How much rates vary
Facilitymedian $288 · 10th to 90th $182 to $813Professionalmedian $263 · 10th to 90th $209 to $417
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 $275.42 Median $309.03 Typical High $1,230.27 | Facility | None | $275.42 | $309.03 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $72.44 Median $93.33 Typical High $181.97 | Facility | 26 · Professional part | $72.44 | $93.33 | $181.97 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $208.93 Typical High $446.68 | Facility | TC · Technical part | $173.78 | $208.93 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $416.87 | Professional | None (both parts) | $281.84 | $288.40 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $72.44 | $72.44 | $109.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $213.80 Typical High $309.03 | Professional | TC · Technical part | $186.21 | $213.80 | $309.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $169.82 | $169.82 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $208.93 | $257.04 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $93.33 | Professional | 26 · Professional part | $70.79 | $83.18 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $257.04 | Professional | TC · Technical part | $154.88 | $181.97 | $257.04 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $112.20 Median $229.09 Typical High $338.84 | Professional | None (both parts) | $112.20 | $229.09 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $549.54 Typical High $1,659.59 | Facility | None | $354.81 | $549.54 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $1,174.90 | Professional | None (both parts) | $186.21 | $229.09 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $213.80 | Professional | 26 · Professional part | $53.70 | $58.88 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $870.96 | Professional | TC · Technical part | $125.89 | $173.78 | $870.96 |
Emblem Health Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $575.44 | Facility | None | $117.49 | $181.97 | $575.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $239.88 | $263.03 | $371.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $87.10 | $154.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $177.83 Typical High $257.04 | Professional | TC · Technical part | $169.82 | $177.83 | $257.04 |
Excellus BCBS Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $154.88 | Facility | TC · Technical part | $154.88 | $154.88 | $154.88 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $208.93 | $245.47 | $371.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $47.86 | $72.44 | $128.82 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $173.78 | $257.04 |
Highmark BCBS Setting Facility Modifier None Typical Low $186.21 Median $234.42 Typical High $436.52 | Facility | None | $186.21 | $234.42 | $436.52 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $269.15 | $269.15 | $446.68 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $331.13 | Facility | None | $107.15 | $257.04 | $331.13 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $275.42 | $275.42 | $602.56 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $131.83 | Professional | 26 · Professional part | $85.11 | $104.71 | $131.83 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $165.96 | $208.93 | $295.12 |
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 $177.83 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $177.83 | $234.42 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $57.54 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $151.36 Typical High $331.13 | Professional | TC · Technical part | $123.03 | $151.36 | $331.13 |
Univera Setting Facility Modifier None Typical Low $245.47 Median $257.04 Typical High $758.58 | Facility | None | $245.47 | $257.04 | $758.58 |
Univera Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $537.03 | Facility | TC · Technical part | $154.88 | $154.88 | $537.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $208.93 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $208.93 | $245.47 | $323.59 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $72.44 Typical High $109.65 | Professional | 26 · Professional part | $47.86 | $72.44 | $109.65 |
Univera Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $173.78 | $257.04 |
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 $141.25 Median $144.54 Typical High $173.78 | Professional | 52 · Reduced service | $141.25 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $70.79 | Professional | 53 · Discontinued | $56.23 | $57.54 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | CT · Older CT scanner | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $229.09 Typical High $229.09 | Professional | FX · Film X-ray | $223.87 | $229.09 | $229.09 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $251.19 Median $251.19 Typical High $363.08 | Professional | GL · Free upgrade | $251.19 | $251.19 | $363.08 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $162.18 Typical High $229.09 | Professional | 53 · Discontinued | $128.82 | $162.18 | $229.09 |
Where New York sits
The same service costs 6.3 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
$263
AK $851UT $135
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.