional | TC · Technical part | $138.04 | $162.18 | $186.21 |
Anthem BCBS Setting Facility Modifier None Typical Low $23.99 Median $870.96 Typical High $891.25 | Facility | None | $23.99 | $870.96 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $194.98 Typical High $831.76 | Professional | None (both parts) | $169.82 | $194.98 | $831.76 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $93.33 | Professional | 26 · Professional part | $23.44 | $26.30 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $169.82 Typical High $724.44 | Professional | TC · Technical part | $151.36 | $169.82 | $724.44 |
Blue Shield Setting Facility Modifier None Typical Low $281.84 Median $912.01 Typical High $1,412.54 | Facility | None | $281.84 | $912.01 | $1,412.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $162.18 | $234.42 | $549.54 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $58.88 | Professional | 26 · Professional part | $18.20 | $25.70 | $58.88 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $208.93 Typical High $489.78 | Professional | TC · Technical part | $144.54 | $208.93 | $489.78 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $177.83 | $251.19 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $1,445.44 Typical High $2,884.03 | Facility | None | $346.74 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $524.81 | Professional | None (both parts) | $162.18 | $213.80 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.12 Typical High $58.88 | Professional | 26 · Professional part | $18.20 | $25.12 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $190.55 Typical High $478.63 | Professional | TC · Technical part | $144.54 | $190.55 | $478.63 |
Contra Costa Health Setting Professional Modifier None Typical Low $117.49 Median $229.09 Typical High $275.42 | Professional | None | $117.49 | $229.09 | $275.42 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.91 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $22.91 | $27.54 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $204.17 Typical High $245.47 | Professional | TC · Technical part | $104.71 | $204.17 | $245.47 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $223.87 Typical High $524.81 | Professional | None | $173.78 | $223.87 | $524.81 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $64.57 | Professional | 26 · Professional part | $19.95 | $28.84 | $64.57 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $575.44 | Professional | TC · Technical part | $158.49 | $245.47 | $575.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,445.44 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,288.25 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,288.25 |
Molina Setting Professional Modifier None (both parts) Typical Low $24.55 Median $138.04 Typical High $158.49 | Professional | None (both parts) | $24.55 | $138.04 | $158.49 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $616.60 Typical High $2,238.72 | Facility | None | $194.98 | $616.60 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $549.54 | Professional | None (both parts) | $162.18 | $199.53 | $549.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $24.55 Typical High $58.88 | Professional | 26 · Professional part | $18.20 | $24.55 | $58.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $177.83 Typical High $489.78 | Professional | TC · Technical part | $141.25 | $177.83 | $489.78 |
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 $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $549.54 | $549.54 | $549.54 |
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 $125.89 Median $190.55 Typical High $741.31 | Professional | None (both parts) | $125.89 | $190.55 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.91 Typical High $83.18 | Professional | 26 · Professional part | $16.98 | $22.91 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $165.96 Typical High $691.83 | Professional | TC · Technical part | $109.65 | $165.96 | $691.83 |
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 $91.20 Median $208.93 Typical High $501.19 | Facility | 52 · Reduced service | $91.20 | $208.93 | $501.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $83.18 Typical High $199.53 | Facility | 53 · Discontinued | $36.31 | $83.18 | $199.53 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $147.91 Median $331.13 Typical High $794.33 | Facility | FX · Film X-ray | $147.91 | $331.13 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $91.20 Typical High $104.71 | Professional | 52 · Reduced service | $77.62 | $91.20 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $36.31 Typical High $41.69 | Professional | 53 · Discontinued | $30.90 | $36.31 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $147.91 Typical High $165.96 | Professional | FX · Film X-ray | $125.89 | $147.91 | $165.96 |
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· 20th of 51
$240
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.