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 $398.11 Median $478.63 Typical High $1,202.26 | Facility | None | $398.11 | $478.63 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $245.47 | Facility | 26 · Professional part | $109.65 | $125.89 | $245.47 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $354.81 Typical High $851.14 | Facility | TC · Technical part | $288.40 | $354.81 | $851.14 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $398.11 | $398.11 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $109.65 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $109.65 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $489.78 | Professional | TC · Technical part | $288.40 | $288.40 | $489.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $269.15 | $269.15 | $309.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $602.56 | Professional | None (both parts) | $389.05 | $457.09 | $602.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $151.36 | Professional | 26 · Professional part | $95.50 | $112.20 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $426.58 | Professional | TC · Technical part | $295.12 | $346.74 | $426.58 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $151.36 Median $426.58 Typical High $575.44 | Professional | None (both parts) | $151.36 | $426.58 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $912.01 Typical High $1,202.26 | Facility | None | $602.56 | $912.01 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $426.58 Typical High $1,819.70 | Professional | None (both parts) | $295.12 | $426.58 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $288.40 | Professional | 26 · Professional part | $74.13 | $81.28 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $346.74 Typical High $1,412.54 | Professional | TC · Technical part | $208.93 | $346.74 | $1,412.54 |
Emblem Health Setting Facility Modifier None Typical Low $223.87 Median $338.84 Typical High $977.24 | Facility | None | $223.87 | $338.84 | $977.24 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $457.09 Typical High $645.65 | Professional | None (both parts) | $363.08 | $457.09 | $645.65 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $97.72 | $117.49 | $208.93 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $331.13 Typical High $489.78 | Professional | TC · Technical part | $316.23 | $331.13 | $489.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $177.83 | Facility | None | $177.83 | $177.83 | $177.83 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $107.15 | Facility | TC · Technical part | $107.15 | $107.15 | $107.15 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $354.81 | $416.87 | $630.96 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $75.86 | $97.72 | $173.78 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $257.04 | $309.03 | $457.09 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $100.00 | $100.00 | $100.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $323.59 Median $602.56 Typical High $954.99 | Facility | None | $323.59 | $602.56 | $954.99 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $707.95 Typical High $1,380.38 | Facility | TC · Technical part | $380.19 | $707.95 | $1,380.38 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $446.68 Typical High $954.99 | Professional | None (both parts) | $354.81 | $446.68 | $954.99 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $123.03 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $123.03 | $223.87 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $575.44 | Facility | None | $107.15 | $257.04 | $575.44 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $1,000.00 | Professional | None (both parts) | $524.81 | $524.81 | $1,000.00 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $141.25 Typical High $177.83 | Professional | 26 · Professional part | $114.82 | $141.25 | $177.83 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $380.19 Typical High $562.34 | Professional | TC · Technical part | $309.03 | $380.19 | $562.34 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $389.05 Typical High $812.83 | Professional | None (both parts) | $309.03 | $389.05 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $204.17 | Professional | 26 · Professional part | $79.43 | $100.00 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $602.56 | Professional | TC · Technical part | $229.09 | $281.84 | $602.56 |
Univera Setting Facility Modifier None Typical Low $177.83 Median $177.83 Typical High $933.25 | Facility | None | $177.83 | $177.83 | $933.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $758.58 | Facility | TC · Technical part | $107.15 | $107.15 | $758.58 |
Univera Setting Professional Modifier None (both parts) Typical Low $354.81 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $354.81 | $416.87 | $549.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $97.72 Typical High $151.36 | Professional | 26 · Professional part | $75.86 | $97.72 | $151.36 |
Univera Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $257.04 | $309.03 | $398.11 |
5 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 CT · Older CT scanner Typical Low $338.84 Median $338.84 Typical High $407.38 | Professional | CT · Older CT scanner | $338.84 | $338.84 | $407.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $389.05 | Professional | FX · Film X-ray | $323.59 | $323.59 | $389.05 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $346.74 Median $478.63 Typical High $588.84 | Professional | GL · Free upgrade | $346.74 | $478.63 | $588.84 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $288.40 Median $398.11 Typical High $630.96 | Professional | FY · Cassette-based X-ray | $288.40 | $398.11 | $630.96 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $338.84 Median $363.08 Typical High $602.56 | Professional | FY · Cassette-based X-ray | $338.84 | $363.08 | $602.56 |
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· 43rd of 51
$447
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.