How much rates vary
Facilitymedian $316 · 10th to 90th $141 to $977Professionalmedian $295 · 10th to 90th $240 to $513
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 $309.03 Median $316.23 Typical High $1,096.48 | Facility | None | $309.03 | $316.23 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $158.49 | Facility | 26 · Professional part | $91.20 | $104.71 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $218.78 Typical High $512.86 | Facility | TC · Technical part | $213.80 | $218.78 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $309.03 | $309.03 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $87.10 | $91.20 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $213.80 | $218.78 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $229.09 | Professional | None (both parts) | $186.21 | $218.78 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $416.87 | Professional | None (both parts) | $251.19 | $295.12 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $79.43 | $93.33 | $123.03 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $204.17 | $281.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $125.89 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $125.89 | $245.47 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $630.96 Typical High $2,089.30 | Facility | None | $416.87 | $630.96 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $288.40 Typical High $1,479.11 | Professional | None (both parts) | $223.87 | $288.40 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $239.88 | Professional | 26 · Professional part | $63.10 | $67.61 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $1,096.48 | Professional | TC · Technical part | $158.49 | $218.78 | $1,096.48 |
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 $295.12 Median $316.23 Typical High $446.68 | Professional | None (both parts) | $295.12 | $316.23 | $446.68 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $97.72 | $173.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $208.93 | $213.80 | $316.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | TC · Technical part | $85.11 | $85.11 | $85.11 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $446.68 | Professional | None (both parts) | $251.19 | $331.13 | $446.68 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $81.28 | $144.54 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $223.87 | $371.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $186.21 Median $323.59 Typical High $1,096.48 | Facility | None | $186.21 | $323.59 | $1,096.48 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $354.81 Typical High $812.83 | Facility | TC · Technical part | $194.98 | $354.81 | $812.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $302.00 Typical High $707.95 | Professional | None (both parts) | $251.19 | $302.00 | $707.95 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $239.88 | Professional | 26 · Professional part | $81.28 | $112.20 | $239.88 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $407.38 | Facility | None | $107.15 | $257.04 | $407.38 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $660.69 | Professional | None (both parts) | $239.88 | $239.88 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $95.50 | $117.49 | $147.91 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $398.11 | Professional | TC · Technical part | $218.78 | $275.42 | $398.11 |
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 $229.09 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $229.09 | $288.40 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $83.18 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $204.17 Typical High $446.68 | Professional | TC · Technical part | $162.18 | $204.17 | $446.68 |
Univera Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $933.25 | Facility | None | $141.25 | $141.25 | $933.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $676.08 | Facility | TC · Technical part | $85.11 | $85.11 | $676.08 |
Univera Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $426.58 | Professional | None (both parts) | $251.19 | $331.13 | $426.58 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $81.28 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $81.28 | $125.89 |
Univera Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $223.87 | $371.54 |
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 $154.88 Median $154.88 Typical High $194.98 | Professional | 52 · Reduced service | $154.88 | $154.88 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | 53 · Discontinued | $61.66 | $61.66 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | CT · Older CT scanner | $263.03 | $263.03 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $245.47 Median $245.47 Typical High $257.04 | Professional | FX · Film X-ray | $245.47 | $245.47 | $257.04 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | GL · Free upgrade | $323.59 | $323.59 | $446.68 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $204.17 Median $281.84 Typical High $467.74 | Professional | FY · Cassette-based X-ray | $204.17 | $281.84 | $467.74 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $199.53 Typical High $288.40 | Professional | 53 · Discontinued | $158.49 | $199.53 | $288.40 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $239.88 Median $281.84 Typical High $426.58 | Professional | FY · Cassette-based X-ray | $239.88 | $281.84 | $426.58 |
Where New York sits
The same service costs 12.3 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· 44th of 51
$295
VT $2,089UT $170
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.