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 $389.05 Median $1,348.96 Typical High $2,691.53 | Facility | None | $389.05 | $1,348.96 | $2,691.53 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $851.14 Typical High $2,041.74 | Facility | TC · Technical part | $338.84 | $851.14 | $2,041.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $446.68 | Professional | None (both parts) | $302.00 | $389.05 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $64.57 | Professional | 26 · Professional part | $52.48 | $56.23 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $338.84 Typical High $389.05 | Professional | TC · Technical part | $229.09 | $338.84 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $1,288.25 Typical High $1,318.26 | Facility | None | $54.95 | $1,288.25 | $1,318.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $338.84 Typical High $1,023.29 | Professional | None (both parts) | $331.13 | $338.84 | $1,023.29 |
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 $281.84 Median $288.40 Typical High $831.76 | Professional | TC · Technical part | $281.84 | $288.40 | $831.76 |
Blue Shield Setting Facility Modifier None Typical Low $416.87 Median $2,041.74 Typical High $3,630.78 | Facility | None | $416.87 | $2,041.74 | $3,630.78 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $602.56 | Professional | None (both parts) | $234.42 | $354.81 | $602.56 |
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 $181.97 Median $275.42 Typical High $478.63 | Professional | TC · Technical part | $181.97 | $275.42 | $478.63 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $354.81 Typical High $660.69 | Professional | None (both parts) | $263.03 | $354.81 | $660.69 |
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 $346.74 Typical High $660.69 | Professional | None (both parts) | $213.80 | $346.74 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $58.88 Typical High $120.23 | Professional | 26 · Professional part | $35.48 | $58.88 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $281.84 Typical High $549.54 | Professional | TC · Technical part | $181.97 | $281.84 | $549.54 |
Contra Costa Health Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $426.58 | Professional | None | $245.47 | $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 $194.98 Median $251.19 Typical High $338.84 | Professional | TC · Technical part | $194.98 | $251.19 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $251.19 Median $309.03 Typical High $630.96 | Professional | None | $251.19 | $309.03 | $630.96 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $56.23 | $75.86 | $169.82 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $707.95 | Professional | TC · Technical part | $213.80 | $309.03 | $707.95 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,041.74 Median $2,187.76 Typical High $2,187.76 | Professional | None (both parts) | $2,041.74 | $2,187.76 | $2,187.76 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $407.38 Typical High $467.74 | Professional | 26 · Professional part | $407.38 | $407.38 | $467.74 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,698.24 Median $1,862.09 Typical High $1,862.09 | Professional | TC · Technical part | $1,698.24 | $1,862.09 | $1,862.09 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $69.18 Typical High $288.40 | Professional | None (both parts) | $33.11 | $69.18 | $288.40 |
Providence Setting Facility Modifier None Typical Low $269.15 Median $467.74 Typical High $676.08 | Facility | None | $269.15 | $467.74 | $676.08 |
Providence Setting Professional Modifier None (both parts) Typical Low $213.80 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $213.80 | $346.74 | $645.65 |
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 $177.83 Median $281.84 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $281.84 | $501.19 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $933.25 | $933.25 | $933.25 |
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 $724.44 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $724.44 | $724.44 | $724.44 |
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 $239.88 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $239.88 | $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 $186.21 Median $234.42 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $234.42 | $489.78 |
9 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 $194.98 Median $426.58 Typical High $1,023.29 | Facility | 52 · Reduced service | $194.98 | $426.58 | $1,023.29 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $77.62 Median $169.82 Typical High $407.38 | Facility | 53 · Discontinued | $77.62 | $169.82 | $407.38 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $331.13 Median $724.44 Typical High $1,737.80 | Facility | CT · Older CT scanner | $331.13 | $724.44 | $1,737.80 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $316.23 Median $676.08 Typical High $1,621.81 | Facility | FX · Film X-ray | $316.23 | $676.08 | $1,621.81 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $138.04 Median $194.98 Typical High $223.87 | Professional | 52 · Reduced service | $138.04 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $77.62 Typical High $89.13 | Professional | 53 · Discontinued | $54.95 | $77.62 | $89.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $331.13 Typical High $380.19 | Professional | CT · Older CT scanner | $229.09 | $331.13 | $380.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $316.23 Typical High $354.81 | Professional | FX · Film X-ray | $218.78 | $316.23 | $354.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $416.87 Typical High $776.25 | Professional | 50 · Both sides | $331.13 | $416.87 | $776.25 |
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· 25th 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.