How much rates vary
Facilitymedian $166 · 10th to 90th $112 to $589Professionalmedian $155 · 10th to 90th $123 to $257
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 $158.49 Median $165.96 Typical High $1,096.48 | Facility | None | $158.49 | $165.96 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $58.88 Typical High $109.65 | Facility | 26 · Professional part | $50.12 | $58.88 | $109.65 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $251.19 | Facility | TC · Technical part | $104.71 | $112.20 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $165.96 Typical High $263.03 | Professional | None (both parts) | $162.18 | $165.96 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $50.12 Typical High $74.13 | Professional | 26 · Professional part | $47.86 | $50.12 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $117.49 Typical High $199.53 | Professional | TC · Technical part | $104.71 | $117.49 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $93.33 Typical High $107.15 | Professional | None (both parts) | $51.29 | $93.33 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $218.78 | Professional | None (both parts) | $128.82 | $151.36 | $218.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $64.57 | Professional | 26 · Professional part | $43.65 | $51.29 | $64.57 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $194.98 Median $229.09 Typical High $323.59 | Professional | 50 · Both sides | $194.98 | $229.09 | $323.59 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $128.82 | Professional | TC · Technical part | $85.11 | $100.00 | $128.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $69.18 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $69.18 | $128.82 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $302.00 Typical High $1,318.26 | Facility | None | $208.93 | $302.00 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $724.44 | Professional | None (both parts) | $107.15 | $147.91 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $131.83 | Professional | 26 · Professional part | $34.67 | $36.31 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $112.20 Typical High $512.86 | Professional | TC · Technical part | $70.79 | $112.20 | $512.86 |
Emblem Health Setting Facility Modifier None Typical Low $67.61 Median $102.33 Typical High $331.13 | Facility | None | $67.61 | $102.33 | $331.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $144.54 | $154.88 | $218.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $100.00 | Professional | 26 · Professional part | $45.71 | $54.95 | $100.00 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $100.00 | $147.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | TC · Technical part | $85.11 | $85.11 | $85.11 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $123.03 | $162.18 | $251.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $33.88 | $45.71 | $79.43 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $102.33 | $213.80 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | 26 · Professional part | $70.79 | $70.79 | $70.79 |
Highmark BCBS Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $478.63 | Facility | None | $107.15 | $194.98 | $478.63 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $208.93 Typical High $676.08 | Facility | TC · Technical part | $114.82 | $208.93 | $676.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $371.54 | Professional | None (both parts) | $123.03 | $162.18 | $371.54 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $44.67 | $57.54 | $102.33 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $162.18 Typical High $257.04 | Facility | None | $107.15 | $162.18 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $380.19 | Professional | None (both parts) | $213.80 | $223.87 | $380.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $64.57 Typical High $81.28 | Professional | 26 · Professional part | $52.48 | $64.57 | $81.28 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $134.90 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $134.90 | $173.78 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $309.03 | Professional | None (both parts) | $107.15 | $147.91 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $93.33 | Professional | 26 · Professional part | $36.31 | $45.71 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $97.72 Typical High $213.80 | Professional | TC · Technical part | $69.18 | $97.72 | $213.80 |
Univera Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $446.68 | Facility | None | $141.25 | $141.25 | $446.68 |
Univera Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $309.03 | Facility | TC · Technical part | $85.11 | $85.11 | $309.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $251.19 | Professional | None (both parts) | $123.03 | $162.18 | $251.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $45.71 | $67.61 |
Univera Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $102.33 Typical High $213.80 | Professional | TC · Technical part | $77.62 | $102.33 | $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 $81.28 Median $83.18 Typical High $107.15 | Professional | 52 · Reduced service | $81.28 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $33.88 Typical High $42.66 | Professional | 53 · Discontinued | $32.36 | $33.88 | $42.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | CT · Older CT scanner | $138.04 | $141.25 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $134.90 Typical High $134.90 | Professional | FX · Film X-ray | $131.83 | $134.90 | $134.90 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $165.96 Median $165.96 Typical High $263.03 | Professional | GL · Free upgrade | $165.96 | $165.96 | $263.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $102.33 Typical High $134.90 | Professional | 53 · Discontinued | $81.28 | $102.33 | $134.90 |
Where New York sits
The same service costs 5.8 times more in Vermont 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· 46th of 51
$155
VT $603UT $105
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.