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 $104.71 Median $117.49 Typical High $2,238.72 | Facility | None | $104.71 | $117.49 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $218.78 Typical High $524.81 | Facility | TC · Technical part | $87.10 | $218.78 | $524.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $186.21 | Professional | None (both parts) | $93.33 | $107.15 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.20 Typical High $26.92 | Professional | 26 · Professional part | $15.85 | $18.20 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $158.49 | Professional | TC · Technical part | $77.62 | $89.13 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $20.42 Median $512.86 Typical High $537.03 | Facility | None | $20.42 | $512.86 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $457.09 | Professional | None (both parts) | $102.33 | $112.20 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $77.62 | Professional | 26 · Professional part | $19.95 | $22.39 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $389.05 | Professional | TC · Technical part | $81.28 | $93.33 | $389.05 |
Blue Shield Setting Facility Modifier None Typical Low $177.83 Median $575.44 Typical High $977.24 | Facility | None | $177.83 | $575.44 | $977.24 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $95.50 Median $134.90 Typical High $316.23 | Professional | None (both parts) | $95.50 | $134.90 | $316.23 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $20.89 Typical High $48.98 | Professional | 26 · Professional part | $14.45 | $20.89 | $48.98 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $114.82 Typical High $263.03 | Professional | TC · Technical part | $81.28 | $114.82 | $263.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $109.65 | $151.36 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $1,445.44 Typical High $2,884.03 | Facility | None | $194.98 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $316.23 | Professional | None (both parts) | $95.50 | $123.03 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.89 Typical High $50.12 | Professional | 26 · Professional part | $15.14 | $20.89 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $269.15 | Professional | TC · Technical part | $77.62 | $102.33 | $269.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $77.62 Median $134.90 Typical High $162.18 | Professional | None | $77.62 | $134.90 | $162.18 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.50 Typical High $23.44 | Professional | 26 · Professional part | $12.30 | $19.50 | $23.44 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $114.82 Typical High $138.04 | Professional | TC · Technical part | $64.57 | $114.82 | $138.04 |
Kaiser Permanente Setting Professional Modifier None Typical Low $102.33 Median $131.83 Typical High $323.59 | Professional | None | $102.33 | $131.83 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $24.55 Typical High $54.95 | Professional | 26 · Professional part | $16.98 | $24.55 | $54.95 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $138.04 Typical High $323.59 | Professional | TC · Technical part | $89.13 | $138.04 | $323.59 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,122.02 Typical High $1,122.02 | Professional | None (both parts) | $1,122.02 | $1,122.02 | $1,122.02 |
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 $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
Molina Setting Professional Modifier None (both parts) Typical Low $20.89 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $20.89 | $87.10 | $125.89 |
Providence Setting Facility Modifier None Typical Low $117.49 Median $331.13 Typical High $2,238.72 | Facility | None | $117.49 | $331.13 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $95.50 Median $117.49 Typical High $323.59 | Professional | None (both parts) | $95.50 | $117.49 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.42 Typical High $50.12 | Professional | 26 · Professional part | $15.14 | $20.42 | $50.12 |
Providence Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $269.15 | Professional | TC · Technical part | $77.62 | $102.33 | $269.15 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $309.03 | $309.03 | $309.03 |
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 $74.13 Median $114.82 Typical High $416.87 | Professional | None (both parts) | $74.13 | $114.82 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $19.05 Typical High $67.61 | Professional | 26 · Professional part | $14.45 | $19.05 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $93.33 Typical High $371.54 | Professional | TC · Technical part | $60.26 | $93.33 | $371.54 |
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 $52.48 Median $109.65 Typical High $263.03 | Facility | 52 · Reduced service | $52.48 | $109.65 | $263.03 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $44.67 Typical High $117.49 | Facility | 53 · Discontinued | $20.89 | $44.67 | $117.49 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $83.18 Median $177.83 Typical High $426.58 | Facility | FX · Film X-ray | $83.18 | $177.83 | $426.58 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $44.67 Median $52.48 Typical High $58.88 | Professional | 52 · Reduced service | $44.67 | $52.48 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.89 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $20.89 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $83.18 Typical High $93.33 | Professional | FX · Film X-ray | $72.44 | $83.18 | $93.33 |
Where California sits
The same service costs 5.5 times more in Alabama 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· 25th of 51
$132
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.