How much rates vary
Facilitymedian $224 · 10th to 90th $158 to $832Professionalmedian $195 · 10th to 90th $158 to $331
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 $208.93 Median $234.42 Typical High $1,071.52 | Facility | None | $208.93 | $234.42 | $1,071.52 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $102.33 | Facility | 26 · Professional part | $60.26 | $67.61 | $102.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $154.88 Typical High $346.74 | Facility | TC · Technical part | $141.25 | $154.88 | $346.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $346.74 | Professional | None (both parts) | $208.93 | $234.42 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $57.54 | $63.10 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $141.25 | $173.78 | $263.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $60.26 | $67.61 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $165.96 | $194.98 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $50.12 | $58.88 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $194.98 | Professional | TC · Technical part | $117.49 | $138.04 | $194.98 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $81.28 | $173.78 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $1,348.96 | Facility | None | $275.42 | $416.87 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $933.25 | Professional | None (both parts) | $138.04 | $186.21 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $162.18 | Professional | 26 · Professional part | $39.81 | $45.71 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $724.44 | Professional | TC · Technical part | $95.50 | $141.25 | $724.44 |
Emblem Health Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $446.68 | Facility | None | $91.20 | $138.04 | $446.68 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $186.21 | $199.53 | $281.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $63.10 | $114.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $128.82 | $134.90 | $199.53 |
Excellus BCBS Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $169.82 | Facility | None | $169.82 | $169.82 | $169.82 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Facility | TC · Technical part | $102.33 | $102.33 | $102.33 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $281.84 | Professional | None (both parts) | $158.49 | $186.21 | $281.84 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $52.48 | $93.33 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $125.89 | $213.80 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $60.26 | $79.43 | $79.43 |
Highmark BCBS Setting Facility Modifier None Typical Low $147.91 Median $295.12 Typical High $2,290.87 | Facility | None | $147.91 | $295.12 | $2,290.87 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $354.81 Typical High $851.14 | Facility | TC · Technical part | $144.54 | $354.81 | $851.14 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $208.93 Typical High $467.74 | Professional | None (both parts) | $158.49 | $208.93 | $467.74 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $70.79 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $70.79 | $141.25 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $218.78 Typical High $257.04 | Facility | None | $107.15 | $218.78 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $478.63 | Professional | None (both parts) | $223.87 | $223.87 | $478.63 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $81.28 | $102.33 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $173.78 Typical High $234.42 | Professional | TC · Technical part | $134.90 | $173.78 | $234.42 |
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 $138.04 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $138.04 | $186.21 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $114.82 | Professional | 26 · Professional part | $42.66 | $56.23 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $275.42 | Professional | TC · Technical part | $93.33 | $123.03 | $275.42 |
Univera Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $588.84 | Facility | None | $169.82 | $169.82 | $588.84 |
Univera Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $436.52 | Facility | TC · Technical part | $102.33 | $102.33 | $436.52 |
Univera Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $257.04 | Professional | None (both parts) | $158.49 | $199.53 | $257.04 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $52.48 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $52.48 | $83.18 |
Univera Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $104.71 | $138.04 | $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 $104.71 Median $117.49 Typical High $147.91 | Professional | 52 · Reduced service | $104.71 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $47.86 Typical High $58.88 | Professional | 53 · Discontinued | $41.69 | $47.86 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $177.83 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $169.82 | $190.55 | $190.55 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $208.93 Median $208.93 Typical High $302.00 | Professional | GL · Free upgrade | $208.93 | $208.93 | $302.00 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $128.82 Median $177.83 Typical High $281.84 | Professional | FY · Cassette-based X-ray | $128.82 | $177.83 | $281.84 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $128.82 Typical High $173.78 | Professional | 53 · Discontinued | $102.33 | $128.82 | $173.78 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $128.82 Median $177.83 Typical High $269.15 | Professional | FY · Cassette-based X-ray | $128.82 | $177.83 | $269.15 |
Where New York sits
The same service costs 5.9 times more in Vermont 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· 46th of 51
$195
VT $741UT $126
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.