How much rates vary
Facilitymedian $229 · 10th to 90th $69 to $562Professionalmedian $209 · 10th to 90th $170 to $339
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 $204.17 Median $229.09 Typical High $977.24 | Facility | None | $204.17 | $229.09 | $977.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $151.36 | Facility | 26 · Professional part | $87.10 | $102.33 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $128.82 Typical High $316.23 | Facility | TC · Technical part | $117.49 | $128.82 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $204.17 Typical High $363.08 | Professional | None (both parts) | $194.98 | $204.17 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $89.13 Typical High $128.82 | Professional | 26 · Professional part | $81.28 | $89.13 | $128.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $181.97 | Professional | TC · Technical part | $117.49 | $117.49 | $181.97 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $151.36 | $173.78 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $288.40 | Professional | None (both parts) | $181.97 | $213.80 | $288.40 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $107.15 | Professional | 26 · Professional part | $75.86 | $89.13 | $107.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $107.15 | $125.89 | $177.83 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $275.42 | Professional | None (both parts) | $120.23 | $158.49 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $331.13 Typical High $436.52 | Facility | None | $295.12 | $331.13 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $891.25 | Professional | None (both parts) | $147.91 | $177.83 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $229.09 | Professional | 26 · Professional part | $60.26 | $64.57 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $501.19 | Professional | TC · Technical part | $85.11 | $102.33 | $501.19 |
Emblem Health Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $363.08 | Facility | None | $83.18 | $125.89 | $363.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $218.78 Typical High $309.03 | Professional | None (both parts) | $177.83 | $218.78 | $309.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $93.33 | $154.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $123.03 Typical High $181.97 | Professional | TC · Technical part | $117.49 | $123.03 | $181.97 |
Excellus BCBS Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | TC · Technical part | $41.69 | $41.69 | $41.69 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $309.03 | Professional | None (both parts) | $165.96 | $177.83 | $309.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $63.10 | $77.62 | $138.04 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $169.82 | Professional | TC · Technical part | $95.50 | $102.33 | $169.82 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $60.26 | $87.10 | $120.23 |
Highmark BCBS Setting Facility Modifier None Typical Low $125.89 Median $316.23 Typical High $3,311.31 | Facility | None | $125.89 | $316.23 | $3,311.31 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $323.59 Typical High $1,412.54 | Facility | TC · Technical part | $138.04 | $323.59 | $1,412.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $223.87 Typical High $416.87 | Professional | None (both parts) | $173.78 | $223.87 | $416.87 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $204.17 | Professional | 26 · Professional part | $77.62 | $100.00 | $204.17 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $190.55 Typical High $257.04 | Facility | None | $107.15 | $190.55 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $489.78 | Professional | None (both parts) | $281.84 | $338.84 | $489.78 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $112.20 | $141.25 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $144.54 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $144.54 | $199.53 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $389.05 | Professional | None (both parts) | $147.91 | $190.55 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $85.11 | $107.15 | $229.09 |
Univera Setting Facility Modifier None Typical Low $69.18 Median $69.18 Typical High $426.58 | Facility | None | $69.18 | $69.18 | $426.58 |
Univera Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $41.69 Typical High $257.04 | Facility | TC · Technical part | $41.69 | $41.69 | $257.04 |
Univera Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $165.96 | $177.83 | $269.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $77.62 Typical High $125.89 | Professional | 26 · Professional part | $63.10 | $77.62 | $125.89 |
Univera Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $102.33 Typical High $147.91 | Professional | TC · Technical part | $95.50 | $102.33 | $147.91 |
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 $173.78 Median $173.78 Typical High $194.98 | Professional | CT · Older CT scanner | $173.78 | $173.78 | $194.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $186.21 | Professional | FX · Film X-ray | $165.96 | $165.96 | $186.21 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $186.21 Median $186.21 Typical High $275.42 | Professional | GL · Free upgrade | $186.21 | $186.21 | $275.42 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $141.25 Median $199.53 Typical High $309.03 | Professional | FY · Cassette-based X-ray | $141.25 | $199.53 | $309.03 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $141.25 Median $169.82 Typical High $295.12 | Professional | FY · Cassette-based X-ray | $141.25 | $169.82 | $295.12 |
Where New York sits
The same service costs 18.2 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· 45th of 51
$209
VT $1,995UT $110
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.