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 $316.23 Median $707.95 Typical High $1,258.93 | Facility | None | $316.23 | $707.95 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $478.63 | Professional | None (both parts) | $316.23 | $316.23 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $85.11 | $91.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $213.80 | $223.87 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $426.58 | Professional | None (both parts) | $245.47 | $288.40 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $72.44 | $85.11 | $128.82 |
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 $123.03 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $123.03 | $245.47 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $436.52 Median $691.83 Typical High $2,187.76 | Facility | None | $436.52 | $691.83 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $1,621.81 | Professional | None (both parts) | $239.88 | $302.00 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $234.42 | Professional | 26 · Professional part | $61.66 | $66.07 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $1,202.26 | Professional | TC · Technical part | $177.83 | $234.42 | $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 $446.68 | Professional | None (both parts) | $288.40 | $309.03 | $446.68 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $95.50 | $173.78 |
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 $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 $60.26 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $60.26 | $81.28 | $141.25 |
Excellus BCBS 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 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $407.38 Typical High $1,230.27 | Facility | TC · Technical part | $363.08 | $407.38 | $1,230.27 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $457.09 | Facility | None | $107.15 | $257.04 | $457.09 |
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 $93.33 Median $114.82 Typical High $144.54 | Professional | 26 · Professional part | $93.33 | $114.82 | $144.54 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $446.68 | Professional | TC · Technical part | $239.88 | $302.00 | $446.68 |
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 $251.19 Median $309.03 Typical High $645.65 | Professional | None (both parts) | $251.19 | $309.03 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $64.57 | $81.28 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $181.97 | $223.87 | $467.74 |
Univera Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $933.25 | Facility | None | $257.04 | $257.04 | $933.25 |
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 $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 $60.26 Median $81.28 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $81.28 | $123.03 |
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 $158.49 Median $158.49 Typical High $190.55 | Professional | 52 · Reduced service | $158.49 | $158.49 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $77.62 | Professional | 53 · Discontinued | $63.10 | $63.10 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $269.15 Median $269.15 Typical High $269.15 | Professional | CT · Older CT scanner | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | FX · Film X-ray | $251.19 | $251.19 | $251.19 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $323.59 Median $338.84 Typical High $446.68 | Professional | GL · Free upgrade | $323.59 | $338.84 | $446.68 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $169.82 Median $213.80 Typical High $316.23 | Professional | 53 · Discontinued | $169.82 | $213.80 | $316.23 |
Where New York sits
The same service costs 5.8 times more in Alaska than in Texas. 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
$288
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.