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 $199.53 Typical High $2,238.72 | Facility | None | $181.97 | $199.53 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $288.40 Typical High $758.58 | Facility | TC · Technical part | $125.89 | $288.40 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $194.98 Typical High $295.12 | Professional | None (both parts) | $162.18 | $194.98 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $57.54 Typical High $85.11 | Professional | 26 · Professional part | $51.29 | $57.54 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $109.65 | $138.04 | $208.93 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $239.88 Median $251.19 Typical High $331.13 | Professional | None (both parts) | $239.88 | $251.19 | $331.13 |
Anthem BCBS Setting Facility Modifier None Typical Low $66.07 Median $891.25 Typical High $912.01 | Facility | None | $66.07 | $891.25 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $218.78 Typical High $891.25 | Professional | None (both parts) | $194.98 | $218.78 | $891.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $251.19 | Professional | 26 · Professional part | $63.10 | $69.18 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $144.54 Typical High $602.56 | Professional | TC · Technical part | $128.82 | $144.54 | $602.56 |
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 $151.36 Median $213.80 Typical High $524.81 | Professional | None (both parts) | $151.36 | $213.80 | $524.81 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $158.49 | Professional | 26 · Professional part | $46.77 | $67.61 | $158.49 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $147.91 Typical High $363.08 | Professional | TC · Technical part | $102.33 | $147.91 | $363.08 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $257.04 Typical High $426.58 | Professional | None (both parts) | $186.21 | $257.04 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $1,995.26 Typical High $3,801.89 | Facility | None | $288.40 | $1,995.26 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $154.88 | $234.42 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $162.18 | Professional | 26 · Professional part | $50.12 | $67.61 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $169.82 Typical High $354.81 | Professional | TC · Technical part | $109.65 | $169.82 | $354.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $229.09 Typical High $275.42 | Professional | None | $154.88 | $229.09 | $275.42 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $61.66 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $61.66 | $74.13 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $165.96 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $165.96 | $199.53 |
Kaiser Permanente Setting Professional Modifier None Typical Low $177.83 Median $223.87 Typical High $575.44 | Professional | None | $177.83 | $223.87 | $575.44 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $173.78 | Professional | 26 · Professional part | $53.70 | $77.62 | $173.78 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $128.82 | $199.53 | $457.09 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,819.70 | $1,819.70 | $1,819.70 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $537.03 Typical High $537.03 | Professional | 26 · Professional part | $537.03 | $537.03 | $537.03 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $1,258.93 | $1,258.93 | $1,258.93 |
Molina Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $66.07 | $109.65 | $194.98 |
Providence Setting Facility Modifier None Typical Low $234.42 Median $512.86 Typical High $3,019.95 | Facility | None | $234.42 | $512.86 | $3,019.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $524.81 | Professional | None (both parts) | $154.88 | $234.42 | $524.81 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $162.18 | Professional | 26 · Professional part | $50.12 | $66.07 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $169.82 Typical High $354.81 | Professional | TC · Technical part | $104.71 | $169.82 | $354.81 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $602.56 | $602.56 | $602.56 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | TC · Technical part | $407.38 | $407.38 | $407.38 |
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 $154.88 Median $208.93 Typical High $741.31 | Professional | None (both parts) | $154.88 | $208.93 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $223.87 | Professional | 26 · Professional part | $46.77 | $61.66 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $141.25 Typical High $537.03 | Professional | TC · Technical part | $104.71 | $141.25 | $537.03 |
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 $89.13 Median $158.49 Typical High $380.19 | Facility | 52 · Reduced service | $89.13 | $158.49 | $380.19 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $36.31 Median $63.10 Typical High $151.36 | Facility | 53 · Discontinued | $36.31 | $63.10 | $151.36 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $144.54 Median $257.04 Typical High $616.60 | Facility | FX · Film X-ray | $144.54 | $257.04 | $616.60 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $89.13 Typical High $100.00 | Professional | 52 · Reduced service | $77.62 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $36.31 Typical High $40.74 | Professional | 53 · Discontinued | $30.90 | $36.31 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $144.54 Typical High $162.18 | Professional | FX · Film X-ray | $123.03 | $144.54 | $162.18 |
Where California sits
The same service costs 4.4 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· 27th of 51
$229
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.