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 $389.05 Typical High $1,096.48 | Facility | None | $323.59 | $389.05 | $1,096.48 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $158.49 | Facility | 26 · Professional part | $91.20 | $107.15 | $158.49 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $676.08 | Facility | TC · Technical part | $229.09 | $281.84 | $676.08 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $309.03 | $323.59 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $85.11 | $91.20 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $380.19 | Professional | TC · Technical part | $229.09 | $229.09 | $380.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $245.47 Typical High $446.68 | Professional | None (both parts) | $223.87 | $245.47 | $446.68 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $478.63 | Professional | None (both parts) | $309.03 | $371.54 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $112.20 | Professional | 26 · Professional part | $79.43 | $93.33 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $338.84 | Professional | TC · Technical part | $234.42 | $275.42 | $338.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $125.89 Median $338.84 Typical High $467.74 | Professional | None (both parts) | $125.89 | $338.84 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $724.44 Typical High $954.99 | Facility | None | $478.63 | $724.44 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $263.03 Typical High $1,445.44 | Professional | None (both parts) | $234.42 | $263.03 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $239.88 | Professional | 26 · Professional part | $63.10 | $67.61 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $1,047.13 | Professional | TC · Technical part | $165.96 | $190.55 | $1,047.13 |
Emblem Health Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $758.58 | Facility | None | $173.78 | $269.15 | $758.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $363.08 Typical High $512.86 | Professional | None (both parts) | $295.12 | $363.08 | $512.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $173.78 | Professional | 26 · Professional part | $85.11 | $97.72 | $173.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $263.03 Typical High $380.19 | Professional | TC · Technical part | $245.47 | $263.03 | $380.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | TC · Technical part | $66.07 | $66.07 | $66.07 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $263.03 | $288.40 | $501.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $66.07 | $81.28 | $144.54 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $194.98 | $204.17 | $363.08 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $97.72 Typical High $131.83 | Professional | 26 · Professional part | $74.13 | $97.72 | $131.83 |
Highmark BCBS Setting Facility Modifier None Typical Low $371.54 Median $602.56 Typical High $4,168.69 | Facility | None | $371.54 | $602.56 | $4,168.69 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $602.56 Typical High $2,398.83 | Facility | TC · Technical part | $281.84 | $602.56 | $2,398.83 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $363.08 Typical High $630.96 | Professional | None (both parts) | $281.84 | $363.08 | $630.96 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $109.65 Typical High $208.93 | Professional | 26 · Professional part | $81.28 | $109.65 | $208.93 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $457.09 | Facility | None | $107.15 | $257.04 | $457.09 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $794.33 | Professional | None (both parts) | $338.84 | $338.84 | $794.33 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $117.49 Typical High $147.91 | Professional | 26 · Professional part | $95.50 | $117.49 | $147.91 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $407.38 | Professional | TC · Technical part | $245.47 | $302.00 | $407.38 |
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 $245.47 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $245.47 | $316.23 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $83.18 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $467.74 | Professional | TC · Technical part | $177.83 | $218.78 | $467.74 |
Univera Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $660.69 | Facility | None | $109.65 | $109.65 | $660.69 |
Univera Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $489.78 | Facility | TC · Technical part | $66.07 | $66.07 | $489.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $263.03 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $263.03 | $288.40 | $436.52 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $131.83 | Professional | 26 · Professional part | $66.07 | $81.28 | $131.83 |
Univera Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $204.17 Typical High $309.03 | Professional | TC · Technical part | $194.98 | $204.17 | $309.03 |
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 $275.42 Median $275.42 Typical High $331.13 | Professional | CT · Older CT scanner | $275.42 | $275.42 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $257.04 Typical High $316.23 | Professional | FX · Film X-ray | $257.04 | $257.04 | $316.23 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $281.84 Median $281.84 Typical High $371.54 | Professional | GL · Free upgrade | $281.84 | $281.84 | $371.54 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $229.09 Median $323.59 Typical High $501.19 | Professional | FY · Cassette-based X-ray | $229.09 | $323.59 | $501.19 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $229.09 Median $295.12 Typical High $478.63 | Professional | FY · Cassette-based X-ray | $229.09 | $295.12 | $478.63 |
Where New York sits
The same service costs 15.8 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· 40th of 51
$347
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.