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 $251.19 Median $1,071.52 Typical High $2,691.53 | Facility | None | $251.19 | $1,071.52 | $2,691.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $75.86 | Facility | 26 · Professional part | $48.98 | $54.95 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $398.11 Typical High $1,479.11 | Facility | TC · Technical part | $177.83 | $398.11 | $1,479.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $251.19 Typical High $380.19 | Professional | None (both parts) | $147.91 | $251.19 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $56.23 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $199.53 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $144.54 | Professional | None (both parts) | $117.49 | $138.04 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $58.88 Typical High $218.78 | Professional | 26 · Professional part | $37.15 | $58.88 | $218.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $51.29 Median $660.69 Typical High $676.08 | Facility | None | $51.29 | $660.69 | $676.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $234.42 Typical High $549.54 | Professional | None (both parts) | $223.87 | $234.42 | $549.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $52.48 Typical High $147.91 | Professional | 26 · Professional part | $47.86 | $52.48 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $181.97 Typical High $389.05 | Professional | TC · Technical part | $177.83 | $181.97 | $389.05 |
Blue Shield Setting Facility Modifier None Typical Low $234.42 Median $1,230.27 Typical High $2,290.87 | Facility | None | $234.42 | $1,230.27 | $2,290.87 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $117.49 Median $173.78 Typical High $302.00 | Professional | None (both parts) | $117.49 | $173.78 | $302.00 |
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 $85.11 Median $123.03 Typical High $213.80 | Professional | TC · Technical part | $85.11 | $123.03 | $213.80 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $446.68 | Professional | None (both parts) | $144.54 | $190.55 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $331.13 Typical High $2,884.03 | Facility | None | $194.98 | $331.13 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $213.80 Typical High $407.38 | Professional | None (both parts) | $120.23 | $213.80 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $52.48 Typical High $97.72 | Professional | 26 · Professional part | $29.51 | $52.48 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $169.82 | $309.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $229.09 | Professional | None | $123.03 | $169.82 | $229.09 |
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 $87.10 Median $125.89 Typical High $169.82 | Professional | TC · Technical part | $87.10 | $125.89 | $169.82 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $323.59 | Professional | None | $131.83 | $162.18 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $123.03 | Professional | 26 · Professional part | $40.74 | $54.95 | $123.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $331.13 | Professional | TC · Technical part | $102.33 | $144.54 | $331.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,380.38 Typical High $1,513.56 | Professional | None (both parts) | $1,380.38 | $1,380.38 | $1,513.56 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $346.74 | $346.74 | $346.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,230.27 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $1,230.27 | $1,230.27 | $1,230.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $151.36 | Professional | None (both parts) | $33.11 | $47.86 | $151.36 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $269.15 Typical High $588.84 | Facility | None | $147.91 | $269.15 | $588.84 |
Providence Setting Professional Modifier None (both parts) Typical Low $120.23 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $120.23 | $229.09 | $380.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $29.51 | $47.86 | $85.11 |
Providence Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $165.96 Typical High $295.12 | Professional | TC · Technical part | $83.18 | $165.96 | $295.12 |
Sutter Health Plus Setting Facility Modifier None Typical Low $812.83 Median $812.83 Typical High $812.83 | Facility | None | $812.83 | $812.83 | $812.83 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None (both parts) | $467.74 | $467.74 | $467.74 |
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 $323.59 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $323.59 | $323.59 | $323.59 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $363.08 | Professional | None (both parts) | $120.23 | $169.82 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $43.65 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $120.23 Typical High $269.15 | Professional | TC · Technical part | $83.18 | $120.23 | $269.15 |
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 $125.89 Median $257.04 Typical High $616.60 | Facility | 52 · Reduced service | $125.89 | $257.04 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $50.12 Median $102.33 Typical High $245.47 | Facility | 53 · Discontinued | $50.12 | $102.33 | $245.47 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $213.80 Median $436.52 Typical High $1,047.13 | Facility | CT · Older CT scanner | $213.80 | $436.52 | $1,047.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $204.17 Median $407.38 Typical High $977.24 | Facility | FX · Film X-ray | $204.17 | $407.38 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $77.62 Median $125.89 Typical High $144.54 | Professional | 52 · Reduced service | $77.62 | $125.89 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $50.12 Typical High $57.54 | Professional | 53 · Discontinued | $30.90 | $50.12 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $128.82 Median $213.80 Typical High $245.47 | Professional | CT · Older CT scanner | $128.82 | $213.80 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $204.17 Typical High $229.09 | Professional | FX · Film X-ray | $120.23 | $204.17 | $229.09 |
Where California sits
The same service costs 4.9 times more in Alaska 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· 17th of 51
$251
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.