How much rates vary
Facilitymedian $1,047 · 10th to 90th $295 to $4,467Professionalmedian $447 · 10th to 90th $269 to $2,884
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 $426.58 Median $1,148.15 Typical High $2,818.38 | Facility | None | $426.58 | $1,148.15 | $2,818.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $117.49 | Facility | 26 · Professional part | $75.86 | $91.20 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $630.96 Typical High $2,344.23 | Facility | TC · Technical part | $354.81 | $630.96 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $446.68 Typical High $676.08 | Professional | None (both parts) | $316.23 | $446.68 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $79.43 | $89.13 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $354.81 Typical High $549.54 | Professional | TC · Technical part | $229.09 | $354.81 | $549.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $371.54 | Professional | None (both parts) | $251.19 | $281.84 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $120.23 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $120.23 | $134.90 |
Anthem BCBS Setting Facility Modifier None Typical Low $83.18 Median $1,412.54 Typical High $1,445.44 | Facility | None | $83.18 | $1,412.54 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $426.58 Typical High $1,122.02 | Professional | None (both parts) | $389.05 | $426.58 | $1,122.02 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $87.10 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $87.10 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $338.84 Typical High $831.76 | Professional | TC · Technical part | $309.03 | $338.84 | $831.76 |
Blue Shield Setting Facility Modifier None Typical Low $416.87 Median $3,090.30 Typical High $5,248.07 | Facility | None | $416.87 | $3,090.30 | $5,248.07 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $245.47 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $245.47 | $371.54 | $630.96 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $104.71 | $177.83 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $263.03 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $263.03 | $457.09 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $398.11 | Professional | None (both parts) | $288.40 | $389.05 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $4,466.84 | Facility | None | $363.08 | $549.54 | $4,466.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $478.63 Typical High $891.25 | Professional | None (both parts) | $251.19 | $478.63 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $50.12 | $85.11 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $371.54 Typical High $724.44 | Professional | TC · Technical part | $177.83 | $371.54 | $724.44 |
Contra Costa Health Setting Professional Modifier None Typical Low $263.03 Median $346.74 Typical High $467.74 | Professional | None | $263.03 | $346.74 | $467.74 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $74.13 | $91.20 | $123.03 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $251.19 Typical High $338.84 | Professional | TC · Technical part | $190.55 | $251.19 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $275.42 Median $338.84 Typical High $691.83 | Professional | None | $275.42 | $338.84 | $691.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $245.47 | Professional | 26 · Professional part | $81.28 | $109.65 | $245.47 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $316.23 Typical High $724.44 | Professional | TC · Technical part | $218.78 | $316.23 | $724.44 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,884.03 Median $2,884.03 Typical High $3,467.37 | Professional | None (both parts) | $2,884.03 | $2,884.03 | $3,467.37 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $588.84 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $588.84 | $660.69 | $660.69 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,454.71 Median $2,454.71 Typical High $2,884.03 | Professional | TC · Technical part | $2,454.71 | $2,454.71 | $2,884.03 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $100.00 Typical High $323.59 | Professional | None (both parts) | $33.11 | $100.00 | $323.59 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $512.86 Typical High $1,174.90 | Facility | None | $295.12 | $512.86 | $1,174.90 |
Providence Setting Professional Modifier None (both parts) Typical Low $251.19 Median $478.63 Typical High $812.83 | Professional | None (both parts) | $251.19 | $478.63 | $812.83 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $50.12 | $81.28 | $147.91 |
Providence Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $363.08 Typical High $691.83 | Professional | TC · Technical part | $177.83 | $363.08 | $691.83 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,000.00 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $707.95 | $707.95 | $707.95 |
United Setting Facility Modifier None Typical Low $288.40 Median $354.81 Typical High $4,897.79 | Facility | None | $288.40 | $354.81 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $794.33 | Professional | None (both parts) | $257.04 | $363.08 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $81.28 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $660.69 | Professional | TC · Technical part | $181.97 | $263.03 | $660.69 |
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 $213.80 Median $446.68 Typical High $1,071.52 | Facility | 52 · Reduced service | $213.80 | $446.68 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $87.10 Median $177.83 Typical High $426.58 | Facility | 53 · Discontinued | $87.10 | $177.83 | $426.58 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $363.08 Median $758.58 Typical High $1,819.70 | Facility | CT · Older CT scanner | $363.08 | $758.58 | $1,819.70 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $346.74 Median $707.95 Typical High $1,698.24 | Facility | FX · Film X-ray | $346.74 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $213.80 Typical High $245.47 | Professional | 52 · Reduced service | $151.36 | $213.80 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $87.10 Typical High $97.72 | Professional | 53 · Discontinued | $60.26 | $87.10 | $97.72 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $363.08 Typical High $416.87 | Professional | CT · Older CT scanner | $234.42 | $363.08 | $416.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $346.74 Typical High $389.05 | Professional | FX · Film X-ray | $218.78 | $346.74 | $389.05 |
Where California sits
The same service costs 7.6 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· 21st of 51
$457
VT $1,288UT $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.