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 $346.74 Median $1,122.02 Typical High $2,818.38 | Facility | None | $346.74 | $1,122.02 | $2,818.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $93.33 Typical High $117.49 | Facility | 26 · Professional part | $75.86 | $93.33 | $117.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $524.81 Typical High $2,137.96 | Facility | TC · Technical part | $263.03 | $524.81 | $2,137.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $323.59 | $363.08 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $89.13 Typical High $134.90 | Professional | 26 · Professional part | $79.43 | $89.13 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $426.58 | Professional | TC · Technical part | $229.09 | $269.15 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $630.96 | Professional | None (both parts) | $269.15 | $309.03 | $630.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $79.43 | $87.10 | $158.49 |
Anthem BCBS Setting Facility Modifier None Typical Low $77.62 Median $1,548.82 Typical High $1,584.89 | Facility | None | $77.62 | $1,548.82 | $1,584.89 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $1,047.13 | Professional | None (both parts) | $302.00 | $323.59 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $81.28 Typical High $251.19 | Professional | 26 · Professional part | $75.86 | $81.28 | $251.19 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $251.19 Typical High $812.83 | Professional | TC · Technical part | $229.09 | $251.19 | $812.83 |
Blue Shield Setting Facility Modifier None Typical Low $501.19 Median $2,089.30 Typical High $3,890.45 | Facility | None | $501.19 | $2,089.30 | $3,890.45 |
Blue Shield Setting Professional Modifier None (both parts) Typical Low $257.04 Median $389.05 Typical High $691.83 | Professional | None (both parts) | $257.04 | $389.05 | $691.83 |
Blue Shield Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $186.21 | Professional | 26 · Professional part | $75.86 | $109.65 | $186.21 |
Blue Shield Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $281.84 | $489.78 |
Central California Alliance for Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $338.84 | $446.68 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $1,096.48 Typical High $5,623.41 | Facility | None | $501.19 | $1,096.48 | $5,623.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $371.54 Typical High $707.95 | Professional | None (both parts) | $229.09 | $371.54 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $95.50 Typical High $181.97 | Professional | 26 · Professional part | $52.48 | $95.50 | $181.97 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $537.03 | Professional | TC · Technical part | $165.96 | $269.15 | $537.03 |
Contra Costa Health Setting Professional Modifier None Typical Low $281.84 Median $398.11 Typical High $537.03 | Professional | None | $281.84 | $398.11 | $537.03 |
Contra Costa Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $79.43 | $95.50 | $128.82 |
Contra Costa Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $302.00 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $302.00 | $407.38 |
HealthNet Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $186.21 Typical High $380.19 | Professional | 26 · Professional part | $112.20 | $186.21 | $380.19 |
Kaiser Permanente Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $758.58 | Professional | None | $295.12 | $371.54 | $758.58 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $114.82 Typical High $257.04 | Professional | 26 · Professional part | $85.11 | $114.82 | $257.04 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $346.74 Typical High $812.83 | Professional | TC · Technical part | $251.19 | $346.74 | $812.83 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,089.30 Typical High $2,570.40 | Professional | None (both parts) | $2,089.30 | $2,089.30 | $2,570.40 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $549.54 Median $691.83 Typical High $691.83 | Professional | 26 · Professional part | $549.54 | $691.83 | $691.83 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $2,630.27 Median $2,630.27 Typical High $2,630.27 | Professional | TC · Technical part | $2,630.27 | $2,630.27 | $2,630.27 |
Molina Setting Professional Modifier None (both parts) Typical Low $33.11 Median $102.33 Typical High $354.81 | Professional | None (both parts) | $33.11 | $102.33 | $354.81 |
Providence Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $1,258.93 | Facility | None | $338.84 | $562.34 | $1,258.93 |
Providence Setting Professional Modifier None (both parts) Typical Low $218.78 Median $354.81 Typical High $724.44 | Professional | None (both parts) | $218.78 | $354.81 | $724.44 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $50.12 | $85.11 | $162.18 |
Providence Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $165.96 | $251.19 | $524.81 |
Sutter Health Plus Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,096.48 Typical High $1,096.48 | Professional | None (both parts) | $1,096.48 | $1,096.48 | $1,096.48 |
Sutter Health Plus Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | 26 · Professional part | $295.12 | $295.12 | $295.12 |
Sutter Health Plus Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | TC · Technical part | $794.33 | $794.33 | $794.33 |
United Setting Facility Modifier None Typical Low $575.44 Median $707.95 Typical High $6,165.95 | Facility | None | $575.44 | $707.95 | $6,165.95 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $676.08 | Professional | None (both parts) | $275.42 | $316.23 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $177.83 | Professional | 26 · Professional part | $74.13 | $85.11 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $512.86 | Professional | TC · Technical part | $204.17 | $234.42 | $512.86 |
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 $288.40 Median $562.34 Typical High $1,348.96 | Facility | CT · Older CT scanner | $288.40 | $562.34 | $1,348.96 |
Aetna Setting Facility Modifier FX · Film X-ray Typical Low $275.42 Median $524.81 Typical High $1,258.93 | Facility | FX · Film X-ray | $275.42 | $524.81 | $1,258.93 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $251.19 Median $288.40 Typical High $323.59 | Professional | CT · Older CT scanner | $251.19 | $288.40 | $323.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $275.42 Typical High $309.03 | Professional | FX · Film X-ray | $234.42 | $275.42 | $309.03 |
Where California sits
The same service costs 15.8 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· 33rd of 51
$372
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.