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 $588.84 Median $676.08 Typical High $2,238.72 | Facility | None | $588.84 | $676.08 | $2,238.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $549.54 Median $1,380.38 Typical High $3,311.31 | Facility | TC · Technical part | $549.54 | $1,380.38 | $3,311.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $660.69 Typical High $1,071.52 | Professional | None (both parts) | $524.81 | $660.69 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $47.86 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $602.56 Typical High $1,000.00 | Professional | TC · Technical part | $478.63 | $602.56 | $1,000.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $2,951.21 Typical High $3,019.95 | Facility | None | $58.88 | $2,951.21 | $3,019.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $512.86 Median $616.60 Typical High $2,570.40 | Professional | None (both parts) | $512.86 | $616.60 | $2,570.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $218.78 | Professional | 26 · Professional part | $57.54 | $64.57 | $218.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $549.54 Typical High $2,398.83 | Professional | TC · Technical part | $398.11 | $549.54 | $2,398.83 |
Blue Shield Setting Facility Modifier None Typical Low $426.58 Median $1,513.56 Typical High $2,691.53 | Facility | None | $426.58 | $1,513.56 | $2,691.53 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $501.19 Median $707.95 Typical High $1,778.28 | Professional | None (both parts) | $501.19 | $707.95 | $1,778.28 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $58.88 Typical High $141.25 | Professional | 26 · Professional part | $41.69 | $58.88 | $141.25 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $660.69 Typical High $1,659.59 | Professional | TC · Technical part | $457.09 | $660.69 | $1,659.59 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $630.96 Typical High $870.96 | Professional | None (both parts) | $245.47 | $630.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,258.93 Median $3,548.13 Typical High $8,317.64 | Facility | None | $1,258.93 | $3,548.13 | $8,317.64 |
Cigna Setting Professional Modifier None (both parts) Typical Low $512.86 Median $691.83 Typical High $1,737.80 | Professional | None (both parts) | $512.86 | $691.83 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $58.88 Typical High $138.04 | Professional | 26 · Professional part | $43.65 | $58.88 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $645.65 Typical High $1,584.89 | Professional | TC · Technical part | $467.74 | $645.65 | $1,584.89 |
Contra Costa Health Setting Professional Modifier None Typical Low $190.55 Median $776.25 Typical High $1,047.13 | Professional | None | $190.55 | $776.25 | $1,047.13 |
Kaiser Permanente Setting Professional Modifier None Typical Low $588.84 Median $758.58 Typical High $1,905.46 | Professional | None | $588.84 | $758.58 | $1,905.46 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $144.54 | Professional | 26 · Professional part | $44.67 | $64.57 | $144.54 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $870.96 Typical High $2,041.74 | Professional | TC · Technical part | $562.34 | $870.96 | $2,041.74 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $3,981.07 Median $3,981.07 Typical High $4,897.79 | Professional | None (both parts) | $3,981.07 | $3,981.07 | $4,897.79 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | 26 · Professional part | $457.09 | $457.09 | $457.09 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $3,715.35 Median $3,715.35 Typical High $4,466.84 | Professional | TC · Technical part | $3,715.35 | $3,715.35 | $4,466.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $54.95 Median $512.86 Typical High $549.54 | Professional | None (both parts) | $54.95 | $512.86 | $549.54 |
Providence Setting Facility Modifier None Typical Low $660.69 Median $2,089.30 Typical High $7,244.36 | Facility | None | $660.69 | $2,089.30 | $7,244.36 |
Providence Setting Professional Modifier None (both parts) Typical Low $512.86 Median $660.69 Typical High $1,698.24 | Professional | None (both parts) | $512.86 | $660.69 | $1,698.24 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $57.54 | $141.25 |
Providence Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $616.60 Typical High $1,584.89 | Professional | TC · Technical part | $467.74 | $616.60 | $1,584.89 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $2,238.72 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $162.18 | $162.18 | $162.18 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,089.30 Typical High $2,089.30 | Professional | TC · Technical part | $2,089.30 | $2,089.30 | $2,089.30 |
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 $416.87 Median $676.08 Typical High $2,630.27 | Professional | None (both parts) | $416.87 | $676.08 | $2,630.27 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $53.70 Typical High $186.21 | Professional | 26 · Professional part | $41.69 | $53.70 | $186.21 |
United Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $630.96 Typical High $2,511.89 | Professional | TC · Technical part | $371.54 | $630.96 | $2,511.89 |
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 $295.12 Median $691.83 Typical High $1,659.59 | Facility | 52 · Reduced service | $295.12 | $691.83 | $1,659.59 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $275.42 Typical High $660.69 | Facility | 53 · Discontinued | $120.23 | $275.42 | $660.69 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $478.63 Median $1,122.02 Typical High $2,691.53 | Facility | FX · Film X-ray | $478.63 | $1,122.02 | $2,691.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $251.19 Median $295.12 Typical High $338.84 | Professional | 52 · Reduced service | $251.19 | $295.12 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $120.23 Typical High $134.90 | Professional | 53 · Discontinued | $100.00 | $120.23 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $407.38 Median $478.63 Typical High $549.54 | Professional | FX · Film X-ray | $407.38 | $478.63 | $549.54 |
Where California sits
The same service costs 4.4 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· 28th of 51
$741
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.