How much rates vary
Facilitymedian $871 · 10th to 90th $229 to $2,884Professionalmedian $316 · 10th to 90th $191 to $1,950
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 $316.23 Median $1,071.52 Typical High $2,691.53 | Facility | None | $316.23 | $1,071.52 | $2,691.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $83.18 | Facility | 26 · Professional part | $53.70 | $60.26 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $478.63 Typical High $1,905.46 | Facility | TC · Technical part | $229.09 | $478.63 | $1,905.46 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $190.55 | $316.23 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $61.66 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $131.83 | $257.04 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $169.82 Typical High $1,000.00 | Professional | None (both parts) | $97.72 | $169.82 | $1,000.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $53.70 | $102.33 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $851.14 Typical High $891.25 | Facility | None | $56.23 | $851.14 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $281.84 Typical High $776.25 | Professional | None (both parts) | $269.15 | $281.84 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $57.54 Typical High $177.83 | Professional | 26 · Professional part | $54.95 | $57.54 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $575.44 | Professional | TC · Technical part | $213.80 | $223.87 | $575.44 |
Blue Shield Setting Facility Modifier None Typical Low $380.19 Median $1,819.70 Typical High $3,467.37 | Facility | None | $380.19 | $1,819.70 | $3,467.37 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $190.55 | $288.40 | $489.78 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $128.82 | Professional | 26 · Professional part | $52.48 | $75.86 | $128.82 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $138.04 | $213.80 | $363.08 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $549.54 | Professional | None (both parts) | $186.21 | $245.47 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $549.54 Typical High $2,630.27 | Facility | None | $251.19 | $549.54 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $165.96 | $263.03 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $36.31 | $60.26 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $213.80 Typical High $426.58 | Professional | TC · Technical part | $114.82 | $213.80 | $426.58 |
Contra Costa Health Setting Professional Modifier None Typical Low $162.18 Median $218.78 Typical High $295.12 | Professional | None | $162.18 | $218.78 | $295.12 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $61.66 Typical High $83.18 | Professional | 26 · Professional part | $41.69 | $61.66 | $83.18 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $158.49 Typical High $213.80 | Professional | TC · Technical part | $120.23 | $158.49 | $213.80 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $309.03 | $309.03 | $309.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $169.82 Median $208.93 Typical High $416.87 | Professional | None | $169.82 | $208.93 | $416.87 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $165.96 | Professional | 26 · Professional part | $54.95 | $74.13 | $165.96 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $426.58 | Professional | TC · Technical part | $131.83 | $181.97 | $426.58 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $1,949.84 | $1,949.84 | $1,949.84 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $467.74 | $467.74 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Professional | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $66.07 Typical High $213.80 | Professional | None (both parts) | $33.11 | $66.07 | $213.80 |
Providence Setting Facility Modifier None Typical Low $190.55 Median $354.81 Typical High $776.25 | Facility | None | $190.55 | $354.81 | $776.25 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $165.96 | $263.03 | $501.19 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $57.54 Typical High $104.71 | Professional | 26 · Professional part | $35.48 | $57.54 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $204.17 Typical High $407.38 | Professional | TC · Technical part | $114.82 | $204.17 | $407.38 |
Sutter Health Plus Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | 26 · Professional part | $204.17 | $204.17 | $204.17 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $446.68 | $446.68 | $446.68 |
United Setting Facility Modifier None Typical Low $288.40 Median $295.12 Typical High $1,698.24 | Facility | None | $288.40 | $295.12 | $1,698.24 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $467.74 | Professional | None (both parts) | $169.82 | $223.87 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $56.23 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $154.88 Typical High $363.08 | Professional | TC · Technical part | $114.82 | $154.88 | $363.08 |
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 $158.49 Median $331.13 Typical High $794.33 | Facility | 52 · Reduced service | $158.49 | $331.13 | $794.33 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $63.10 Median $131.83 Typical High $316.23 | Facility | 53 · Discontinued | $63.10 | $131.83 | $316.23 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $269.15 Median $562.34 Typical High $1,348.96 | Facility | CT · Older CT scanner | $269.15 | $562.34 | $1,348.96 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $251.19 Median $524.81 Typical High $1,258.93 | Facility | FX · Film X-ray | $251.19 | $524.81 | $1,258.93 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $102.33 Median $158.49 Typical High $177.83 | Professional | 52 · Reduced service | $102.33 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $63.10 Typical High $72.44 | Professional | 53 · Discontinued | $41.69 | $63.10 | $72.44 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $269.15 Typical High $302.00 | Professional | CT · Older CT scanner | $165.96 | $269.15 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $251.19 Typical High $288.40 | Professional | FX · Film X-ray | $158.49 | $251.19 | $288.40 |
Where California sits
The same service costs 5.9 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
$316
VT $741UT $126
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.