How much rates vary
Facilitymedian $234 · 10th to 90th $155 to $708Professionalmedian $195 · 10th to 90th $158 to $331
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 $208.93 Median $234.42 Typical High $1,258.93 | Facility | None | $208.93 | $234.42 | $1,258.93 |
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 $144.54 Median $162.18 Typical High $371.54 | Facility | TC · Technical part | $144.54 | $162.18 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $234.42 Typical High $338.84 | Professional | None (both parts) | $208.93 | $234.42 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $58.88 | $85.11 |
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 None (both parts) Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None (both parts) | $67.61 | $67.61 | $67.61 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $165.96 | $194.98 | $281.84 |
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 50 · Both sides Typical Low $251.19 Median $295.12 Typical High $426.58 | Professional | 50 · Both sides | $251.19 | $295.12 | $426.58 |
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 $79.43 Median $173.78 Typical High $251.19 | Professional | None (both parts) | $79.43 | $173.78 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $416.87 Typical High $1,698.24 | Facility | None | $275.42 | $416.87 | $1,698.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $186.21 Typical High $891.25 | Professional | None (both parts) | $138.04 | $186.21 | $891.25 |
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 $95.50 Median $141.25 Typical High $691.83 | Professional | TC · Technical part | $95.50 | $141.25 | $691.83 |
Emblem Health Setting Facility Modifier None Typical Low $89.13 Median $138.04 Typical High $446.68 | Facility | None | $89.13 | $138.04 | $446.68 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $281.84 | Professional | None (both parts) | $186.21 | $199.53 | $281.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $63.10 | $112.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $131.83 | $134.90 | $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 $158.49 Median $194.98 Typical High $281.84 | Professional | None (both parts) | $158.49 | $194.98 | $281.84 |
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 $104.71 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $138.04 | $208.93 |
Highmark BCBS Setting Facility Modifier None Typical Low $190.55 Median $363.08 Typical High $630.96 | Facility | None | $190.55 | $363.08 | $630.96 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
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 $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 $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 $134.90 Median $186.21 Typical High $380.19 | Professional | None (both parts) | $134.90 | $186.21 | $380.19 |
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 $93.33 Median $125.89 Typical High $275.42 | Professional | TC · Technical part | $93.33 | $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 $158.49 Median $194.98 Typical High $245.47 | Professional | None (both parts) | $158.49 | $194.98 | $245.47 |
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 $104.71 Median $138.04 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $138.04 | $208.93 |
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 $104.71 Median $117.49 Typical High $141.25 | Professional | 52 · Reduced service | $104.71 | $117.49 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $46.77 Typical High $56.23 | Professional | 53 · Discontinued | $41.69 | $46.77 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $199.53 Typical High $199.53 | Professional | CT · Older CT scanner | $177.83 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $169.82 | $186.21 | $186.21 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $204.17 Median $204.17 Typical High $295.12 | Professional | GL · Free upgrade | $204.17 | $204.17 | $295.12 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $125.89 Typical High $173.78 | Professional | 53 · Discontinued | $102.33 | $125.89 | $173.78 |
Where New York sits
The same service costs 5.4 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
$195
AK $676UT $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.