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 $380.19 Median $1,380.38 Typical High $2,754.23 | Facility | None | $380.19 | $1,380.38 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $831.76 Typical High $1,995.26 | Facility | TC · Technical part | $323.59 | $831.76 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $380.19 Typical High $512.86 | Professional | None (both parts) | $239.88 | $380.19 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $56.23 | $63.10 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $323.59 Typical High $436.52 | Professional | TC · Technical part | $173.78 | $323.59 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Anthem BCBS Setting Facility Modifier None Typical Low $56.23 Median $1,023.29 Typical High $1,047.13 | Facility | None | $56.23 | $1,023.29 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $977.24 | Professional | None (both parts) | $323.59 | $338.84 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $181.97 | Professional | 26 · Professional part | $54.95 | $58.88 | $181.97 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $281.84 Typical High $741.31 | Professional | TC · Technical part | $269.15 | $281.84 | $741.31 |
Blue Shield Setting Facility Modifier None Typical Low $457.09 Median $2,398.83 Typical High $4,365.16 | Facility | None | $457.09 | $2,398.83 | $4,365.16 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $223.87 Median $338.84 Typical High $588.84 | Professional | None (both parts) | $223.87 | $338.84 | $588.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $75.86 Typical High $131.83 | Professional | 26 · Professional part | $52.48 | $75.86 | $131.83 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $263.03 Typical High $446.68 | Professional | TC · Technical part | $173.78 | $263.03 | $446.68 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $295.12 Typical High $549.54 | Professional | None (both parts) | $218.78 | $295.12 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $2,630.27 | Facility | None | $309.03 | $501.19 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $316.23 Typical High $645.65 | Professional | None (both parts) | $199.53 | $316.23 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $36.31 | $61.66 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $144.54 | $269.15 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $354.81 | Professional | None | $190.55 | $263.03 | $354.81 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $66.07 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $66.07 | $89.13 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $151.36 | $194.98 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $489.78 | Professional | None | $199.53 | $245.47 | $489.78 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $79.43 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $79.43 | $177.83 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $512.86 | Professional | TC · Technical part | $154.88 | $223.87 | $512.86 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,344.23 Median $2,398.83 Typical High $2,398.83 | Professional | None (both parts) | $2,344.23 | $2,398.83 | $2,398.83 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $549.54 | $549.54 | $549.54 |
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 $70.79 Typical High $239.88 | Professional | None (both parts) | $33.11 | $70.79 | $239.88 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $407.38 Typical High $724.44 | Facility | None | $223.87 | $407.38 | $724.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $199.53 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $199.53 | $316.23 | $602.56 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $58.88 Typical High $109.65 | Professional | 26 · Professional part | $36.31 | $58.88 | $109.65 |
Providence Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $263.03 Typical High $512.86 | Professional | TC · Technical part | $144.54 | $263.03 | $512.86 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
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 $562.34 Median $562.34 Typical High $562.34 | Professional | TC · Technical part | $562.34 | $562.34 | $562.34 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $446.68 | Facility | None | $288.40 | $288.40 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $562.34 | Professional | None (both parts) | $199.53 | $263.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $58.88 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $144.54 | $194.98 | $457.09 |
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 $190.55 Median $416.87 Typical High $1,000.00 | Facility | 52 · Reduced service | $190.55 | $416.87 | $1,000.00 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $75.86 Median $165.96 Typical High $398.11 | Facility | 53 · Discontinued | $75.86 | $165.96 | $398.11 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $323.59 Median $707.95 Typical High $1,698.24 | Facility | CT · Older CT scanner | $323.59 | $707.95 | $1,698.24 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $309.03 Median $660.69 Typical High $1,584.89 | Facility | FX · Film X-ray | $309.03 | $660.69 | $1,584.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $190.55 Typical High $218.78 | Professional | 52 · Reduced service | $123.03 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $75.86 Typical High $87.10 | Professional | 53 · Discontinued | $48.98 | $75.86 | $87.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $323.59 Typical High $371.54 | Professional | CT · Older CT scanner | $204.17 | $323.59 | $371.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $309.03 Typical High $346.74 | Professional | FX · Film X-ray | $190.55 | $309.03 | $346.74 |
Where California sits
The same service costs 5.2 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
$372
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.