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 $436.52 Median $1,318.26 Typical High $2,754.23 | Facility | None | $436.52 | $1,318.26 | $2,754.23 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $812.83 Typical High $2,344.23 | Facility | TC · Technical part | $354.81 | $812.83 | $2,344.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $446.68 Typical High $602.56 | Professional | None (both parts) | $371.54 | $446.68 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $87.10 | $95.50 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $354.81 Typical High $478.63 | Professional | TC · Technical part | $275.42 | $354.81 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Anthem BCBS Setting Facility Modifier None Typical Low $85.11 Median $1,659.59 Typical High $1,698.24 | Facility | None | $85.11 | $1,659.59 | $1,698.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $407.38 Typical High $1,148.15 | Professional | None (both parts) | $389.05 | $407.38 | $1,148.15 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $263.03 | Professional | 26 · Professional part | $81.28 | $85.11 | $263.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $316.23 Typical High $912.01 | Professional | TC · Technical part | $309.03 | $316.23 | $912.01 |
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 $275.42 Median $416.87 Typical High $724.44 | Professional | None (both parts) | $275.42 | $416.87 | $724.44 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $114.82 Typical High $194.98 | Professional | 26 · Professional part | $79.43 | $114.82 | $194.98 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $537.03 | Professional | TC · Technical part | $199.53 | $302.00 | $537.03 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $316.23 | $389.05 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $2,630.27 | Facility | None | $363.08 | $575.44 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $416.87 Typical High $933.25 | Professional | None (both parts) | $269.15 | $416.87 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $91.20 Typical High $186.21 | Professional | 26 · Professional part | $54.95 | $91.20 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $331.13 Typical High $741.31 | Professional | TC · Technical part | $208.93 | $331.13 | $741.31 |
Contra Costa Health Setting Professional Modifier None Typical Low $316.23 Median $380.19 Typical High $467.74 | Professional | None | $316.23 | $380.19 | $467.74 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $100.00 | $134.90 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | TC · Technical part | $234.42 | $275.42 | $338.84 |
Kaiser Permanente Setting Professional Modifier None Typical Low $323.59 Median $407.38 Typical High $812.83 | Professional | None | $323.59 | $407.38 | $812.83 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $117.49 Typical High $263.03 | Professional | 26 · Professional part | $87.10 | $117.49 | $263.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $380.19 Typical High $870.96 | Professional | TC · Technical part | $263.03 | $380.19 | $870.96 |
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 $562.34 Median $724.44 Typical High $724.44 | Professional | 26 · Professional part | $562.34 | $724.44 | $724.44 |
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 $107.15 Typical High $380.19 | Professional | None (both parts) | $33.11 | $107.15 | $380.19 |
Providence Setting Facility Modifier None Typical Low $302.00 Median $537.03 Typical High $851.14 | Facility | None | $302.00 | $537.03 | $851.14 |
Providence Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $891.25 | Professional | None (both parts) | $269.15 | $407.38 | $891.25 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $54.95 | $87.10 | $158.49 |
Providence Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $316.23 Typical High $645.65 | Professional | TC · Technical part | $208.93 | $316.23 | $645.65 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $1,174.90 | $1,174.90 | $1,174.90 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $302.00 | $302.00 | $302.00 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $870.96 | $870.96 | $870.96 |
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 $309.03 Median $380.19 Typical High $776.25 | Professional | None (both parts) | $309.03 | $380.19 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $181.97 | Professional | 26 · Professional part | $74.13 | $89.13 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $288.40 Typical High $602.56 | Professional | TC · Technical part | $223.87 | $288.40 | $602.56 |
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 $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 $100.00 | Professional | 53 · Discontinued | $60.26 | $87.10 | $100.00 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $239.88 Median $371.54 Typical High $416.87 | Professional | CT · Older CT scanner | $239.88 | $371.54 | $416.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $346.74 Typical High $398.11 | Professional | FX · Film X-ray | $223.87 | $346.74 | $398.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $398.11 Median $501.19 Typical High $776.25 | Professional | 50 · Both sides | $398.11 | $501.19 | $776.25 |
Where California sits
The same service costs 6.2 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· 27th of 51
$437
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.