How much rates vary
Facilitymedian $295 · 10th to 90th $186 to $1,995Professionalmedian $257 · 10th to 90th $158 to $1,413
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 $257.04 Median $1,202.26 Typical High $2,754.23 | Facility | None | $257.04 | $1,202.26 | $2,754.23 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $81.28 | Facility | 26 · Professional part | $58.88 | $61.66 | $81.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $457.09 Typical High $1,230.27 | Facility | TC · Technical part | $199.53 | $457.09 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $257.04 Typical High $389.05 | Professional | None (both parts) | $169.82 | $257.04 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $64.57 | $95.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $199.53 Typical High $281.84 | Professional | TC · Technical part | $107.15 | $199.53 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | 26 · Professional part | $87.10 | $87.10 | $87.10 |
Anthem BCBS Setting Facility Modifier None Typical Low $57.54 Median $776.25 Typical High $794.33 | Facility | None | $57.54 | $776.25 | $794.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $229.09 Typical High $616.60 | Professional | None (both parts) | $223.87 | $229.09 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $186.21 | Professional | 26 · Professional part | $56.23 | $60.26 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $173.78 Typical High $398.11 | Professional | TC · Technical part | $165.96 | $173.78 | $398.11 |
Blue Shield Setting Facility Modifier None Typical Low $269.15 Median $1,288.25 Typical High $2,344.23 | Facility | None | $269.15 | $1,288.25 | $2,344.23 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $389.05 | Professional | None (both parts) | $147.91 | $218.78 | $389.05 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $77.62 | $131.83 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $144.54 | $251.19 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $457.09 | Professional | None (both parts) | $165.96 | $218.78 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $323.59 Typical High $2,884.03 | Facility | None | $199.53 | $323.59 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $223.87 Typical High $446.68 | Professional | None (both parts) | $141.25 | $223.87 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $37.15 | $61.66 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $89.13 | $165.96 | $309.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $144.54 Median $194.98 Typical High $263.03 | Professional | None | $144.54 | $194.98 | $263.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $45.71 | $67.61 | $91.20 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $97.72 | $125.89 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $151.36 Median $186.21 Typical High $371.54 | Professional | None | $151.36 | $186.21 | $371.54 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $81.28 Typical High $181.97 | Professional | 26 · Professional part | $60.26 | $81.28 | $181.97 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $147.91 Typical High $338.84 | Professional | TC · Technical part | $104.71 | $147.91 | $338.84 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,479.11 Typical High $1,479.11 | Professional | None (both parts) | $1,412.54 | $1,479.11 | $1,479.11 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $389.05 Median $389.05 Typical High $489.78 | Professional | 26 · Professional part | $389.05 | $389.05 | $489.78 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,318.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $72.44 Typical High $177.83 | Professional | None (both parts) | $33.11 | $72.44 | $177.83 |
Providence Setting Facility Modifier None Typical Low $169.82 Median $302.00 Typical High $537.03 | Facility | None | $169.82 | $302.00 | $537.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $141.25 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $141.25 | $218.78 | $416.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $58.88 Typical High $107.15 | Professional | 26 · Professional part | $36.31 | $58.88 | $107.15 |
Providence Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $295.12 | Professional | TC · Technical part | $87.10 | $162.18 | $295.12 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | None (both parts) | $549.54 | $549.54 | $549.54 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | 26 · Professional part | $208.93 | $208.93 | $208.93 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | TC · Technical part | $338.84 | $338.84 | $338.84 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $141.25 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $141.25 | $190.55 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $50.12 | $60.26 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $123.03 Typical High $263.03 | Professional | TC · Technical part | $87.10 | $123.03 | $263.03 |
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 $128.82 Median $257.04 Typical High $616.60 | Facility | 52 · Reduced service | $128.82 | $257.04 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $52.48 Median $102.33 Typical High $245.47 | Facility | 53 · Discontinued | $52.48 | $102.33 | $245.47 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $218.78 Median $436.52 Typical High $1,047.13 | Facility | CT · Older CT scanner | $218.78 | $436.52 | $1,047.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $208.93 Median $407.38 Typical High $977.24 | Facility | FX · Film X-ray | $208.93 | $407.38 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $128.82 Typical High $147.91 | Professional | 52 · Reduced service | $91.20 | $128.82 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $52.48 Typical High $58.88 | Professional | 53 · Discontinued | $36.31 | $52.48 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $151.36 Median $218.78 Typical High $251.19 | Professional | CT · Older CT scanner | $151.36 | $218.78 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $141.25 Median $208.93 Typical High $234.42 | Professional | FX · Film X-ray | $141.25 | $208.93 | $234.42 |
Where California sits
The same service costs 5.8 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· 21st of 51
$257
AK $603UT $105
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.