How much rates vary
Facilitymedian $1,047 · 10th to 90th $295 to $4,467Professionalmedian $437 · 10th to 90th $288 to $1,738
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 $436.52 Median $1,348.96 Typical High $2,754.23 | Facility | None | $436.52 | $1,348.96 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $891.25 Typical High $2,137.96 | Facility | TC · Technical part | $354.81 | $891.25 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $588.84 | Professional | None (both parts) | $338.84 | $446.68 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $131.83 | Professional | 26 · Professional part | $77.62 | $89.13 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $354.81 Typical High $478.63 | Professional | TC · Technical part | $251.19 | $354.81 | $478.63 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $89.13 Typical High $229.09 | Professional | 26 · Professional part | $64.57 | $89.13 | $229.09 |
Anthem BCBS Setting Facility Modifier None Typical Low $81.28 Median $1,513.56 Typical High $1,584.89 | Facility | None | $81.28 | $1,513.56 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $1,288.25 | Professional | None (both parts) | $371.54 | $436.52 | $1,288.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $239.88 | Professional | 26 · Professional part | $75.86 | $81.28 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $794.33 | Professional | TC · Technical part | $295.12 | $354.81 | $794.33 |
Blue Shield Setting Facility Modifier None Typical Low $457.09 Median $2,951.21 Typical High $5,370.32 | Facility | None | $457.09 | $2,951.21 | $5,370.32 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $269.15 | $407.38 | $691.83 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $107.15 Typical High $186.21 | Professional | 26 · Professional part | $74.13 | $107.15 | $186.21 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $512.86 | Professional | TC · Technical part | $199.53 | $302.00 | $512.86 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $295.12 | $389.05 | $436.52 |
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 $245.47 Median $398.11 Typical High $870.96 | Professional | None (both parts) | $245.47 | $398.11 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $51.29 | $87.10 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $676.08 | Professional | TC · Technical part | $194.98 | $295.12 | $676.08 |
Contra Costa Health Setting Professional Modifier None Typical Low $288.40 Median $346.74 Typical High $467.74 | Professional | None | $288.40 | $346.74 | $467.74 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $125.89 | Professional | 26 · Professional part | $75.86 | $93.33 | $125.89 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $338.84 | Professional | TC · Technical part | $213.80 | $257.04 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $302.00 Median $363.08 Typical High $741.31 | Professional | None | $302.00 | $363.08 | $741.31 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $112.20 Typical High $251.19 | Professional | 26 · Professional part | $83.18 | $112.20 | $251.19 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $346.74 Typical High $794.33 | Professional | TC · Technical part | $239.88 | $346.74 | $794.33 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,951.21 Median $2,951.21 Typical High $2,951.21 | Professional | None (both parts) | $2,951.21 | $2,951.21 | $2,951.21 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $537.03 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $537.03 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,454.71 Median $2,454.71 Typical High $2,454.71 | Professional | TC · Technical part | $2,454.71 | $2,454.71 | $2,454.71 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $100.00 Typical High $288.40 | Professional | None (both parts) | $33.11 | $100.00 | $288.40 |
Providence Setting Facility Modifier None Typical Low $295.12 Median $524.81 Typical High $831.76 | Facility | None | $295.12 | $524.81 | $831.76 |
Providence Setting Professional Modifier None (both parts) Typical Low $245.47 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $245.47 | $380.19 | $831.76 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $51.29 | $83.18 | $151.36 |
Providence Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $295.12 Typical High $630.96 | Professional | TC · Technical part | $190.55 | $295.12 | $630.96 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $288.40 | $288.40 | $288.40 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | TC · Technical part | $812.83 | $812.83 | $812.83 |
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 $281.84 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $281.84 | $346.74 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $70.79 | $83.18 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $562.34 | Professional | TC · Technical part | $204.17 | $263.03 | $562.34 |
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 $218.78 Median $446.68 Typical High $1,071.52 | Facility | 52 · Reduced service | $218.78 | $446.68 | $1,071.52 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $87.10 Median $177.83 Typical High $426.58 | Facility | 53 · Discontinued | $87.10 | $177.83 | $426.58 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $371.54 Median $758.58 Typical High $1,819.70 | Facility | CT · Older CT scanner | $371.54 | $758.58 | $1,819.70 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $346.74 Median $707.95 Typical High $1,698.24 | Facility | FX · Film X-ray | $346.74 | $707.95 | $1,698.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $151.36 Median $218.78 Typical High $245.47 | Professional | 52 · Reduced service | $151.36 | $218.78 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $87.10 Typical High $97.72 | Professional | 53 · Discontinued | $60.26 | $87.10 | $97.72 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $234.42 Median $371.54 Typical High $416.87 | Professional | CT · Older CT scanner | $234.42 | $371.54 | $416.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $346.74 Typical High $389.05 | Professional | FX · Film X-ray | $223.87 | $346.74 | $389.05 |
Where California sits
The same service costs 6.0 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· 22nd of 51
$437
AK $1,000UT $166
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.