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 $323.59 Median $1,202.26 Typical High $2,754.23 | Facility | None | $323.59 | $1,202.26 | $2,754.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $56.23 Median $61.66 Typical High $81.28 | Facility | 26 · Professional part | $56.23 | $61.66 | $81.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $524.81 Typical High $1,548.82 | Facility | TC · Technical part | $229.09 | $524.81 | $1,548.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $173.78 | $323.59 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $54.95 | $64.57 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $117.49 | $263.03 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $275.42 Typical High $912.01 | Professional | None (both parts) | $125.89 | $275.42 | $912.01 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $100.00 | Professional | 26 · Professional part | $77.62 | $77.62 | $100.00 |
Anthem BCBS Setting Facility Modifier None Typical Low $58.88 Median $776.25 Typical High $812.83 | Facility | None | $58.88 | $776.25 | $812.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $281.84 Typical High $660.69 | Professional | None (both parts) | $275.42 | $281.84 | $660.69 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $60.26 Typical High $186.21 | Professional | 26 · Professional part | $57.54 | $60.26 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $218.78 | $223.87 | $467.74 |
Blue Shield Setting Facility Modifier None Typical Low $363.08 Median $1,548.82 Typical High $2,754.23 | Facility | None | $363.08 | $1,548.82 | $2,754.23 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $141.25 Median $208.93 Typical High $363.08 | Professional | None (both parts) | $141.25 | $208.93 | $363.08 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $67.61 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $67.61 | $117.49 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $97.72 | $144.54 | $245.47 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $489.78 | Professional | None (both parts) | $169.82 | $223.87 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $489.78 Typical High $2,630.27 | Facility | None | $218.78 | $489.78 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $144.54 | $257.04 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $63.10 Typical High $117.49 | Professional | 26 · Professional part | $37.15 | $63.10 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $190.55 Typical High $380.19 | Professional | TC · Technical part | $95.50 | $190.55 | $380.19 |
Contra Costa Health Setting Professional Modifier None Typical Low $147.91 Median $199.53 Typical High $269.15 | Professional | None | $147.91 | $199.53 | $269.15 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $81.28 | Professional | 26 · Professional part | $46.77 | $60.26 | $81.28 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $141.25 | $190.55 |
Kaiser Permanente Setting Professional Modifier None Typical Low $154.88 Median $190.55 Typical High $389.05 | Professional | None | $154.88 | $190.55 | $389.05 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $158.49 | Professional | 26 · Professional part | $52.48 | $70.79 | $158.49 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $371.54 | Professional | TC · Technical part | $114.82 | $162.18 | $371.54 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,819.70 Typical High $1,819.70 | Professional | None (both parts) | $1,621.81 | $1,819.70 | $1,819.70 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $398.11 Typical High $436.52 | Professional | 26 · Professional part | $398.11 | $398.11 | $436.52 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,041.74 Median $2,041.74 Typical High $2,041.74 | Professional | TC · Technical part | $2,041.74 | $2,041.74 | $2,041.74 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $64.57 Typical High $177.83 | Professional | None (both parts) | $33.11 | $64.57 | $177.83 |
Providence Setting Facility Modifier None Typical Low $173.78 Median $323.59 Typical High $575.44 | Facility | None | $173.78 | $323.59 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $144.54 Median $263.03 Typical High $457.09 | Professional | None (both parts) | $144.54 | $263.03 | $457.09 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $37.15 | $57.54 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $190.55 Typical High $354.81 | Professional | TC · Technical part | $95.50 | $190.55 | $354.81 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | 26 · Professional part | $181.97 | $181.97 | $181.97 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | TC · Technical part | $371.54 | $371.54 | $371.54 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $426.58 | Professional | None (both parts) | $144.54 | $204.17 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $54.95 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $323.59 | Professional | TC · Technical part | $95.50 | $134.90 | $323.59 |
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 $162.18 Median $331.13 Typical High $794.33 | Facility | 52 · Reduced service | $162.18 | $331.13 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $64.57 Median $131.83 Typical High $316.23 | Facility | 53 · Discontinued | $64.57 | $131.83 | $316.23 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $275.42 Median $562.34 Typical High $1,348.96 | Facility | CT · Older CT scanner | $275.42 | $562.34 | $1,348.96 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $257.04 Median $537.03 Typical High $1,288.25 | Facility | FX · Film X-ray | $257.04 | $537.03 | $1,288.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $87.10 Median $162.18 Typical High $181.97 | Professional | 52 · Reduced service | $87.10 | $162.18 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $64.57 Typical High $72.44 | Professional | 53 · Discontinued | $34.67 | $64.57 | $72.44 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $275.42 Typical High $309.03 | Professional | CT · Older CT scanner | $147.91 | $275.42 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $257.04 Typical High $288.40 | Professional | FX · Film X-ray | $138.04 | $257.04 | $288.40 |
Where California sits
The same service costs 5.9 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· 19th of 51
$288
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.