How much rates vary
Facilitymedian $269 · 10th to 90th $170 to $1,995Professionalmedian $200 · 10th to 90th $105 to $1,318
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 $199.53 Median $1,023.29 Typical High $2,691.53 | Facility | None | $199.53 | $1,023.29 | $2,691.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $63.10 | Facility | 26 · Professional part | $36.31 | $44.67 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $363.08 Typical High $1,318.26 | Facility | TC · Technical part | $151.36 | $363.08 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $199.53 Typical High $331.13 | Professional | None (both parts) | $120.23 | $199.53 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $42.66 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $162.18 Typical High $275.42 | Professional | TC · Technical part | $79.43 | $162.18 | $275.42 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $144.54 | Professional | None (both parts) | $93.33 | $109.65 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $38.02 | $45.71 | $75.86 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | TC · Technical part | $75.86 | $75.86 | $75.86 |
Anthem BCBS Setting Facility Modifier None Typical Low $38.02 Median $549.54 Typical High $562.34 | Facility | None | $38.02 | $549.54 | $562.34 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $467.74 | Professional | None (both parts) | $165.96 | $177.83 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $123.03 | Professional | 26 · Professional part | $37.15 | $39.81 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $338.84 | Professional | TC · Technical part | $131.83 | $138.04 | $338.84 |
Blue Shield Setting Facility Modifier None Typical Low $234.42 Median $1,202.26 Typical High $2,290.87 | Facility | None | $234.42 | $1,202.26 | $2,290.87 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $100.00 | $144.54 | $251.19 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $51.29 | $89.13 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $93.33 Typical High $162.18 | Professional | TC · Technical part | $64.57 | $93.33 | $162.18 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $154.88 Typical High $426.58 | Professional | None (both parts) | $117.49 | $154.88 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $331.13 Typical High $2,884.03 | Facility | None | $144.54 | $331.13 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $97.72 | $165.96 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $85.11 | Professional | 26 · Professional part | $24.55 | $40.74 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $125.89 Typical High $269.15 | Professional | TC · Technical part | $63.10 | $125.89 | $269.15 |
Contra Costa Health Setting Professional Modifier None Typical Low $102.33 Median $138.04 Typical High $190.55 | Professional | None | $102.33 | $138.04 | $190.55 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $45.71 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $45.71 | $61.66 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $125.89 | Professional | TC · Technical part | $66.07 | $93.33 | $125.89 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $151.36 | Professional | 26 · Professional part | $36.31 | $57.54 | $151.36 |
Kaiser Permanente Setting Professional Modifier None Typical Low $109.65 Median $134.90 Typical High $269.15 | Professional | None | $109.65 | $134.90 | $269.15 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $39.81 | $53.70 | $120.23 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $251.19 | Professional | TC · Technical part | $77.62 | $109.65 | $251.19 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | None (both parts) | $1,318.26 | $1,318.26 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $331.13 | $331.13 | $331.13 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $1,096.48 | $1,096.48 | $1,096.48 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $125.89 | Professional | None (both parts) | $33.11 | $47.86 | $125.89 |
Providence Setting Facility Modifier None Typical Low $123.03 Median $223.87 Typical High $549.54 | Facility | None | $123.03 | $223.87 | $549.54 |
Providence Setting Professional Modifier None (both parts) Typical Low $97.72 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $97.72 | $169.82 | $323.59 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $38.90 Typical High $74.13 | Professional | 26 · Professional part | $23.99 | $38.90 | $74.13 |
Providence Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $123.03 Typical High $269.15 | Professional | TC · Technical part | $63.10 | $123.03 | $269.15 |
Sutter Health Plus Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $676.08 | Facility | None | $676.08 | $676.08 | $676.08 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | 26 · Professional part | $138.04 | $138.04 | $138.04 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | TC · Technical part | $245.47 | $245.47 | $245.47 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $141.25 Typical High $302.00 | Professional | None (both parts) | $100.00 | $141.25 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $81.28 | Professional | 26 · Professional part | $33.11 | $39.81 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $91.20 Typical High $223.87 | Professional | TC · Technical part | $63.10 | $91.20 | $223.87 |
8 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 $100.00 Median $204.17 Typical High $489.78 | Facility | 52 · Reduced service | $100.00 | $204.17 | $489.78 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $39.81 Median $81.28 Typical High $194.98 | Facility | 53 · Discontinued | $39.81 | $81.28 | $194.98 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $169.82 Median $346.74 Typical High $831.76 | Facility | CT · Older CT scanner | $169.82 | $346.74 | $831.76 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $331.13 Typical High $794.33 | Facility | FX · Film X-ray | $158.49 | $331.13 | $794.33 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $64.57 Median $100.00 Typical High $112.20 | Professional | 52 · Reduced service | $64.57 | $100.00 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $39.81 Typical High $44.67 | Professional | 53 · Discontinued | $25.70 | $39.81 | $44.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $104.71 Median $169.82 Typical High $190.55 | Professional | CT · Older CT scanner | $104.71 | $169.82 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $158.49 Typical High $181.97 | Professional | FX · Film X-ray | $100.00 | $158.49 | $181.97 |
Where California sits
The same service costs 20.4 times more in Vermont than in Utah. 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· 18th of 51
$200
VT $1,585UT $77.62
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.