How much rates vary
Facilitymedian $282 · 10th to 90th $170 to $871Professionalmedian $251 · 10th to 90th $209 to $407
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 $234.42 Median $281.84 Typical High $1,202.26 | Facility | None | $234.42 | $281.84 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $151.36 | Facility | 26 · Professional part | $58.88 | $67.61 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $213.80 Typical High $512.86 | Facility | TC · Technical part | $173.78 | $213.80 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $380.19 | Professional | None (both parts) | $234.42 | $234.42 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $58.88 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $173.78 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $173.78 Typical High $186.21 | Professional | None (both parts) | $169.82 | $173.78 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $223.87 | $263.03 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $74.13 | Professional | 26 · Professional part | $50.12 | $58.88 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $269.15 | Professional | TC · Technical part | $173.78 | $204.17 | $269.15 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $79.43 Median $245.47 Typical High $323.59 | Professional | None (both parts) | $79.43 | $245.47 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $1,698.24 | Facility | None | $354.81 | $562.34 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $1,202.26 | Professional | None (both parts) | $181.97 | $223.87 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $42.66 Typical High $151.36 | Professional | 26 · Professional part | $39.81 | $42.66 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $158.49 Typical High $870.96 | Professional | TC · Technical part | $141.25 | $158.49 | $870.96 |
Emblem Health Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $676.08 | Facility | None | $138.04 | $213.80 | $676.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $269.15 Typical High $389.05 | Professional | None (both parts) | $218.78 | $269.15 | $389.05 |
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 $199.53 Median $208.93 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $208.93 | $309.03 |
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 $213.80 Median $239.88 Typical High $380.19 | Professional | None (both parts) | $213.80 | $239.88 | $380.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $52.48 | $91.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $190.55 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $190.55 Median $257.04 Typical High $630.96 | Facility | None | $190.55 | $257.04 | $630.96 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $251.19 | $257.04 | $478.63 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $363.08 | Facility | None | $107.15 | $257.04 | $363.08 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $588.84 | Professional | None (both parts) | $223.87 | $223.87 | $588.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $74.13 | $93.33 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $239.88 Typical High $316.23 | Professional | TC · Technical part | $190.55 | $239.88 | $316.23 |
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 $186.21 Median $234.42 Typical High $478.63 | Professional | None (both parts) | $186.21 | $234.42 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $42.66 | $52.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $173.78 Typical High $371.54 | Professional | TC · Technical part | $141.25 | $173.78 | $371.54 |
Univera Setting Facility Modifier None Typical Low $169.82 Median $169.82 Typical High $776.25 | Facility | None | $169.82 | $169.82 | $776.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $588.84 | Facility | TC · Technical part | $102.33 | $102.33 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $213.80 Median $239.88 Typical High $331.13 | Professional | None (both parts) | $213.80 | $239.88 | $331.13 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $52.48 | $79.43 |
Univera Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $251.19 | Professional | TC · Technical part | $162.18 | $190.55 | $251.19 |
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 $117.49 Median $117.49 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $46.77 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $199.53 Typical High $239.88 | Professional | CT · Older CT scanner | $199.53 | $199.53 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $223.87 | Professional | FX · Film X-ray | $186.21 | $186.21 | $223.87 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $204.17 Median $204.17 Typical High $309.03 | Professional | GL · Free upgrade | $204.17 | $204.17 | $309.03 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $169.82 Median $239.88 Typical High $380.19 | Professional | FY · Cassette-based X-ray | $169.82 | $239.88 | $380.19 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $125.89 Median $158.49 Typical High $234.42 | Professional | 53 · Discontinued | $125.89 | $158.49 | $234.42 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $204.17 Median $218.78 Typical High $363.08 | Professional | FY · Cassette-based X-ray | $204.17 | $218.78 | $363.08 |
Where New York sits
The same service costs 4.4 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
$251
AK $776UT $178
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.