How much rates vary
Facilitymedian $200 · 10th to 90th $120 to $661Professionalmedian $186 · 10th to 90th $151 to $316
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 $181.97 Median $199.53 Typical High $1,202.26 | Facility | None | $181.97 | $199.53 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $169.82 | Facility | 26 · Professional part | $63.10 | $74.13 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $302.00 | Facility | TC · Technical part | $117.49 | $125.89 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $281.84 | Professional | None (both parts) | $181.97 | $181.97 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $64.57 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $117.49 | $117.49 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $128.82 Typical High $147.91 | Professional | None (both parts) | $123.03 | $128.82 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $263.03 | Professional | None (both parts) | $158.49 | $186.21 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $56.23 | $66.07 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $120.23 Typical High $165.96 | Professional | TC · Technical part | $102.33 | $120.23 | $165.96 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $87.10 Median $147.91 Typical High $234.42 | Professional | None (both parts) | $87.10 | $147.91 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $363.08 Typical High $1,698.24 | Facility | None | $257.04 | $363.08 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $194.98 Typical High $891.25 | Professional | None (both parts) | $131.83 | $194.98 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $165.96 | Professional | 26 · Professional part | $43.65 | $46.77 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $147.91 Typical High $616.60 | Professional | TC · Technical part | $85.11 | $147.91 | $616.60 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $123.03 Typical High $389.05 | Facility | None | $79.43 | $123.03 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $269.15 | Professional | None (both parts) | $162.18 | $162.18 | $269.15 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $58.88 Typical High $128.82 | Professional | 26 · Professional part | $57.54 | $58.88 | $128.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | TC · Technical part | $102.33 | $102.33 | $177.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | None | $120.23 | $120.23 | $120.23 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $72.44 | Facility | TC · Technical part | $72.44 | $72.44 | $72.44 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $151.36 | $199.53 | $269.15 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $41.69 | $57.54 | $102.33 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $123.03 | $218.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $138.04 Median $208.93 Typical High $489.78 | Facility | None | $138.04 | $208.93 | $489.78 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $123.03 Median $281.84 Typical High $1,000.00 | Facility | TC · Technical part | $123.03 | $281.84 | $1,000.00 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $194.98 | $223.87 | $407.38 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $186.21 Typical High $257.04 | Facility | None | $107.15 | $186.21 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $223.87 | $223.87 | $426.58 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $104.71 | Professional | 26 · Professional part | $67.61 | $83.18 | $104.71 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $218.78 | Professional | TC · Technical part | $138.04 | $177.83 | $218.78 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $389.05 | Professional | None (both parts) | $128.82 | $186.21 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $46.77 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $275.42 | Professional | TC · Technical part | $85.11 | $123.03 | $275.42 |
Univera Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $537.03 | Facility | None | $120.23 | $120.23 | $537.03 |
Univera Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $338.84 | Facility | TC · Technical part | $72.44 | $72.44 | $338.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $151.36 Median $199.53 Typical High $257.04 | Professional | None (both parts) | $151.36 | $199.53 | $257.04 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $57.54 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $57.54 | $89.13 |
Univera Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $123.03 | $218.78 |
6 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 Professional Modifier 52 · Reduced service Typical Low $91.20 Median $91.20 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $91.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $36.31 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $36.31 | $44.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $154.88 Typical High $169.82 | Professional | CT · Older CT scanner | $154.88 | $154.88 | $169.82 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $158.49 | Professional | FX · Film X-ray | $144.54 | $144.54 | $158.49 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $218.78 Median $218.78 Typical High $302.00 | Professional | GL · Free upgrade | $218.78 | $218.78 | $302.00 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $131.83 Typical High $169.82 | Professional | 53 · Discontinued | $104.71 | $131.83 | $169.82 |
Where New York 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.
New York· 46th of 51
$186
AK $646UT $105
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.