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 $537.03 Median $1,174.90 Typical High $2,818.38 | Facility | None | $537.03 | $1,174.90 | $2,818.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $102.33 Typical High $141.25 | Facility | 26 · Professional part | $91.20 | $102.33 | $141.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $851.14 Typical High $2,754.23 | Facility | TC · Technical part | $446.68 | $851.14 | $2,754.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $549.54 Typical High $831.76 | Professional | None (both parts) | $436.52 | $549.54 | $831.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $102.33 Typical High $162.18 | Professional | 26 · Professional part | $91.20 | $102.33 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $446.68 Typical High $676.08 | Professional | TC · Technical part | $331.13 | $446.68 | $676.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $245.47 | $309.03 | $436.52 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $151.36 Typical High $223.87 | Professional | 26 · Professional part | $93.33 | $151.36 | $223.87 |
Anthem BCBS Setting Facility Modifier None Typical Low $93.33 Median $1,949.84 Typical High $1,995.26 | Facility | None | $93.33 | $1,949.84 | $1,995.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $512.86 Median $549.54 Typical High $1,548.82 | Professional | None (both parts) | $512.86 | $549.54 | $1,548.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $95.50 Typical High $302.00 | Professional | 26 · Professional part | $91.20 | $95.50 | $302.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $457.09 Typical High $1,148.15 | Professional | TC · Technical part | $416.87 | $457.09 | $1,148.15 |
Blue Shield Setting Facility Modifier None Typical Low $724.44 Median $3,715.35 Typical High $6,456.54 | Facility | None | $724.44 | $3,715.35 | $6,456.54 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $323.59 Median $489.78 Typical High $851.14 | Professional | None (both parts) | $323.59 | $489.78 | $851.14 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $131.83 Typical High $223.87 | Professional | 26 · Professional part | $91.20 | $131.83 | $223.87 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $354.81 Typical High $616.60 | Professional | TC · Technical part | $234.42 | $354.81 | $616.60 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $426.58 | $562.34 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,122.02 Typical High $6,165.95 | Facility | None | $616.60 | $1,122.02 | $6,165.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $524.81 Typical High $1,122.02 | Professional | None (both parts) | $309.03 | $524.81 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $218.78 | Professional | 26 · Professional part | $63.10 | $112.20 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $416.87 Typical High $851.14 | Professional | TC · Technical part | $239.88 | $416.87 | $851.14 |
Contra Costa Health Setting Professional Modifier None Typical Low $354.81 Median $501.19 Typical High $676.08 | Professional | None | $354.81 | $501.19 | $676.08 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $154.88 | Professional | 26 · Professional part | $95.50 | $114.82 | $154.88 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $389.05 Typical High $524.81 | Professional | TC · Technical part | $257.04 | $389.05 | $524.81 |
Kaiser Permanente Setting Professional Modifier None Typical Low $389.05 Median $467.74 Typical High $954.99 | Professional | None | $389.05 | $467.74 | $954.99 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $138.04 Typical High $309.03 | Professional | 26 · Professional part | $102.33 | $138.04 | $309.03 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $446.68 Typical High $1,047.13 | Professional | TC · Technical part | $309.03 | $446.68 | $1,047.13 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,570.40 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $2,570.40 | $3,235.94 | $3,235.94 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $660.69 Median $831.76 Typical High $831.76 | Professional | 26 · Professional part | $660.69 | $831.76 | $831.76 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,398.83 Typical High $2,398.83 | Professional | TC · Technical part | $2,089.30 | $2,398.83 | $2,398.83 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $123.03 Typical High $446.68 | Professional | None (both parts) | $33.11 | $123.03 | $446.68 |
Providence Setting Facility Modifier None Typical Low $426.58 Median $724.44 Typical High $1,348.96 | Facility | None | $426.58 | $724.44 | $1,348.96 |
Providence Setting Professional Modifier None (both parts) Typical Low $309.03 Median $512.86 Typical High $1,071.52 | Professional | None (both parts) | $309.03 | $512.86 | $1,071.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $60.26 | $102.33 | $181.97 |
Providence Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $239.88 | $407.38 | $794.33 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Professional | None (both parts) | $1,348.96 | $1,348.96 | $1,348.96 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | 26 · Professional part | $354.81 | $354.81 | $354.81 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | TC · Technical part | $1,000.00 | $1,000.00 | $1,000.00 |
United Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $7,244.36 | Facility | None | $575.44 | $707.95 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $912.01 | Professional | None (both parts) | $346.74 | $457.09 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $102.33 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $338.84 Typical High $691.83 | Professional | TC · Technical part | $257.04 | $338.84 | $691.83 |
4 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 CT · Older CT scanner Typical Low $457.09 Median $977.24 Typical High $2,344.23 | Facility | CT · Older CT scanner | $457.09 | $977.24 | $2,344.23 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $436.52 Median $912.01 Typical High $2,238.72 | Facility | FX · Film X-ray | $436.52 | $912.01 | $2,238.72 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $338.84 Median $457.09 Typical High $524.81 | Professional | CT · Older CT scanner | $338.84 | $457.09 | $524.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $436.52 Typical High $501.19 | Professional | FX · Film X-ray | $323.59 | $436.52 | $501.19 |
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· 21st of 51
$562
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.