How much rates vary
Facilitymedian $407 · 10th to 90th $257 to $2,818Professionalmedian $363 · 10th to 90th $229 to $2,042
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 $1,380.38 Typical High $2,754.23 | Facility | None | $389.05 | $1,380.38 | $2,754.23 |
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 $275.42 Median $363.08 Typical High $436.52 | Professional | None (both parts) | $275.42 | $363.08 | $436.52 |
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 $199.53 Median $338.84 Typical High $371.54 | Professional | TC · Technical part | $199.53 | $338.84 | $371.54 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $51.29 Typical High $131.83 | Professional | 26 · Professional part | $34.67 | $51.29 | $131.83 |
Anthem BCBS Setting Facility Modifier None Typical Low $54.95 Median $1,000.00 Typical High $1,047.13 | Facility | None | $54.95 | $1,000.00 | $1,047.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $338.84 Typical High $912.01 | Professional | None (both parts) | $331.13 | $338.84 | $912.01 |
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 $281.84 Median $288.40 Typical High $707.95 | Professional | TC · Technical part | $281.84 | $288.40 | $707.95 |
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 $229.09 Median $346.74 Typical High $588.84 | Professional | None (both parts) | $229.09 | $346.74 | $588.84 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $72.44 | $125.89 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $275.42 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $275.42 | $457.09 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $288.40 Typical High $660.69 | Professional | None (both parts) | $218.78 | $288.40 | $660.69 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $2,630.27 | Facility | None | $309.03 | $501.19 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $630.96 | Professional | None (both parts) | $199.53 | $331.13 | $630.96 |
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 $147.91 Median $275.42 Typical High $512.86 | Professional | TC · Technical part | $147.91 | $275.42 | $512.86 |
Contra Costa Health Setting Professional Modifier None Typical Low $190.55 Median $257.04 Typical High $346.74 | Professional | None | $190.55 | $257.04 | $346.74 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $64.57 | $87.10 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $194.98 Typical High $263.03 | Professional | TC · Technical part | $151.36 | $194.98 | $263.03 |
Kaiser Permanente Setting Professional Modifier None Typical Low $199.53 Median $245.47 Typical High $489.78 | Professional | None | $199.53 | $245.47 | $489.78 |
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 $154.88 Median $223.87 Typical High $524.81 | Professional | TC · Technical part | $154.88 | $223.87 | $524.81 |
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 $398.11 Median $398.11 Typical High $467.74 | Professional | 26 · Professional part | $398.11 | $398.11 | $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 $67.61 Typical High $251.19 | Professional | None (both parts) | $33.11 | $67.61 | $251.19 |
Providence Setting Facility Modifier None Typical Low $223.87 Median $398.11 Typical High $707.95 | Facility | None | $223.87 | $398.11 | $707.95 |
Providence Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $199.53 | $331.13 | $588.84 |
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 $147.91 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $147.91 | $263.03 | $478.63 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $776.25 | $776.25 | $776.25 |
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 $575.44 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $575.44 | $575.44 | $575.44 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $263.03 Typical High $537.03 | Professional | None (both parts) | $199.53 | $263.03 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $56.23 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $199.53 Typical High $436.52 | Professional | TC · Technical part | $147.91 | $199.53 | $436.52 |
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 $79.43 Median $169.82 Typical High $407.38 | Facility | 53 · Discontinued | $79.43 | $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 $691.83 Typical High $1,659.59 | Facility | FX · Film X-ray | $316.23 | $691.83 | $1,659.59 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $194.98 Typical High $223.87 | Professional | 52 · Reduced service | $123.03 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $79.43 Typical High $89.13 | Professional | 53 · Discontinued | $48.98 | $79.43 | $89.13 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $331.13 Typical High $380.19 | Professional | CT · Older CT scanner | $199.53 | $331.13 | $380.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $316.23 Typical High $354.81 | Professional | FX · Film X-ray | $190.55 | $316.23 | $354.81 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $295.12 Median $354.81 Typical High $660.69 | Professional | 50 · Both sides | $295.12 | $354.81 | $660.69 |
Where California sits
The same service costs 5.1 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
$363
AK $776UT $151
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.