How much rates vary
Facilitymedian $501 · 10th to 90th $275 to $3,090Professionalmedian $380 · 10th to 90th $240 to $2,239
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 $389.05 Median $1,584.89 Typical High $2,754.23 | Facility | None | $389.05 | $1,584.89 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $331.13 Median $831.76 Typical High $1,995.26 | Facility | TC · Technical part | $331.13 | $831.76 | $1,995.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $467.74 | Professional | None (both parts) | $288.40 | $389.05 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $58.88 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $331.13 Typical High $380.19 | Professional | TC · Technical part | $229.09 | $331.13 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $363.08 Typical High $371.54 | Professional | None (both parts) | $204.17 | $363.08 | $371.54 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $1,288.25 Typical High $1,348.96 | Facility | None | $54.95 | $1,288.25 | $1,348.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $1,047.13 | Professional | None (both parts) | $323.59 | $338.84 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $173.78 | Professional | 26 · Professional part | $53.70 | $56.23 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $281.84 Typical High $812.83 | Professional | TC · Technical part | $275.42 | $281.84 | $812.83 |
Blue Shield Setting Facility Modifier None Typical Low $407.38 Median $2,187.76 Typical High $4,073.80 | Facility | None | $407.38 | $2,187.76 | $4,073.80 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $218.78 Median $331.13 Typical High $562.34 | Professional | None (both parts) | $218.78 | $331.13 | $562.34 |
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 $169.82 Median $257.04 Typical High $436.52 | Professional | TC · Technical part | $169.82 | $257.04 | $436.52 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $263.03 | $354.81 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $2,630.27 | Facility | None | $363.08 | $549.54 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $213.80 | $354.81 | $707.95 |
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 $169.82 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $169.82 | $288.40 | $588.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $234.42 Median $316.23 Typical High $426.58 | Professional | None | $234.42 | $316.23 | $426.58 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $52.48 | $64.57 | $87.10 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $338.84 | Professional | TC · Technical part | $186.21 | $251.19 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $257.04 Median $316.23 Typical High $630.96 | Professional | None | $257.04 | $316.23 | $630.96 |
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 $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 $2,238.72 Median $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $2,238.72 | $2,290.87 | $2,290.87 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | 26 · Professional part | $457.09 | $457.09 | $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 $295.12 | Professional | None (both parts) | $33.11 | $69.18 | $295.12 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $467.74 Typical High $954.99 | Facility | None | $269.15 | $467.74 | $954.99 |
Providence Setting Professional Modifier None (both parts) Typical Low $213.80 Median $354.81 Typical High $707.95 | Professional | None (both parts) | $213.80 | $354.81 | $707.95 |
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 $169.82 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $169.82 | $275.42 | $512.86 |
Sutter Health Plus Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Facility | None | $1,318.26 | $1,318.26 | $1,318.26 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None (both parts) | $912.01 | $912.01 | $912.01 |
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 $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 $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $234.42 | $281.84 | $602.56 |
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 $181.97 Median $234.42 Typical High $489.78 | Professional | TC · Technical part | $181.97 | $234.42 | $489.78 |
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 $77.62 Median $165.96 Typical High $398.11 | Facility | 53 · Discontinued | $77.62 | $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 $676.08 Typical High $1,621.81 | Facility | FX · Film X-ray | $309.03 | $676.08 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $134.90 Median $190.55 Typical High $218.78 | Professional | 52 · Reduced service | $134.90 | $190.55 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $77.62 Typical High $87.10 | Professional | 53 · Discontinued | $53.70 | $77.62 | $87.10 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $323.59 Typical High $371.54 | Professional | CT · Older CT scanner | $229.09 | $323.59 | $371.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $309.03 Typical High $346.74 | Professional | FX · Film X-ray | $213.80 | $309.03 | $346.74 |
Where California sits
The same service costs 5.0 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· 23rd of 51
$389
AK $891UT $178
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.