How much rates vary
Facilitymedian $309 · 10th to 90th $200 to $2,042Professionalmedian $245 · 10th to 90th $145 to $1,413
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 $239.88 Median $1,071.52 Typical High $2,691.53 | Facility | None | $239.88 | $1,071.52 | $2,691.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $69.18 | Facility | 26 · Professional part | $43.65 | $53.70 | $69.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $371.54 Typical High $1,230.27 | Facility | TC · Technical part | $177.83 | $371.54 | $1,230.27 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $158.49 | $245.47 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $51.29 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $51.29 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $199.53 Typical High $309.03 | Professional | TC · Technical part | $102.33 | $199.53 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $134.90 Typical High $776.25 | Professional | None (both parts) | $107.15 | $134.90 | $776.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $69.18 Typical High $257.04 | Professional | 26 · Professional part | $44.67 | $69.18 | $257.04 |
Anthem BCBS Setting Facility Modifier None Typical Low $48.98 Median $676.08 Typical High $691.83 | Facility | None | $48.98 | $676.08 | $691.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $602.56 | Professional | None (both parts) | $213.80 | $223.87 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $51.29 Typical High $154.88 | Professional | 26 · Professional part | $47.86 | $51.29 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $173.78 Typical High $446.68 | Professional | TC · Technical part | $169.82 | $173.78 | $446.68 |
Blue Shield Setting Facility Modifier None Typical Low $234.42 Median $1,258.93 Typical High $2,398.83 | Facility | None | $234.42 | $1,258.93 | $2,398.83 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $134.90 Median $204.17 Typical High $354.81 | Professional | None (both parts) | $134.90 | $204.17 | $354.81 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $60.26 | $102.33 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $144.54 | $251.19 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $457.09 | Professional | None (both parts) | $144.54 | $190.55 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $331.13 Typical High $2,884.03 | Facility | None | $181.97 | $331.13 | $2,884.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $131.83 | $208.93 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $28.84 | $52.48 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $316.23 | Professional | TC · Technical part | $91.20 | $169.82 | $316.23 |
Contra Costa Health Setting Professional Modifier None Typical Low $123.03 Median $169.82 Typical High $229.09 | Professional | None | $123.03 | $169.82 | $229.09 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $53.70 | $72.44 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $117.49 Typical High $158.49 | Professional | TC · Technical part | $91.20 | $117.49 | $158.49 |
Kaiser Permanente Setting Professional Modifier None Typical Low $131.83 Median $162.18 Typical High $323.59 | Professional | None | $131.83 | $162.18 | $323.59 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $46.77 | $63.10 | $141.25 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $138.04 Typical High $316.23 | Professional | TC · Technical part | $97.72 | $138.04 | $316.23 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $1,445.44 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $1,445.44 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $316.23 Typical High $389.05 | Professional | 26 · Professional part | $316.23 | $316.23 | $389.05 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $1,318.26 | $1,318.26 | $1,318.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $56.23 Typical High $151.36 | Professional | None (both parts) | $33.11 | $56.23 | $151.36 |
Providence Setting Facility Modifier None Typical Low $147.91 Median $275.42 Typical High $575.44 | Facility | None | $147.91 | $275.42 | $575.44 |
Providence Setting Professional Modifier None (both parts) Typical Low $131.83 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $131.83 | $208.93 | $389.05 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $50.12 | $87.10 |
Providence Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $165.96 Typical High $302.00 | Professional | TC · Technical part | $91.20 | $165.96 | $302.00 |
Sutter Health Plus Setting Facility Modifier None Typical Low $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | None (both parts) | $512.86 | $512.86 | $512.86 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $162.18 | $162.18 | $162.18 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | TC · Technical part | $354.81 | $354.81 | $354.81 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $173.78 Typical High $363.08 | Professional | None (both parts) | $134.90 | $173.78 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $97.72 | Professional | 26 · Professional part | $40.74 | $47.86 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $120.23 Typical High $269.15 | Professional | TC · Technical part | $91.20 | $120.23 | $269.15 |
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 $123.03 Median $257.04 Typical High $616.60 | Facility | 52 · Reduced service | $123.03 | $257.04 | $616.60 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $48.98 Median $102.33 Typical High $245.47 | Facility | 53 · Discontinued | $48.98 | $102.33 | $245.47 |
Aetna Setting Facility Modifier CT · Older CT scanner Typical Low $208.93 Median $436.52 Typical High $1,047.13 | Facility | CT · Older CT scanner | $208.93 | $436.52 | $1,047.13 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $199.53 Median $407.38 Typical High $977.24 | Facility | FX · Film X-ray | $199.53 | $407.38 | $977.24 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $81.28 Median $123.03 Typical High $141.25 | Professional | 52 · Reduced service | $81.28 | $123.03 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $48.98 Typical High $56.23 | Professional | 53 · Discontinued | $32.36 | $48.98 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $208.93 Typical High $239.88 | Professional | CT · Older CT scanner | $134.90 | $208.93 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $199.53 Typical High $223.87 | Professional | FX · Film X-ray | $125.89 | $199.53 | $223.87 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $239.88 Typical High $501.19 | Professional | 50 · Both sides | $194.98 | $239.88 | $501.19 |
Where California sits
The same service costs 5.8 times more in Vermont 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
$245
VT $603UT $105
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.