How much rates vary
Facilitymedian $794 · 10th to 90th $209 to $2,455Professionalmedian $234 · 10th to 90th $178 to $1,230
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 $213.80 Median $1,023.29 Typical High $2,818.38 | Facility | None | $213.80 | $1,023.29 | $2,818.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $89.13 Typical High $112.20 | Facility | 26 · Professional part | $72.44 | $89.13 | $112.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $245.47 Typical High $812.83 | Facility | TC · Technical part | $138.04 | $245.47 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $331.13 | Professional | None (both parts) | $194.98 | $229.09 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $85.11 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $120.23 | $141.25 | $213.80 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $165.96 Median $186.21 Typical High $208.93 | Professional | None (both parts) | $165.96 | $186.21 | $208.93 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $81.28 | $151.36 |
Anthem BCBS Setting Facility Modifier None Typical Low $74.13 Median $933.25 Typical High $977.24 | Facility | None | $74.13 | $933.25 | $977.24 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $204.17 Typical High $645.65 | Professional | None (both parts) | $190.55 | $204.17 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $239.88 | Professional | 26 · Professional part | $72.44 | $77.62 | $239.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $131.83 Typical High $407.38 | Professional | TC · Technical part | $120.23 | $131.83 | $407.38 |
Blue Shield Setting Facility Modifier None Typical Low $263.03 Median $1,122.02 Typical High $1,995.26 | Facility | None | $263.03 | $1,122.02 | $1,995.26 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $165.96 Median $251.19 Typical High $436.52 | Professional | None (both parts) | $165.96 | $251.19 | $436.52 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $177.83 | Professional | 26 · Professional part | $72.44 | $104.71 | $177.83 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $251.19 | Professional | TC · Technical part | $100.00 | $144.54 | $251.19 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $204.17 | $263.03 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $707.95 Typical High $4,570.88 | Facility | None | $223.87 | $707.95 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $234.42 Typical High $436.52 | Professional | None (both parts) | $141.25 | $234.42 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $50.12 | $91.20 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $141.25 Typical High $281.84 | Professional | TC · Technical part | $83.18 | $141.25 | $281.84 |
Contra Costa Health Setting Professional Modifier None Typical Low $173.78 Median $234.42 Typical High $316.23 | Professional | None | $173.78 | $234.42 | $316.23 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $91.20 Typical High $123.03 | Professional | 26 · Professional part | $72.44 | $91.20 | $123.03 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $144.54 Typical High $194.98 | Professional | TC · Technical part | $100.00 | $144.54 | $194.98 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $117.49 | $173.78 | $173.78 |
Kaiser Permanente Setting Professional Modifier None Typical Low $186.21 Median $223.87 Typical High $457.09 | Professional | None | $186.21 | $223.87 | $457.09 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $245.47 | Professional | 26 · Professional part | $81.28 | $109.65 | $245.47 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $165.96 Typical High $389.05 | Professional | TC · Technical part | $120.23 | $165.96 | $389.05 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $1,548.82 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $1,548.82 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $524.81 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $524.81 | $660.69 | $660.69 |
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 $97.72 Typical High $218.78 | Professional | None (both parts) | $33.11 | $97.72 | $218.78 |
Providence Setting Facility Modifier None Typical Low $204.17 Median $346.74 Typical High $1,230.27 | Facility | None | $204.17 | $346.74 | $1,230.27 |
Providence Setting Professional Modifier None (both parts) Typical Low $138.04 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $138.04 | $223.87 | $436.52 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $47.86 | $81.28 | $154.88 |
Providence Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $131.83 Typical High $275.42 | Professional | TC · Technical part | $75.86 | $131.83 | $275.42 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $660.69 | $660.69 | $660.69 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | 26 · Professional part | $281.84 | $281.84 | $281.84 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | TC · Technical part | $380.19 | $380.19 | $380.19 |
United Setting Facility Modifier None Typical Low $389.05 Median $489.78 Typical High $5,011.87 | Facility | None | $389.05 | $489.78 | $5,011.87 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $194.98 Typical High $407.38 | Professional | None (both parts) | $173.78 | $194.98 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $70.79 | $81.28 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $251.19 | Professional | TC · Technical part | $97.72 | $114.82 | $251.19 |
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 $169.82 Median $295.12 Typical High $707.95 | Facility | CT · Older CT scanner | $169.82 | $295.12 | $707.95 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $158.49 Median $275.42 Typical High $660.69 | Facility | FX · Film X-ray | $158.49 | $275.42 | $660.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $181.97 Typical High $204.17 | Professional | CT · Older CT scanner | $158.49 | $181.97 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $169.82 Typical High $190.55 | Professional | FX · Film X-ray | $147.91 | $169.82 | $190.55 |
Where California sits
The same service costs 18.2 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· 31st of 51
$234
VT $1,995UT $110
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.