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 $239.88 Median $275.42 Typical High $2,238.72 | Facility | None | $239.88 | $275.42 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $501.19 Typical High $1,202.26 | Facility | TC · Technical part | $199.53 | $501.19 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $213.80 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $69.18 | Professional | 26 · Professional part | $40.74 | $42.66 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $323.59 | Professional | TC · Technical part | $173.78 | $199.53 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $1,096.48 Typical High $1,122.02 | Facility | None | $51.29 | $1,096.48 | $1,122.02 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $275.42 Typical High $1,071.52 | Professional | None (both parts) | $245.47 | $275.42 | $1,071.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $194.98 | Professional | 26 · Professional part | $51.29 | $56.23 | $194.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $851.14 | Professional | TC · Technical part | $194.98 | $218.78 | $851.14 |
Blue Shield Setting Facility Modifier None Typical Low $389.05 Median $1,318.26 Typical High $2,187.76 | Facility | None | $389.05 | $1,318.26 | $2,187.76 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $204.17 Median $288.40 Typical High $707.95 | Professional | None (both parts) | $204.17 | $288.40 | $707.95 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $53.70 Typical High $125.89 | Professional | 26 · Professional part | $37.15 | $53.70 | $125.89 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $575.44 | Professional | TC · Technical part | $165.96 | $239.88 | $575.44 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $316.23 Typical High $467.74 | Professional | None (both parts) | $229.09 | $316.23 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $1,995.26 Typical High $3,801.89 | Facility | None | $407.38 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $281.84 Typical High $676.08 | Professional | None (both parts) | $204.17 | $281.84 | $676.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $128.82 | Professional | 26 · Professional part | $38.90 | $53.70 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $549.54 | Professional | TC · Technical part | $165.96 | $229.09 | $549.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $194.98 Median $281.84 Typical High $338.84 | Professional | None | $194.98 | $281.84 | $338.84 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $50.12 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $50.12 | $60.26 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $234.42 Typical High $281.84 | Professional | TC · Technical part | $158.49 | $234.42 | $281.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $218.78 Median $275.42 Typical High $645.65 | Professional | None | $218.78 | $275.42 | $645.65 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $138.04 | Professional | 26 · Professional part | $42.66 | $61.66 | $138.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $645.65 | Professional | TC · Technical part | $181.97 | $281.84 | $645.65 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,584.89 Typical High $1,819.70 | Professional | None (both parts) | $1,584.89 | $1,584.89 | $1,819.70 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,148.15 Median $1,148.15 Typical High $1,445.44 | Professional | TC · Technical part | $1,148.15 | $1,148.15 | $1,445.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $52.48 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $52.48 | $158.49 | $204.17 |
Providence Setting Facility Modifier None Typical Low $251.19 Median $758.58 Typical High $3,019.95 | Facility | None | $251.19 | $758.58 | $3,019.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $204.17 Median $269.15 Typical High $676.08 | Professional | None (both parts) | $204.17 | $269.15 | $676.08 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $52.48 Typical High $128.82 | Professional | 26 · Professional part | $38.90 | $52.48 | $128.82 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $562.34 | Professional | TC · Technical part | $165.96 | $223.87 | $562.34 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $794.33 | $794.33 | $794.33 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $151.36 | $151.36 | $151.36 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $630.96 | $630.96 | $630.96 |
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 $177.83 Median $263.03 Typical High $933.25 | Professional | None (both parts) | $177.83 | $263.03 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $173.78 | Professional | 26 · Professional part | $37.15 | $50.12 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $794.33 | Professional | TC · Technical part | $144.54 | $204.17 | $794.33 |
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 $120.23 Median $251.19 Typical High $602.56 | Facility | 52 · Reduced service | $120.23 | $251.19 | $602.56 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $47.86 Median $100.00 Typical High $239.88 | Facility | 53 · Discontinued | $47.86 | $100.00 | $239.88 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $190.55 Median $398.11 Typical High $954.99 | Facility | FX · Film X-ray | $190.55 | $398.11 | $954.99 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $102.33 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $40.74 | $47.86 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $190.55 Typical High $218.78 | Professional | FX · Film X-ray | $162.18 | $190.55 | $218.78 |
Where California sits
The same service costs 3.8 times more in Alaska 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· 23rd of 51
$309
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.