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 $338.84 Median $389.05 Typical High $2,238.72 | Facility | None | $338.84 | $389.05 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $794.33 Typical High $1,905.46 | Facility | TC · Technical part | $309.03 | $794.33 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $389.05 | Professional | None (both parts) | $281.84 | $338.84 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $28.84 | Professional | 26 · Professional part | $24.55 | $27.54 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $354.81 | Professional | TC · Technical part | $257.04 | $309.03 | $354.81 |
Anthem BCBS Setting Facility Modifier None Typical Low $33.11 Median $1,288.25 Typical High $1,318.26 | Facility | None | $33.11 | $1,288.25 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $346.74 Typical High $1,288.25 | Professional | None (both parts) | $309.03 | $346.74 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $112.20 | Professional | 26 · Professional part | $31.62 | $36.31 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $316.23 Typical High $1,148.15 | Professional | TC · Technical part | $281.84 | $316.23 | $1,148.15 |
Blue Shield Setting Facility Modifier None Typical Low $457.09 Median $1,513.56 Typical High $2,511.89 | Facility | None | $457.09 | $1,513.56 | $2,511.89 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $416.87 Typical High $977.24 | Professional | None (both parts) | $288.40 | $416.87 | $977.24 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $33.88 Typical High $81.28 | Professional | 26 · Professional part | $23.99 | $33.88 | $81.28 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $380.19 Typical High $912.01 | Professional | TC · Technical part | $269.15 | $380.19 | $912.01 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $316.23 Typical High $380.19 | Professional | None (both parts) | $223.87 | $316.23 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $4,677.35 Typical High $7,943.28 | Facility | None | $524.81 | $4,677.35 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $354.81 Typical High $812.83 | Professional | None (both parts) | $239.88 | $354.81 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $33.11 Typical High $70.79 | Professional | 26 · Professional part | $25.12 | $33.11 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $316.23 Typical High $741.31 | Professional | TC · Technical part | $223.87 | $316.23 | $741.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $147.91 Median $338.84 Typical High $407.38 | Professional | None | $147.91 | $338.84 | $407.38 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $11.75 | $26.92 | $32.36 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $309.03 Typical High $371.54 | Professional | TC · Technical part | $134.90 | $309.03 | $371.54 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $831.76 | Professional | None | $257.04 | $331.13 | $831.76 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $75.86 | Professional | 26 · Professional part | $23.44 | $33.88 | $75.86 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $371.54 Typical High $870.96 | Professional | TC · Technical part | $239.88 | $371.54 | $870.96 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $1,698.24 Typical High $2,137.96 | Professional | None (both parts) | $1,698.24 | $1,698.24 | $2,137.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $371.54 | $371.54 | $371.54 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,548.82 Typical High $1,949.84 | Professional | TC · Technical part | $1,548.82 | $1,548.82 | $1,949.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $28.18 Median $208.93 Typical High $234.42 | Professional | None (both parts) | $28.18 | $208.93 | $234.42 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $1,174.90 Typical High $7,244.36 | Facility | None | $338.84 | $1,174.90 | $7,244.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $239.88 Median $331.13 Typical High $831.76 | Professional | None (both parts) | $239.88 | $331.13 | $831.76 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $79.43 | Professional | 26 · Professional part | $25.12 | $31.62 | $79.43 |
Providence Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $758.58 | Professional | TC · Technical part | $223.87 | $302.00 | $758.58 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 26 · Professional part | $85.11 | $85.11 | $85.11 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $851.14 Median $851.14 Typical High $851.14 | Professional | TC · Technical part | $851.14 | $851.14 | $851.14 |
United Setting Facility Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,235.94 | Facility | None | $2,137.96 | $2,137.96 | $3,235.94 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $309.03 Typical High $1,096.48 | Professional | None (both parts) | $229.09 | $309.03 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $97.72 | Professional | 26 · Professional part | $22.39 | $29.51 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $275.42 Typical High $1,047.13 | Professional | TC · Technical part | $204.17 | $275.42 | $1,047.13 |
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 $169.82 Median $398.11 Typical High $954.99 | Facility | 52 · Reduced service | $169.82 | $398.11 | $954.99 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $67.61 Median $158.49 Typical High $380.19 | Facility | 53 · Discontinued | $67.61 | $158.49 | $380.19 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $269.15 Median $630.96 Typical High $1,513.56 | Facility | FX · Film X-ray | $269.15 | $630.96 | $1,513.56 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $134.90 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $54.95 | $67.61 | $77.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $269.15 Typical High $309.03 | Professional | FX · Film X-ray | $213.80 | $269.15 | $309.03 |
Where California sits
The same service costs 4.3 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· 16th of 51
$407
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.