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 $331.13 Median $380.19 Typical High $2,238.72 | Facility | None | $331.13 | $380.19 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $758.58 Typical High $1,819.70 | Facility | TC · Technical part | $295.12 | $758.58 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $295.12 | $338.84 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $36.31 | $40.74 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $416.87 | Professional | TC · Technical part | $263.03 | $302.00 | $416.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $46.77 Median $1,412.54 Typical High $1,445.44 | Facility | None | $46.77 | $1,412.54 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $354.81 Typical High $1,380.38 | Professional | None (both parts) | $316.23 | $354.81 | $1,380.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $169.82 | Professional | 26 · Professional part | $45.71 | $51.29 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $1,202.26 | Professional | TC · Technical part | $269.15 | $302.00 | $1,202.26 |
Blue Shield Setting Facility Modifier None Typical Low $549.54 Median $1,778.28 Typical High $3,019.95 | Facility | None | $549.54 | $1,778.28 | $3,019.95 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $977.24 | Professional | None (both parts) | $288.40 | $407.38 | $977.24 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $47.86 Typical High $112.20 | Professional | 26 · Professional part | $33.88 | $47.86 | $112.20 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $363.08 Typical High $870.96 | Professional | TC · Technical part | $251.19 | $363.08 | $870.96 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $338.84 Typical High $416.87 | Professional | None (both parts) | $234.42 | $338.84 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $3,548.13 Typical High $7,943.28 | Facility | None | $575.44 | $3,548.13 | $7,943.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $281.84 | $380.19 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $47.86 Typical High $109.65 | Professional | 26 · Professional part | $35.48 | $47.86 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $331.13 Typical High $794.33 | Professional | TC · Technical part | $245.47 | $331.13 | $794.33 |
Contra Costa Health Setting Professional Modifier None Typical Low $154.88 Median $371.54 Typical High $446.68 | Professional | None | $154.88 | $371.54 | $446.68 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $40.74 Typical High $48.98 | Professional | 26 · Professional part | $18.62 | $40.74 | $48.98 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $331.13 Typical High $398.11 | Professional | TC · Technical part | $134.90 | $331.13 | $398.11 |
Kaiser Permanente Setting Professional Modifier None Typical Low $281.84 Median $363.08 Typical High $933.25 | Professional | None | $281.84 | $363.08 | $933.25 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $114.82 | Professional | 26 · Professional part | $35.48 | $51.29 | $114.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $398.11 Typical High $912.01 | Professional | TC · Technical part | $257.04 | $398.11 | $912.01 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,905.46 Median $1,905.46 Typical High $2,344.23 | Professional | None (both parts) | $1,905.46 | $1,905.46 | $2,344.23 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | 26 · Professional part | $426.58 | $426.58 | $426.58 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,659.59 Typical High $2,041.74 | Professional | TC · Technical part | $1,659.59 | $1,659.59 | $2,041.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $43.65 Median $229.09 Typical High $269.15 | Professional | None (both parts) | $43.65 | $229.09 | $269.15 |
Providence Setting Facility Modifier None Typical Low $346.74 Median $1,122.02 Typical High $7,244.36 | Facility | None | $346.74 | $1,122.02 | $7,244.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $275.42 Median $354.81 Typical High $891.25 | Professional | None (both parts) | $275.42 | $354.81 | $891.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $112.20 | Professional | 26 · Professional part | $35.48 | $45.71 | $112.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $323.59 Typical High $831.76 | Professional | TC · Technical part | $239.88 | $323.59 | $831.76 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Professional | None (both parts) | $1,071.52 | $1,071.52 | $1,071.52 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | TC · Technical part | $933.25 | $933.25 | $933.25 |
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 $234.42 Median $354.81 Typical High $1,230.27 | Professional | None (both parts) | $234.42 | $354.81 | $1,230.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $147.91 | Professional | 26 · Professional part | $33.11 | $43.65 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $295.12 Typical High $1,148.15 | Professional | TC · Technical part | $199.53 | $295.12 | $1,148.15 |
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 $165.96 Median $371.54 Typical High $891.25 | Facility | 52 · Reduced service | $165.96 | $371.54 | $891.25 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $66.07 Median $151.36 Typical High $363.08 | Facility | 53 · Discontinued | $66.07 | $151.36 | $363.08 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $269.15 Median $602.56 Typical High $1,445.44 | Facility | FX · Film X-ray | $269.15 | $602.56 | $1,445.44 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $141.25 Median $165.96 Typical High $190.55 | Professional | 52 · Reduced service | $141.25 | $165.96 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $66.07 Typical High $75.86 | Professional | 53 · Discontinued | $56.23 | $66.07 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $269.15 Typical High $302.00 | Professional | FX · Film X-ray | $223.87 | $269.15 | $302.00 |
Where California sits
The same service costs 3.7 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
$398
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.