How much rates vary
Facilitymedian $257 · 10th to 90th $155 to $871Professionalmedian $195 · 10th to 90th $158 to $363
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 $549.54 Typical High $1,258.93 | Facility | None | $213.80 | $549.54 | $1,258.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $380.19 | Facility | TC · Technical part | $147.91 | $173.78 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $213.80 | $213.80 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $64.57 | $64.57 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $302.00 | Professional | TC · Technical part | $147.91 | $147.91 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | None (both parts) | $144.54 | $144.54 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $316.23 | Professional | None (both parts) | $162.18 | $190.55 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $60.26 | $87.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $131.83 Typical High $208.93 | Professional | TC · Technical part | $112.20 | $131.83 | $208.93 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $87.10 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $87.10 | $194.98 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $467.74 Typical High $1,412.54 | Facility | None | $302.00 | $467.74 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $234.42 Typical High $1,096.48 | Professional | None (both parts) | $154.88 | $234.42 | $1,096.48 |
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 $107.15 Median $181.97 Typical High $776.25 | Professional | TC · Technical part | $107.15 | $181.97 | $776.25 |
Emblem Health Setting Facility Modifier None Typical Low $100.00 Median $154.88 Typical High $501.19 | Facility | None | $100.00 | $154.88 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $204.17 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $204.17 | $218.78 | $316.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $57.54 | $69.18 | $123.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $151.36 Typical High $223.87 | Professional | TC · Technical part | $141.25 | $151.36 | $223.87 |
Excellus BCBS Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $131.83 | Facility | TC · Technical part | $131.83 | $131.83 | $131.83 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $316.23 | Professional | None (both parts) | $173.78 | $204.17 | $316.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $46.77 | $57.54 | $100.00 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $269.15 | Professional | TC · Technical part | $117.49 | $138.04 | $269.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $302.00 Median $446.68 Typical High $660.69 | Facility | None | $302.00 | $446.68 | $660.69 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $263.03 | Professional | None (both parts) | $223.87 | $223.87 | $263.03 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $245.47 Typical High $281.84 | Facility | None | $107.15 | $245.47 | $281.84 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $275.42 | $275.42 | $501.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $66.07 | $81.28 | $104.71 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $181.97 Typical High $251.19 | Professional | TC · Technical part | $141.25 | $181.97 | $251.19 |
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 $151.36 Median $194.98 Typical High $416.87 | Professional | None (both parts) | $151.36 | $194.98 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $45.71 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $131.83 Typical High $295.12 | Professional | TC · Technical part | $104.71 | $131.83 | $295.12 |
Univera Setting Facility Modifier None Typical Low $204.17 Median $218.78 Typical High $741.31 | Facility | None | $204.17 | $218.78 | $741.31 |
Univera Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $562.34 | Facility | TC · Technical part | $131.83 | $131.83 | $562.34 |
Univera Setting Professional Modifier None (both parts) Typical Low $173.78 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $173.78 | $229.09 | $316.23 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $46.77 | $57.54 | $91.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $154.88 Typical High $269.15 | Professional | TC · Technical part | $117.49 | $154.88 | $269.15 |
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 $104.71 Median $104.71 Typical High $154.88 | Professional | 52 · Reduced service | $104.71 | $104.71 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $61.66 | Professional | 53 · Discontinued | $42.66 | $42.66 | $61.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $177.83 Typical High $199.53 | Professional | CT · Older CT scanner | $177.83 | $177.83 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | FX · Film X-ray | $169.82 | $169.82 | $186.21 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $257.04 Median $263.03 Typical High $363.08 | Professional | GL · Free upgrade | $257.04 | $263.03 | $363.08 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $134.90 Typical High $190.55 | Professional | 53 · Discontinued | $107.15 | $134.90 | $190.55 |
Where New York sits
The same service costs 5.1 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· 48th of 51
$200
AK $676UT $132
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.