How much rates vary
Facilitymedian $316 · 10th to 90th $200 to $2,291Professionalmedian $245 · 10th to 90th $145 to $1,660
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 $245.47 Median $1,023.29 Typical High $2,511.89 | Facility | None | $245.47 | $1,023.29 | $2,511.89 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $79.43 | Facility | 26 · Professional part | $43.65 | $53.70 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $363.08 Typical High $1,230.27 | Facility | TC · Technical part | $177.83 | $363.08 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $154.88 | $245.47 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $52.48 Typical High $81.28 | Professional | 26 · Professional part | $45.71 | $52.48 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $97.72 | $199.53 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $120.23 | $134.90 | $144.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $74.13 | $114.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $93.33 | Professional | TC · Technical part | $93.33 | $93.33 | $93.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $52.48 Median $676.08 Typical High $707.95 | Facility | None | $52.48 | $676.08 | $707.95 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $616.60 | Professional | None (both parts) | $213.80 | $234.42 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $154.88 | Professional | 26 · Professional part | $51.29 | $53.70 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $181.97 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $181.97 | $446.68 |
Blue Shield Setting Facility Modifier None Typical Low $234.42 Median $1,513.56 Typical High $2,884.03 | Facility | None | $234.42 | $1,513.56 | $2,884.03 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $134.90 | $204.17 | $363.08 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $61.66 | $107.15 |
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 $147.91 Median $194.98 Typical High $501.19 | Professional | None (both parts) | $147.91 | $194.98 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $331.13 Typical High $2,884.03 | Facility | None | $181.97 | $331.13 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $446.68 | Professional | None (both parts) | $134.90 | $213.80 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $56.23 Typical High $109.65 | Professional | 26 · Professional part | $29.51 | $56.23 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $346.74 | Professional | TC · Technical part | $87.10 | $162.18 | $346.74 |
Contra Costa Health Setting Professional Modifier None Typical Low $125.89 Median $173.78 Typical High $234.42 | Professional | None | $125.89 | $173.78 | $234.42 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $34.67 | $56.23 | $75.86 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $93.33 | $117.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $331.13 | Professional | None | $134.90 | $165.96 | $331.13 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $151.36 | Professional | 26 · Professional part | $50.12 | $67.61 | $151.36 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $134.90 Typical High $309.03 | Professional | TC · Technical part | $95.50 | $134.90 | $309.03 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $1,659.59 | $1,659.59 | $1,659.59 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | 26 · Professional part | $407.38 | $407.38 | $407.38 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $1,380.38 | $1,380.38 | $1,380.38 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $61.66 Typical High $154.88 | Professional | None (both parts) | $33.11 | $61.66 | $154.88 |
Providence Setting Facility Modifier None Typical Low $151.36 Median $281.84 Typical High $575.44 | Facility | None | $151.36 | $281.84 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $134.90 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $134.90 | $213.80 | $416.87 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $29.51 | $52.48 | $91.20 |
Providence Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $162.18 Typical High $338.84 | Professional | TC · Technical part | $87.10 | $162.18 | $338.84 |
Sutter Health Plus Setting Facility Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Facility | None | $870.96 | $870.96 | $870.96 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $190.55 | $190.55 | $190.55 |
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 $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 $138.04 Median $177.83 Typical High $389.05 | Professional | None (both parts) | $138.04 | $177.83 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $112.20 | Professional | 26 · Professional part | $42.66 | $51.29 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $288.40 | Professional | TC · Technical part | $87.10 | $114.82 | $288.40 |
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 $123.03 Median $257.04 Typical High $616.60 | Facility | 52 · Reduced service | $123.03 | $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 $208.93 Median $436.52 Typical High $1,047.13 | Facility | CT · Older CT scanner | $208.93 | $436.52 | $1,047.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $199.53 Median $407.38 Typical High $977.24 | Facility | FX · Film X-ray | $199.53 | $407.38 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $83.18 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $83.18 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $50.12 Typical High $56.23 | Professional | 53 · Discontinued | $33.11 | $50.12 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $208.93 Typical High $239.88 | Professional | CT · Older CT scanner | $138.04 | $208.93 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $199.53 Typical High $223.87 | Professional | FX · Film X-ray | $131.83 | $199.53 | $223.87 |
Where California sits
The same service costs 6.2 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· 19th of 51
$245
VT $617UT $100
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.