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 $128.82 Median $1,819.70 Typical High $2,951.21 | Facility | None | $128.82 | $1,819.70 | $2,951.21 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $141.25 Typical High $338.84 | Facility | TC · Technical part | $54.95 | $141.25 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $104.71 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $77.62 | Professional | 26 · Professional part | $63.10 | $74.13 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $54.95 Typical High $63.10 | Professional | TC · Technical part | $41.69 | $54.95 | $63.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $63.10 Typical High $69.18 | Facility | None | $58.88 | $63.10 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $467.74 | Professional | None (both parts) | $144.54 | $154.88 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $251.19 | Professional | 26 · Professional part | $72.44 | $87.10 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $60.26 Typical High $158.49 | Professional | TC · Technical part | $58.88 | $60.26 | $158.49 |
Blue Shield Setting Facility Modifier None Typical Low $141.25 Median $467.74 Typical High $741.31 | Facility | None | $141.25 | $467.74 | $741.31 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $165.96 Typical High $363.08 | Professional | None (both parts) | $117.49 | $165.96 | $363.08 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $97.72 Typical High $223.87 | Professional | 26 · Professional part | $69.18 | $97.72 | $223.87 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $154.88 | Professional | TC · Technical part | $47.86 | $67.61 | $154.88 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $630.96 | Professional | None (both parts) | $64.57 | $79.43 | $630.96 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $870.96 Typical High $1,621.81 | Facility | None | $97.72 | $870.96 | $1,621.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $151.36 Typical High $302.00 | Professional | None (both parts) | $102.33 | $151.36 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $177.83 | Professional | 26 · Professional part | $60.26 | $89.13 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $66.07 Typical High $123.03 | Professional | TC · Technical part | $41.69 | $66.07 | $123.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $309.03 | Professional | None | $257.04 | $257.04 | $309.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $208.93 | Professional | 26 · Professional part | $70.79 | $85.11 | $208.93 |
Kaiser Permanente Setting Professional Modifier None Typical Low $407.38 Median $676.08 Typical High $1,737.80 | Professional | None | $407.38 | $676.08 | $1,737.80 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $186.21 | Professional | 26 · Professional part | $61.66 | $89.13 | $186.21 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,202.26 Typical High $1,202.26 | Professional | None (both parts) | $870.96 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $741.31 Median $1,202.26 Typical High $1,202.26 | Professional | 26 · Professional part | $741.31 | $1,202.26 | $1,202.26 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $630.96 Typical High $630.96 | Professional | TC · Technical part | $630.96 | $630.96 | $630.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $33.11 Typical High $74.13 | Professional | None (both parts) | $33.11 | $33.11 | $74.13 |
Providence Setting Facility Modifier None Typical Low $109.65 Median $302.00 Typical High $1,445.44 | Facility | None | $109.65 | $302.00 | $1,445.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $102.33 Median $151.36 Typical High $331.13 | Professional | None (both parts) | $102.33 | $151.36 | $331.13 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $177.83 | Professional | 26 · Professional part | $60.26 | $85.11 | $177.83 |
Providence Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $123.03 | Professional | TC · Technical part | $41.69 | $63.10 | $123.03 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | 26 · Professional part | $218.78 | $218.78 | $218.78 |
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 $97.72 Median $181.97 Typical High $467.74 | Professional | None (both parts) | $97.72 | $181.97 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $218.78 | Professional | 26 · Professional part | $57.54 | $74.13 | $218.78 |
United Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $85.11 Typical High $239.88 | Professional | TC · Technical part | $38.90 | $85.11 | $239.88 |
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 $50.12 Median $70.79 Typical High $181.97 | Facility | 52 · Reduced service | $50.12 | $70.79 | $181.97 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $19.95 Median $28.18 Typical High $74.13 | Facility | 53 · Discontinued | $19.95 | $28.18 | $74.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $64.57 Median $112.20 Typical High $269.15 | Facility | FX · Film X-ray | $64.57 | $112.20 | $269.15 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $51.29 Median $64.57 Typical High $70.79 | Professional | 52 · Reduced service | $51.29 | $64.57 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $25.70 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $25.70 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $104.71 Typical High $112.20 | Professional | FX · Film X-ray | $81.28 | $104.71 | $112.20 |
Where California sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 26th of 51
$170
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.