How much rates vary
Facilitymedian $191 · 10th to 90th $141 to $692Professionalmedian $178 · 10th to 90th $145 to $302
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 $173.78 Median $190.55 Typical High $1,202.26 | Facility | None | $173.78 | $190.55 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $66.07 Typical High $147.91 | Facility | 26 · Professional part | $53.70 | $66.07 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $302.00 | Facility | TC · Technical part | $114.82 | $125.89 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $173.78 | $173.78 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $57.54 Typical High $83.18 | Professional | 26 · Professional part | $56.23 | $57.54 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $239.88 | Professional | TC · Technical part | $117.49 | $117.49 | $239.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $123.03 | $123.03 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $151.36 | $177.83 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $57.54 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $104.71 | $123.03 | $165.96 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $77.62 Median $154.88 Typical High $229.09 | Professional | None (both parts) | $77.62 | $154.88 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $363.08 Typical High $1,122.02 | Facility | None | $245.47 | $363.08 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $194.98 Typical High $912.01 | Professional | None (both parts) | $125.89 | $194.98 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $41.69 Typical High $147.91 | Professional | 26 · Professional part | $38.90 | $41.69 | $147.91 |
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 $398.11 | Facility | None | $79.43 | $123.03 | $398.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $169.82 | $181.97 | $257.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $102.33 | Professional | 26 · Professional part | $51.29 | $61.66 | $102.33 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $120.23 Typical High $177.83 | Professional | TC · Technical part | $112.20 | $120.23 | $177.83 |
Excellus BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | TC · Technical part | $87.10 | $87.10 | $87.10 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $144.54 | $169.82 | $257.04 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $42.66 | $51.29 | $89.13 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $218.78 | Professional | TC · Technical part | $93.33 | $109.65 | $218.78 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $186.21 Median $295.12 Typical High $602.56 | Facility | None | $186.21 | $295.12 | $602.56 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $302.00 Typical High $676.08 | Facility | TC · Technical part | $204.17 | $302.00 | $676.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $213.80 | Professional | None (both parts) | $158.49 | $186.21 | $213.80 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $190.55 Typical High $257.04 | Facility | None | $107.15 | $190.55 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $407.38 | Professional | None (both parts) | $223.87 | $223.87 | $407.38 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $72.44 | $91.20 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $112.20 | $144.54 | $199.53 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $501.19 | Facility | None | $354.81 | $407.38 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $346.74 | Professional | None (both parts) | $123.03 | $158.49 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $107.15 | Professional | 26 · Professional part | $41.69 | $51.29 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $234.42 | Professional | TC · Technical part | $83.18 | $104.71 | $234.42 |
Univera Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $616.60 | Facility | None | $147.91 | $147.91 | $616.60 |
Univera Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $457.09 | Facility | TC · Technical part | $87.10 | $87.10 | $457.09 |
Univera Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $257.04 | Professional | None (both parts) | $144.54 | $190.55 | $257.04 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $42.66 | $51.29 | $81.28 |
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 $87.10 Median $87.10 Typical High $125.89 | Professional | 52 · Reduced service | $87.10 | $87.10 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $50.12 | Professional | 53 · Discontinued | $34.67 | $34.67 | $50.12 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $147.91 Median $147.91 Typical High $162.18 | Professional | CT · Older CT scanner | $147.91 | $147.91 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $154.88 | Professional | FX · Film X-ray | $138.04 | $138.04 | $154.88 |
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 $87.10 Median $109.65 Typical High $158.49 | Professional | 53 · Discontinued | $87.10 | $109.65 | $158.49 |
Where New York sits
The same service costs 5.9 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· 45th of 51
$178
AK $617UT $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.