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 $162.18 Median $1,819.70 Typical High $2,951.21 | Facility | None | $162.18 | $1,819.70 | $2,951.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $177.83 Typical High $426.58 | Facility | TC · Technical part | $69.18 | $177.83 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $177.83 | Professional | None (both parts) | $134.90 | $162.18 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $95.50 | Professional | 26 · Professional part | $79.43 | $91.20 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $81.28 | Professional | TC · Technical part | $53.70 | $69.18 | $81.28 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $660.69 Typical High $691.83 | Facility | None | $74.13 | $660.69 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $199.53 Typical High $588.84 | Professional | None (both parts) | $147.91 | $199.53 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $114.82 Typical High $346.74 | Professional | 26 · Professional part | $104.71 | $114.82 | $346.74 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $263.03 | Professional | TC · Technical part | $72.44 | $79.43 | $263.03 |
Blue Shield Setting Facility Modifier None Typical Low $208.93 Median $794.33 Typical High $1,288.25 | Facility | None | $208.93 | $794.33 | $1,288.25 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $524.81 | Professional | None (both parts) | $165.96 | $239.88 | $524.81 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $120.23 Typical High $275.42 | Professional | 26 · Professional part | $83.18 | $120.23 | $275.42 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $229.09 | Professional | TC · Technical part | $74.13 | $104.71 | $229.09 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $141.25 | $181.97 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $870.96 Typical High $1,621.81 | Facility | None | $125.89 | $870.96 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $114.82 | $194.98 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $223.87 | Professional | 26 · Professional part | $70.79 | $102.33 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $89.13 Typical High $162.18 | Professional | TC · Technical part | $45.71 | $89.13 | $162.18 |
Contra Costa Health Setting Professional Modifier None Typical Low $104.71 Median $162.18 Typical High $218.78 | Professional | None | $104.71 | $162.18 | $218.78 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $87.10 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $87.10 | $117.49 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $74.13 Typical High $100.00 | Professional | TC · Technical part | $42.66 | $74.13 | $100.00 |
Kaiser Permanente Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $380.19 | Professional | None | $128.82 | $162.18 | $380.19 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $234.42 | Professional | 26 · Professional part | $75.86 | $109.65 | $234.42 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $89.13 Typical High $199.53 | Professional | TC · Technical part | $58.88 | $89.13 | $199.53 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | 26 · Professional part | $954.99 | $954.99 | $954.99 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $954.99 | $954.99 | $954.99 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $51.29 Typical High $147.91 | Professional | None (both parts) | $33.11 | $51.29 | $147.91 |
Providence Setting Facility Modifier None Typical Low $162.18 Median $354.81 Typical High $1,445.44 | Facility | None | $162.18 | $354.81 | $1,445.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $114.82 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $114.82 | $194.98 | $371.54 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $223.87 | Professional | 26 · Professional part | $70.79 | $102.33 | $223.87 |
Providence Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $45.71 | $87.10 | $162.18 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 26 · Professional part | $275.42 | $275.42 | $275.42 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $177.83 | $177.83 | $177.83 |
United Setting Facility Modifier None Typical Low $380.19 Median $380.19 Typical High $588.84 | Facility | None | $380.19 | $380.19 | $588.84 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $158.49 Typical High $457.09 | Professional | None (both parts) | $117.49 | $158.49 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $269.15 | Professional | 26 · Professional part | $72.44 | $89.13 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $204.17 | Professional | TC · Technical part | $45.71 | $63.10 | $204.17 |
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 $63.10 Median $89.13 Typical High $234.42 | Facility | 52 · Reduced service | $63.10 | $89.13 | $234.42 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $25.12 Median $35.48 Typical High $93.33 | Facility | 53 · Discontinued | $25.12 | $35.48 | $93.33 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $81.28 Median $141.25 Typical High $338.84 | Facility | FX · Film X-ray | $81.28 | $141.25 | $338.84 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $81.28 Typical High $89.13 | Professional | 52 · Reduced service | $64.57 | $81.28 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $32.36 Typical High $35.48 | Professional | 53 · Discontinued | $25.70 | $32.36 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $128.82 Typical High $141.25 | Professional | FX · Film X-ray | $102.33 | $128.82 | $141.25 |
Where California sits
The same service costs 5.6 times more in Alaska than in Texas. 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
$209
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.