How much rates vary
Facilitymedian $162 · 10th to 90th $117 to $646Professionalmedian $151 · 10th to 90th $120 to $251
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 $144.54 Median $162.18 Typical High $1,071.52 | Facility | None | $144.54 | $162.18 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $74.13 | Facility | 26 · Professional part | $43.65 | $50.12 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $112.20 Typical High $269.15 | Facility | TC · Technical part | $102.33 | $112.20 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $269.15 | Professional | None (both parts) | $144.54 | $144.54 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $43.65 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $102.33 | $102.33 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $85.11 | $100.00 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $128.82 | $151.36 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $43.65 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $144.54 | Professional | TC · Technical part | $91.20 | $107.15 | $144.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $58.88 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $58.88 | $134.90 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $323.59 Typical High $977.24 | Facility | None | $204.17 | $323.59 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $162.18 Typical High $758.58 | Professional | None (both parts) | $104.71 | $162.18 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $30.90 Typical High $114.82 | Professional | 26 · Professional part | $29.51 | $30.90 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $120.23 Typical High $549.54 | Professional | TC · Technical part | $74.13 | $120.23 | $549.54 |
Emblem Health Setting Facility Modifier None Typical Low $70.79 Median $109.65 Typical High $346.74 | Facility | None | $70.79 | $109.65 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $141.25 | $154.88 | $218.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $85.11 | Professional | 26 · Professional part | $38.90 | $46.77 | $85.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $107.15 Typical High $158.49 | Professional | TC · Technical part | $100.00 | $107.15 | $158.49 |
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 $120.23 Median $144.54 Typical High $251.19 | Professional | None (both parts) | $120.23 | $144.54 | $251.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $67.61 | Professional | 26 · Professional part | $35.48 | $38.90 | $67.61 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $83.18 | $97.72 | $213.80 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $33.88 | $39.81 | $60.26 |
Highmark BCBS Setting Facility Modifier None Typical Low $109.65 Median $194.98 Typical High $1,905.46 | Facility | None | $109.65 | $194.98 | $1,905.46 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $218.78 Typical High $616.60 | Facility | TC · Technical part | $109.65 | $218.78 | $616.60 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $398.11 | Professional | None (both parts) | $131.83 | $154.88 | $398.11 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $100.00 | Professional | 26 · Professional part | $38.02 | $48.98 | $100.00 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $257.04 | Facility | None | $107.15 | $165.96 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $204.17 | $223.87 | $338.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $56.23 | $74.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $125.89 | $177.83 |
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 $104.71 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $104.71 | $131.83 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $39.81 Typical High $83.18 | Professional | 26 · Professional part | $31.62 | $39.81 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $91.20 | $204.17 |
Univera Setting Facility Modifier None Typical Low $120.23 Median $120.23 Typical High $457.09 | Facility | None | $120.23 | $120.23 | $457.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $309.03 | Facility | TC · Technical part | $72.44 | $72.44 | $309.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $251.19 | Professional | None (both parts) | $120.23 | $158.49 | $251.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.90 Typical High $61.66 | Professional | 26 · Professional part | $35.48 | $38.90 | $61.66 |
Univera Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $213.80 | Professional | TC · Technical part | $83.18 | $109.65 | $213.80 |
8 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 $72.44 Median $72.44 Typical High $104.71 | Professional | 52 · Reduced service | $72.44 | $72.44 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $41.69 | Professional | 53 · Discontinued | $28.84 | $28.84 | $41.69 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | CT · Older CT scanner | $123.03 | $123.03 | $138.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $128.82 | Professional | FX · Film X-ray | $114.82 | $114.82 | $128.82 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $177.83 Median $177.83 Typical High $263.03 | Professional | GL · Free upgrade | $177.83 | $177.83 | $263.03 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $97.72 Median $134.90 Typical High $213.80 | Professional | FY · Cassette-based X-ray | $97.72 | $134.90 | $213.80 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $91.20 Typical High $131.83 | Professional | 53 · Discontinued | $72.44 | $91.20 | $131.83 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $97.72 Median $134.90 Typical High $204.17 | Professional | FY · Cassette-based X-ray | $97.72 | $134.90 | $204.17 |
Where New York sits
The same service costs 4.9 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· 47th of 51
$151
AK $513UT $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.