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 $213.80 Median $245.47 Typical High $2,238.72 | Facility | None | $213.80 | $245.47 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $467.74 Typical High $1,122.02 | Facility | TC · Technical part | $181.97 | $467.74 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $245.47 | Professional | None (both parts) | $181.97 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $32.36 Typical High $34.67 | Professional | 26 · Professional part | $29.51 | $32.36 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $208.93 | Professional | TC · Technical part | $154.88 | $181.97 | $208.93 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.90 Median $977.24 Typical High $1,023.29 | Facility | None | $38.90 | $977.24 | $1,023.29 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $870.96 | Professional | None (both parts) | $199.53 | $229.09 | $870.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $147.91 | Professional | 26 · Professional part | $38.02 | $42.66 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $186.21 Typical High $724.44 | Professional | TC · Technical part | $165.96 | $186.21 | $724.44 |
Blue Shield Setting Facility Modifier None Typical Low $309.03 Median $1,000.00 Typical High $1,584.89 | Facility | None | $309.03 | $1,000.00 | $1,584.89 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $645.65 | Professional | None (both parts) | $181.97 | $263.03 | $645.65 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $95.50 | Professional | 26 · Professional part | $28.84 | $40.74 | $95.50 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $549.54 | Professional | TC · Technical part | $154.88 | $218.78 | $549.54 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $128.82 | $213.80 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $1,445.44 Typical High $2,884.03 | Facility | None | $389.05 | $1,445.44 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $245.47 Typical High $602.56 | Professional | None (both parts) | $177.83 | $245.47 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $95.50 | Professional | 26 · Professional part | $30.20 | $40.74 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $524.81 | Professional | TC · Technical part | $144.54 | $204.17 | $524.81 |
Contra Costa Health Setting Professional Modifier None Typical Low $87.10 Median $257.04 Typical High $309.03 | Professional | None | $87.10 | $257.04 | $309.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $37.15 Typical High $44.67 | Professional | 26 · Professional part | $12.88 | $37.15 | $44.67 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $218.78 Typical High $263.03 | Professional | TC · Technical part | $74.13 | $218.78 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $588.84 | Professional | None | $199.53 | $251.19 | $588.84 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $46.77 Typical High $104.71 | Professional | 26 · Professional part | $32.36 | $46.77 | $104.71 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $263.03 Typical High $616.60 | Professional | TC · Technical part | $169.82 | $263.03 | $616.60 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,288.25 Median $1,288.25 Typical High $1,659.59 | Professional | None (both parts) | $1,288.25 | $1,288.25 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | 26 · Professional part | $363.08 | $363.08 | $363.08 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,380.38 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.88 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $33.88 | $151.36 | $186.21 |
Providence Setting Facility Modifier None Typical Low $218.78 Median $691.83 Typical High $2,238.72 | Facility | None | $218.78 | $691.83 | $2,238.72 |
Providence Setting Professional Modifier None (both parts) Typical Low $177.83 Median $229.09 Typical High $630.96 | Professional | None (both parts) | $177.83 | $229.09 | $630.96 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $95.50 | Professional | 26 · Professional part | $30.20 | $39.81 | $95.50 |
Providence Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $199.53 | $537.03 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $724.44 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $724.44 | $724.44 | $724.44 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | TC · Technical part | $602.56 | $602.56 | $602.56 |
United Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $151.36 Median $223.87 Typical High $870.96 | Professional | None (both parts) | $151.36 | $223.87 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $134.90 | Professional | 26 · Professional part | $27.54 | $37.15 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $758.58 | Professional | TC · Technical part | $123.03 | $181.97 | $758.58 |
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 $107.15 Median $234.42 Typical High $562.34 | Facility | 52 · Reduced service | $107.15 | $234.42 | $562.34 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $43.65 Median $93.33 Typical High $223.87 | Facility | 53 · Discontinued | $43.65 | $93.33 | $223.87 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $173.78 Median $371.54 Typical High $891.25 | Facility | FX · Film X-ray | $173.78 | $371.54 | $891.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $107.15 Typical High $123.03 | Professional | 52 · Reduced service | $91.20 | $107.15 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $43.65 Typical High $48.98 | Professional | 53 · Discontinued | $36.31 | $43.65 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $173.78 Typical High $194.98 | Professional | FX · Film X-ray | $147.91 | $173.78 | $194.98 |
Where California sits
The same service costs 4.6 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
$263
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.