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 $75.86 Median $87.10 Typical High $2,238.72 | Facility | None | $75.86 | $87.10 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $173.78 Typical High $416.87 | Facility | TC · Technical part | $69.18 | $173.78 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $128.82 | Professional | None (both parts) | $67.61 | $75.86 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.59 Typical High $12.59 | Professional | 26 · Professional part | $7.08 | $7.59 | $12.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $69.18 | $114.82 |
Anthem BCBS Setting Facility Modifier None Typical Low $8.91 Median $380.19 Typical High $389.05 | Facility | None | $8.91 | $380.19 | $389.05 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $87.10 Typical High $338.84 | Professional | None (both parts) | $77.62 | $87.10 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $38.02 | Professional | 26 · Professional part | $8.71 | $10.00 | $38.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $75.86 Typical High $302.00 | Professional | TC · Technical part | $67.61 | $75.86 | $302.00 |
Blue Shield Setting Facility Modifier None Typical Low $117.49 Median $436.52 Typical High $724.44 | Facility | None | $117.49 | $436.52 | $724.44 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $229.09 | Professional | None (both parts) | $67.61 | $95.50 | $229.09 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.91 Typical High $21.88 | Professional | 26 · Professional part | $6.17 | $8.91 | $21.88 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $87.10 Typical High $204.17 | Professional | TC · Technical part | $61.66 | $87.10 | $204.17 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $162.18 | Professional | None (both parts) | $83.18 | $114.82 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $251.19 Typical High $416.87 | Facility | None | $134.90 | $251.19 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $213.80 | Professional | None (both parts) | $67.61 | $89.13 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.72 Typical High $21.88 | Professional | 26 · Professional part | $6.61 | $10.72 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $190.55 | Professional | TC · Technical part | $61.66 | $81.28 | $190.55 |
Contra Costa Health Setting Professional Modifier None Typical Low $66.07 Median $102.33 Typical High $120.23 | Professional | None | $66.07 | $102.33 | $120.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.33 Typical High $11.22 | Professional | 26 · Professional part | $6.61 | $9.33 | $11.22 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $91.20 Typical High $109.65 | Professional | TC · Technical part | $58.88 | $91.20 | $109.65 |
Kaiser Permanente Setting Professional Modifier None Typical Low $77.62 Median $97.72 Typical High $263.03 | Professional | None | $77.62 | $97.72 | $263.03 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.48 Typical High $25.70 | Professional | 26 · Professional part | $7.94 | $11.48 | $25.70 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $257.04 | Professional | TC · Technical part | $70.79 | $109.65 | $257.04 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $630.96 | Professional | None (both parts) | $501.19 | $501.19 | $630.96 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $154.88 Typical High $154.88 | Professional | 26 · Professional part | $151.36 | $154.88 | $154.88 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $416.87 Typical High $575.44 | Professional | TC · Technical part | $416.87 | $416.87 | $575.44 |
Molina Setting Professional Modifier None (both parts) Typical Low $7.24 Median $56.23 Typical High $69.18 | Professional | None (both parts) | $7.24 | $56.23 | $69.18 |
Providence Setting Facility Modifier None Typical Low $95.50 Median $190.55 Typical High $380.19 | Facility | None | $95.50 | $190.55 | $380.19 |
Providence Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $213.80 | Professional | None (both parts) | $67.61 | $85.11 | $213.80 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $10.00 Typical High $23.44 | Professional | 26 · Professional part | $6.61 | $10.00 | $23.44 |
Providence Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $79.43 Typical High $190.55 | Professional | TC · Technical part | $61.66 | $79.43 | $190.55 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 26 · Professional part | $25.70 | $25.70 | $25.70 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | TC · Technical part | $234.42 | $234.42 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $83.18 Typical High $302.00 | Professional | None (both parts) | $57.54 | $83.18 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $9.33 Typical High $31.62 | Professional | 26 · Professional part | $6.76 | $9.33 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $72.44 Typical High $288.40 | Professional | TC · Technical part | $50.12 | $72.44 | $288.40 |
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 $38.02 Median $87.10 Typical High $208.93 | Facility | 52 · Reduced service | $38.02 | $87.10 | $208.93 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $15.14 Median $35.48 Typical High $93.33 | Facility | 53 · Discontinued | $15.14 | $35.48 | $93.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $61.66 Median $141.25 Typical High $338.84 | Facility | FX · Film X-ray | $61.66 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $38.02 Typical High $43.65 | Professional | 52 · Reduced service | $32.36 | $38.02 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $15.14 Typical High $17.38 | Professional | 53 · Discontinued | $12.88 | $15.14 | $17.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $61.66 Typical High $69.18 | Professional | FX · Film X-ray | $51.29 | $61.66 | $69.18 |
Where California sits
The same service costs 4.6 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· 19th of 51
$105
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.