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 $354.81 Median $1,348.96 Typical High $2,754.23 | Facility | None | $354.81 | $1,348.96 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $630.96 Typical High $1,584.89 | Facility | TC · Technical part | $263.03 | $630.96 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $316.23 Typical High $426.58 | Professional | None (both parts) | $194.98 | $316.23 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $54.95 | $60.26 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $263.03 Typical High $354.81 | Professional | TC · Technical part | $134.90 | $263.03 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $93.33 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $93.33 | $107.15 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $870.96 Typical High $891.25 | Facility | None | $54.95 | $870.96 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $275.42 Typical High $794.33 | Professional | None (both parts) | $269.15 | $275.42 | $794.33 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $177.83 | Professional | 26 · Professional part | $53.70 | $56.23 | $177.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $602.56 | Professional | TC · Technical part | $213.80 | $223.87 | $602.56 |
Blue Shield Setting Facility Modifier None Typical Low $398.11 Median $1,949.84 Typical High $3,467.37 | Facility | None | $398.11 | $1,949.84 | $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 $51.29 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $74.13 | $125.89 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $213.80 | $363.08 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $190.55 | $251.19 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $2,630.27 | Facility | None | $251.19 | $501.19 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $165.96 | $269.15 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $58.88 Typical High $123.03 | Professional | 26 · Professional part | $35.48 | $58.88 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $213.80 Typical High $426.58 | Professional | TC · Technical part | $117.49 | $213.80 | $426.58 |
Contra Costa Health Setting Professional Modifier None Typical Low $165.96 Median $223.87 Typical High $302.00 | Professional | None | $165.96 | $223.87 | $302.00 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $64.57 | $87.10 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $158.49 Typical High $213.80 | Professional | TC · Technical part | $123.03 | $158.49 | $213.80 |
Kaiser Permanente Setting Professional Modifier None Typical Low $173.78 Median $213.80 Typical High $436.52 | Professional | None | $173.78 | $213.80 | $436.52 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $77.62 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $186.21 Typical High $426.58 | Professional | TC · Technical part | $131.83 | $186.21 | $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 $446.68 Median $446.68 Typical High $467.74 | Professional | 26 · Professional part | $446.68 | $446.68 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,949.84 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $1,949.84 | $1,949.84 | $1,949.84 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $69.18 Typical High $213.80 | Professional | None (both parts) | $33.11 | $69.18 | $213.80 |
Providence Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $645.65 | Facility | None | $194.98 | $346.74 | $645.65 |
Providence Setting Professional Modifier None (both parts) Typical Low $165.96 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $165.96 | $263.03 | $512.86 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $34.67 | $56.23 | $104.71 |
Providence Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $117.49 | $213.80 | $416.87 |
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 $199.53 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $199.53 | $199.53 | $199.53 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $457.09 Typical High $457.09 | Professional | TC · Technical part | $457.09 | $457.09 | $457.09 |
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 $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 $46.77 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $363.08 | Professional | TC · Technical part | $117.49 | $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 $107.15 Median $158.49 Typical High $177.83 | Professional | 52 · Reduced service | $107.15 | $158.49 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $63.10 Typical High $72.44 | Professional | 53 · Discontinued | $42.66 | $63.10 | $72.44 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $173.78 Median $269.15 Typical High $302.00 | Professional | CT · Older CT scanner | $173.78 | $269.15 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $251.19 Typical High $288.40 | Professional | FX · Film X-ray | $165.96 | $251.19 | $288.40 |
Where California sits
The same service costs 5.5 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
$316
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.