How much rates vary
Facilitymedian $219 · 10th to 90th $138 to $912Professionalmedian $200 · 10th to 90th $162 to $339
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 $213.80 Median $316.23 Typical High $1,258.93 | Facility | None | $213.80 | $316.23 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $213.80 | $234.42 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $61.66 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $61.66 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $173.78 Typical High $257.04 | Professional | TC · Technical part | $144.54 | $173.78 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $107.15 | Professional | 26 · Professional part | $32.36 | $32.36 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $169.82 | $199.53 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $63.10 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $117.49 | $138.04 | $199.53 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $83.18 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $83.18 | $173.78 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $416.87 Typical High $1,698.24 | Facility | None | $281.84 | $416.87 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $186.21 Typical High $912.01 | Professional | None (both parts) | $141.25 | $186.21 | $912.01 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $162.18 | Professional | 26 · Professional part | $41.69 | $44.67 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $141.25 Typical High $707.95 | Professional | TC · Technical part | $97.72 | $141.25 | $707.95 |
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 $190.55 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $190.55 | $204.17 | $288.40 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $54.95 | $66.07 | $117.49 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $128.82 | $138.04 | $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 $162.18 Median $190.55 Typical High $288.40 | Professional | None (both parts) | $162.18 | $190.55 | $288.40 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $39.81 | $54.95 | $97.72 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $125.89 | $213.80 |
Highmark BCBS Setting Facility Modifier None Typical Low $186.21 Median $575.44 Typical High $2,951.21 | Facility | None | $186.21 | $575.44 | $2,951.21 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
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 $64.57 Median $79.43 Typical High $100.00 | Professional | 26 · Professional part | $64.57 | $79.43 | $100.00 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $173.78 Typical High $234.42 | Professional | TC · Technical part | $138.04 | $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 $44.67 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $44.67 | $54.95 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $125.89 Typical High $275.42 | Professional | TC · Technical part | $95.50 | $125.89 | $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 $162.18 Median $199.53 Typical High $263.03 | Professional | None (both parts) | $162.18 | $199.53 | $263.03 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $87.10 | Professional | 26 · Professional part | $39.81 | $54.95 | $87.10 |
Univera Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $141.25 Typical High $213.80 | Professional | TC · Technical part | $107.15 | $141.25 | $213.80 |
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 $107.15 Median $117.49 Typical High $147.91 | Professional | 52 · Reduced service | $107.15 | $117.49 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $47.86 Typical High $58.88 | Professional | 53 · Discontinued | $42.66 | $47.86 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $181.97 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $173.78 | $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 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $128.82 Typical High $177.83 | Professional | 53 · Discontinued | $102.33 | $128.82 | $177.83 |
Where New York sits
The same service costs 5.5 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· 47th of 51
$200
AK $692UT $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.