How much rates vary
Facilitymedian $174 · 10th to 90th $112 to $646Professionalmedian $145 · 10th to 90th $117 to $263
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 $154.88 Median $173.78 Typical High $1,174.90 | Facility | None | $154.88 | $173.78 | $1,174.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $158.49 | Facility | 26 · Professional part | $58.88 | $69.18 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $93.33 Median $102.33 Typical High $245.47 | Facility | TC · Technical part | $93.33 | $102.33 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $154.88 | $154.88 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $60.26 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $93.33 | $186.21 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $112.20 | Professional | None (both parts) | $81.28 | $97.72 | $112.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $229.09 | Professional | None (both parts) | $120.23 | $141.25 | $229.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $47.86 | $56.23 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $85.11 | $141.25 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $81.28 | $125.89 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $912.01 | Facility | None | $218.78 | $302.00 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $831.76 | Professional | None (both parts) | $112.20 | $138.04 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $158.49 | Professional | 26 · Professional part | $40.74 | $43.65 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $537.03 | Professional | TC · Technical part | $67.61 | $83.18 | $537.03 |
Emblem Health Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $323.59 | Facility | None | $64.57 | $100.00 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $151.36 | $162.18 | $229.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $117.49 | Professional | 26 · Professional part | $53.70 | $64.57 | $117.49 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $97.72 Typical High $144.54 | Professional | TC · Technical part | $95.50 | $97.72 | $144.54 |
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 $128.82 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $128.82 | $158.49 | $229.09 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $38.90 | $53.70 | $93.33 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $100.00 | $162.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $112.20 Median $218.78 Typical High $524.81 | Facility | None | $112.20 | $218.78 | $524.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $165.96 | $165.96 | $316.23 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $158.49 Typical High $257.04 | Facility | None | $107.15 | $158.49 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $213.80 Median $223.87 Typical High $363.08 | Professional | None (both parts) | $213.80 | $223.87 | $363.08 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $97.72 | Professional | 26 · Professional part | $63.10 | $77.62 | $97.72 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $154.88 | Professional | TC · Technical part | $91.20 | $114.82 | $154.88 |
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 $112.20 Median $141.25 Typical High $309.03 | Professional | None (both parts) | $112.20 | $141.25 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $53.70 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $199.53 | Professional | TC · Technical part | $67.61 | $85.11 | $199.53 |
Univera Setting Facility Modifier None Typical Low $141.25 Median $141.25 Typical High $467.74 | Facility | None | $141.25 | $141.25 | $467.74 |
Univera Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $275.42 | Facility | TC · Technical part | $85.11 | $85.11 | $275.42 |
Univera Setting Professional Modifier None (both parts) Typical Low $128.82 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $128.82 | $158.49 | $204.17 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $53.70 | $81.28 |
Univera Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $162.18 | Professional | TC · Technical part | $75.86 | $100.00 | $162.18 |
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 $77.62 Median $77.62 Typical High $109.65 | Professional | 52 · Reduced service | $77.62 | $77.62 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $43.65 | Professional | 53 · Discontinued | $30.90 | $30.90 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | CT · Older CT scanner | $131.83 | $131.83 | $147.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | FX · Film X-ray | $123.03 | $123.03 | $138.04 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $134.90 Median $134.90 Typical High $263.03 | Professional | GL · Free upgrade | $134.90 | $134.90 | $263.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $97.72 Typical High $141.25 | Professional | 53 · Discontinued | $77.62 | $97.72 | $141.25 |
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· 46th of 51
$145
AK $537UT $100
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.