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 $346.74 Median $389.05 Typical High $2,238.72 | Facility | None | $346.74 | $389.05 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $794.33 Typical High $1,905.46 | Facility | TC · Technical part | $316.23 | $794.33 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $389.05 | Professional | None (both parts) | $288.40 | $346.74 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $32.36 | Professional | 26 · Professional part | $28.18 | $30.90 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $363.08 | Professional | TC · Technical part | $263.03 | $316.23 | $363.08 |
Anthem BCBS Setting Facility Modifier None Typical Low $37.15 Median $1,548.82 Typical High $1,584.89 | Facility | None | $37.15 | $1,548.82 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $363.08 Typical High $1,380.38 | Professional | None (both parts) | $323.59 | $363.08 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $141.25 | Professional | 26 · Professional part | $36.31 | $40.74 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $323.59 Typical High $1,258.93 | Professional | TC · Technical part | $295.12 | $323.59 | $1,258.93 |
Blue Shield Setting Facility Modifier None Typical Low $407.38 Median $1,548.82 Typical High $2,454.71 | Facility | None | $407.38 | $1,548.82 | $2,454.71 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $1,023.29 | Professional | None (both parts) | $302.00 | $426.58 | $1,023.29 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $38.90 Typical High $91.20 | Professional | 26 · Professional part | $26.92 | $38.90 | $91.20 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $389.05 Typical High $933.25 | Professional | TC · Technical part | $269.15 | $389.05 | $933.25 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $457.09 | Professional | None (both parts) | $251.19 | $371.54 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $1,995.26 Typical High $3,801.89 | Facility | None | $645.65 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $380.19 Typical High $954.99 | Professional | None (both parts) | $269.15 | $380.19 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.90 Typical High $89.13 | Professional | 26 · Professional part | $28.18 | $38.90 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $891.25 | Professional | TC · Technical part | $239.88 | $346.74 | $891.25 |
Contra Costa Health Setting Professional Modifier None Typical Low $169.82 Median $407.38 Typical High $489.78 | Professional | None | $169.82 | $407.38 | $489.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $34.67 Typical High $41.69 | Professional | 26 · Professional part | $15.14 | $34.67 | $41.69 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $371.54 Typical High $446.68 | Professional | TC · Technical part | $154.88 | $371.54 | $446.68 |
Kaiser Permanente Setting Professional Modifier None Typical Low $309.03 Median $398.11 Typical High $977.24 | Professional | None | $309.03 | $398.11 | $977.24 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $97.72 | Professional | 26 · Professional part | $30.20 | $43.65 | $97.72 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $446.68 Typical High $1,047.13 | Professional | TC · Technical part | $288.40 | $446.68 | $1,047.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $2,570.40 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | 26 · Professional part | $338.84 | $338.84 | $338.84 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,862.09 Median $1,862.09 Typical High $2,290.87 | Professional | TC · Technical part | $1,862.09 | $1,862.09 | $2,290.87 |
Molina Setting Professional Modifier None (both parts) Typical Low $38.02 Median $257.04 Typical High $288.40 | Professional | None (both parts) | $38.02 | $257.04 | $288.40 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $1,174.90 Typical High $3,019.95 | Facility | None | $346.74 | $1,174.90 | $3,019.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $269.15 Median $363.08 Typical High $977.24 | Professional | None (both parts) | $269.15 | $363.08 | $977.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $89.13 | Professional | 26 · Professional part | $28.18 | $37.15 | $89.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $331.13 Typical High $933.25 | Professional | TC · Technical part | $239.88 | $331.13 | $933.25 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | None (both parts) | $1,148.15 | $1,148.15 | $1,148.15 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | 26 · Professional part | $109.65 | $109.65 | $109.65 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $1,047.13 | $1,047.13 | $1,047.13 |
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 $234.42 Median $346.74 Typical High $1,348.96 | Professional | None (both parts) | $234.42 | $346.74 | $1,348.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $35.48 Typical High $125.89 | Professional | 26 · Professional part | $26.30 | $35.48 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $316.23 Typical High $1,288.25 | Professional | TC · Technical part | $208.93 | $316.23 | $1,288.25 |
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 $173.78 Median $398.11 Typical High $954.99 | Facility | 52 · Reduced service | $173.78 | $398.11 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $69.18 Median $158.49 Typical High $380.19 | Facility | 53 · Discontinued | $69.18 | $158.49 | $380.19 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $275.42 Median $645.65 Typical High $1,513.56 | Facility | FX · Film X-ray | $275.42 | $645.65 | $1,513.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $144.54 Median $173.78 Typical High $194.98 | Professional | 52 · Reduced service | $144.54 | $173.78 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $69.18 Typical High $79.43 | Professional | 53 · Discontinued | $58.88 | $69.18 | $79.43 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $275.42 Typical High $316.23 | Professional | FX · Film X-ray | $234.42 | $275.42 | $316.23 |
Where California sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 21st of 51
$427
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.