How much rates vary
Facilitymedian $309 · 10th to 90th $200 to $977Professionalmedian $263 · 10th to 90th $219 to $447
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 $288.40 Median $812.83 Typical High $1,862.09 | Facility | None | $288.40 | $812.83 | $1,862.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $371.54 | Professional | None (both parts) | $281.84 | $288.40 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $70.79 | Professional | 26 · Professional part | $57.54 | $61.66 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $223.87 Typical High $302.00 | Professional | TC · Technical part | $213.80 | $223.87 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $371.54 | Professional | None (both parts) | $223.87 | $263.03 | $371.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $57.54 | $77.62 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $331.13 Median $389.05 Typical High $537.03 | Professional | 50 · Both sides | $331.13 | $389.05 | $537.03 |
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 $83.18 Median $245.47 Typical High $331.13 | Professional | None (both parts) | $83.18 | $245.47 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $630.96 Typical High $2,187.76 | Facility | None | $371.54 | $630.96 | $2,187.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $1,318.26 | Professional | None (both parts) | $208.93 | $251.19 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $158.49 | Professional | 26 · Professional part | $41.69 | $44.67 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $186.21 Typical High $1,047.13 | Professional | TC · Technical part | $165.96 | $186.21 | $1,047.13 |
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 $239.88 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $239.88 | $245.47 | $398.11 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $54.95 | $120.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $316.23 | Professional | TC · Technical part | $181.97 | $181.97 | $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 $223.87 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $223.87 | $263.03 | $398.11 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $54.95 | $95.50 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $199.53 | $354.81 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $295.12 | Facility | TC · Technical part | $213.80 | $213.80 | $295.12 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $398.11 | Facility | None | $107.15 | $257.04 | $398.11 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $588.84 | Professional | None (both parts) | $275.42 | $275.42 | $588.84 |
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 $218.78 Median $281.84 Typical High $380.19 | Professional | TC · Technical part | $218.78 | $281.84 | $380.19 |
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 $204.17 Median $269.15 Typical High $549.54 | Professional | None (both parts) | $204.17 | $269.15 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $43.65 | $54.95 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $199.53 | $436.52 |
Univera Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $812.83 | Facility | None | $257.04 | $257.04 | $812.83 |
Univera Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $616.60 | Facility | TC · Technical part | $154.88 | $154.88 | $616.60 |
Univera Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $389.05 | Professional | None (both parts) | $223.87 | $295.12 | $389.05 |
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 $169.82 Median $223.87 Typical High $354.81 | Professional | TC · Technical part | $169.82 | $223.87 | $354.81 |
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 $141.25 Median $144.54 Typical High $173.78 | Professional | 52 · Reduced service | $141.25 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $57.54 Typical High $69.18 | Professional | 53 · Discontinued | $56.23 | $57.54 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $239.88 Median $245.47 Typical High $245.47 | Professional | CT · Older CT scanner | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | FX · Film X-ray | $229.09 | $229.09 | $229.09 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $263.03 Median $263.03 Typical High $363.08 | Professional | GL · Free upgrade | $263.03 | $263.03 | $363.08 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $181.97 Typical High $257.04 | Professional | 53 · Discontinued | $144.54 | $181.97 | $257.04 |
Where New York sits
The same service costs 5.0 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
$263
AK $891UT $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.