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 $323.59 Median $457.09 Typical High $1,258.93 | Facility | None | $323.59 | $457.09 | $1,258.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $245.47 | Facility | 26 · Professional part | $95.50 | $109.65 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $512.86 | Facility | TC · Technical part | $213.80 | $245.47 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $323.59 | $338.84 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $87.10 | $95.50 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $245.47 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $204.17 | Professional | 26 · Professional part | $50.12 | $50.12 | $204.17 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $426.58 | Professional | None (both parts) | $275.42 | $323.59 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $75.86 | $89.13 | $120.23 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $407.38 Median $489.78 Typical High $630.96 | Professional | 50 · Both sides | $407.38 | $489.78 | $630.96 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $288.40 | Professional | TC · Technical part | $199.53 | $234.42 | $288.40 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $128.82 | $245.47 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $758.58 Typical High $2,630.27 | Facility | None | $467.74 | $758.58 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $295.12 Typical High $1,698.24 | Professional | None (both parts) | $263.03 | $295.12 | $1,698.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $245.47 | Professional | 26 · Professional part | $64.57 | $69.18 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $218.78 Typical High $1,288.25 | Professional | TC · Technical part | $194.98 | $218.78 | $1,288.25 |
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 $295.12 Median $316.23 Typical High $457.09 | Professional | None (both parts) | $295.12 | $316.23 | $457.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $85.11 | $102.33 | $181.97 |
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 $63.10 Median $85.11 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $85.11 | $151.36 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $223.87 | $371.54 |
Highmark BCBS Setting Facility Modifier None Typical Low $234.42 Median $239.88 Typical High $676.08 | Facility | None | $234.42 | $239.88 | $676.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $363.08 | Professional | None (both parts) | $309.03 | $309.03 | $363.08 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $489.78 | Facility | None | $107.15 | $257.04 | $489.78 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $676.08 | Professional | None (both parts) | $275.42 | $275.42 | $676.08 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $97.72 | $120.23 | $151.36 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $338.84 Typical High $457.09 | Professional | TC · Technical part | $263.03 | $338.84 | $457.09 |
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 $263.03 Median $338.84 Typical High $707.95 | Professional | None (both parts) | $263.03 | $338.84 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $245.47 Typical High $524.81 | Professional | TC · Technical part | $194.98 | $245.47 | $524.81 |
Univera Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $912.01 | Facility | None | $257.04 | $257.04 | $912.01 |
Univera Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $676.08 | Facility | TC · Technical part | $154.88 | $154.88 | $676.08 |
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 $63.10 Median $85.11 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $85.11 | $128.82 |
Univera Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $371.54 | Professional | TC · Technical part | $169.82 | $223.87 | $371.54 |
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 $162.18 Median $169.82 Typical High $194.98 | Professional | 52 · Reduced service | $162.18 | $169.82 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $67.61 Typical High $77.62 | Professional | 53 · Discontinued | $64.57 | $67.61 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $275.42 Median $288.40 Typical High $288.40 | Professional | CT · Older CT scanner | $275.42 | $288.40 | $288.40 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $275.42 Typical High $275.42 | Professional | FX · Film X-ray | $257.04 | $275.42 | $275.42 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $323.59 Median $323.59 Typical High $446.68 | Professional | GL · Free upgrade | $323.59 | $323.59 | $446.68 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $234.42 Typical High $331.13 | Professional | 53 · Discontinued | $186.21 | $234.42 | $331.13 |
Where New York sits
The same service costs 6.2 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· 45th of 51
$324
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.