How much rates vary
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 $302.00 Median $316.23 Typical High $1,148.15 | Facility | None | $302.00 | $316.23 | $1,148.15 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $190.55 | Facility | 26 · Professional part | $87.10 | $102.33 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $512.86 | Facility | TC · Technical part | $213.80 | $213.80 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $302.00 | $302.00 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $81.28 | $89.13 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $213.80 | $213.80 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $251.19 | $295.12 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $75.86 | $89.13 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $275.42 | Professional | TC · Technical part | $173.78 | $204.17 | $275.42 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $120.23 Median $245.47 Typical High $363.08 | Professional | None (both parts) | $120.23 | $245.47 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $616.60 Typical High $2,041.74 | Facility | None | $416.87 | $616.60 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $363.08 Typical High $1,659.59 | Professional | None (both parts) | $218.78 | $363.08 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $229.09 | Professional | 26 · Professional part | $60.26 | $64.57 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $302.00 Typical High $1,202.26 | Professional | TC · Technical part | $154.88 | $302.00 | $1,202.26 |
Emblem Health Setting Facility Modifier None Typical Low $144.54 Median $218.78 Typical High $707.95 | Facility | None | $144.54 | $218.78 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $288.40 | $309.03 | $436.52 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $93.33 | $165.96 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $204.17 | $213.80 | $316.23 |
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 $245.47 Median $295.12 Typical High $436.52 | Professional | None (both parts) | $245.47 | $295.12 | $436.52 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $57.54 | $77.62 | $138.04 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $199.53 | $363.08 |
Highmark BCBS Setting Facility Modifier None Typical Low $190.55 Median $457.09 Typical High $2,818.38 | Facility | None | $190.55 | $457.09 | $2,818.38 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $467.74 Typical High $1,258.93 | Facility | TC · Technical part | $199.53 | $467.74 | $1,258.93 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $741.31 | Professional | None (both parts) | $245.47 | $302.00 | $741.31 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $181.97 | Professional | 26 · Professional part | $77.62 | $100.00 | $181.97 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $398.11 | Facility | None | $107.15 | $257.04 | $398.11 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $660.69 | Professional | None (both parts) | $275.42 | $275.42 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $112.20 | $141.25 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $269.15 | $389.05 |
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 $223.87 Median $281.84 Typical High $602.56 | Professional | None (both parts) | $223.87 | $281.84 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $436.52 | Professional | TC · Technical part | $162.18 | $199.53 | $436.52 |
Univera Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $891.25 | Facility | None | $257.04 | $257.04 | $891.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $707.95 | Facility | TC · Technical part | $154.88 | $154.88 | $707.95 |
Univera Setting Professional Modifier None (both parts) Typical Low $245.47 Median $323.59 Typical High $426.58 | Professional | None (both parts) | $245.47 | $323.59 | $426.58 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $57.54 | $77.62 | $125.89 |
Univera Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $223.87 | $363.08 |
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 $151.36 Median $151.36 Typical High $190.55 | Professional | 52 · Reduced service | $151.36 | $151.36 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $60.26 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $60.26 | $75.86 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $257.04 Median $257.04 Typical High $269.15 | Professional | CT · Older CT scanner | $257.04 | $257.04 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $239.88 Typical High $251.19 | Professional | FX · Film X-ray | $239.88 | $239.88 | $251.19 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $309.03 Median $407.38 Typical High $575.44 | Professional | GL · Free upgrade | $309.03 | $407.38 | $575.44 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $194.98 Typical High $288.40 | Professional | 53 · Discontinued | $154.88 | $194.98 | $288.40 |
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
$295
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.