How much rates vary
Facilitymedian $282 · 10th to 90th $155 to $1,023Professionalmedian $257 · 10th to 90th $200 to $398
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 $251.19 Median $912.01 Typical High $1,862.09 | Facility | None | $251.19 | $912.01 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $281.84 Typical High $407.38 | Professional | None (both parts) | $251.19 | $281.84 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $64.57 | $64.57 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $302.00 | Professional | TC · Technical part | $177.83 | $218.78 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $162.18 | Professional | None (both parts) | $141.25 | $141.25 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $338.84 | Professional | None (both parts) | $213.80 | $257.04 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $79.43 | Professional | 26 · Professional part | $51.29 | $60.26 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $245.47 | Professional | TC · Technical part | $165.96 | $194.98 | $245.47 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $87.10 Median $213.80 Typical High $302.00 | Professional | None (both parts) | $87.10 | $213.80 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $512.86 Typical High $2,089.30 | Facility | None | $316.23 | $512.86 | $2,089.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $223.87 Typical High $1,071.52 | Professional | None (both parts) | $165.96 | $223.87 | $1,071.52 |
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 $120.23 Median $177.83 Typical High $851.14 | Professional | TC · Technical part | $120.23 | $177.83 | $851.14 |
Emblem Health Setting Facility Modifier None Typical Low $109.65 Median $169.82 Typical High $549.54 | Facility | None | $109.65 | $169.82 | $549.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $218.78 | $234.42 | $331.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $56.23 | $67.61 | $125.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $165.96 Typical High $245.47 | Professional | TC · Technical part | $154.88 | $165.96 | $245.47 |
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 $186.21 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $186.21 | $245.47 | $331.13 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $56.23 | $100.00 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $128.82 | $169.82 | $269.15 |
Highmark BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $416.87 | Facility | None | $416.87 | $416.87 | $416.87 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $257.04 | Professional | None (both parts) | $251.19 | $251.19 | $257.04 |
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 $562.34 | Professional | None (both parts) | $275.42 | $275.42 | $562.34 |
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 $169.82 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $213.80 | $288.40 |
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 $162.18 Median $218.78 Typical High $478.63 | Professional | None (both parts) | $162.18 | $218.78 | $478.63 |
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 $114.82 Median $154.88 Typical High $346.74 | Professional | TC · Technical part | $114.82 | $154.88 | $346.74 |
Univera Setting Facility Modifier None Typical Low $218.78 Median $257.04 Typical High $707.95 | Facility | None | $218.78 | $257.04 | $707.95 |
Univera Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $154.88 Typical High $549.54 | Facility | TC · Technical part | $151.36 | $154.88 | $549.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $186.21 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $186.21 | $245.47 | $309.03 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $87.10 | Professional | 26 · Professional part | $41.69 | $56.23 | $87.10 |
Univera Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $169.82 Typical High $269.15 | Professional | TC · Technical part | $128.82 | $169.82 | $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 $125.89 Median $141.25 Typical High $177.83 | Professional | 52 · Reduced service | $125.89 | $141.25 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $56.23 Typical High $70.79 | Professional | 53 · Discontinued | $50.12 | $56.23 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $213.80 Median $239.88 Typical High $239.88 | Professional | CT · Older CT scanner | $213.80 | $239.88 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $199.53 | $223.87 | $223.87 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | GL · Free upgrade | $251.19 | $251.19 | $346.74 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $151.36 Typical High $204.17 | Professional | 53 · Discontinued | $120.23 | $151.36 | $204.17 |
Where New York sits
The same service costs 5.2 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· 40th of 51
$257
AK $794UT $151
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.