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 $42.66 Median $123.03 Typical High $1,202.26 | Facility | None | $42.66 | $123.03 | $1,202.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $77.62 | Facility | 26 · Professional part | $28.84 | $33.88 | $77.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $91.20 Typical High $218.78 | Facility | TC · Technical part | $13.49 | $91.20 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $169.82 | Professional | None (both parts) | $42.66 | $42.66 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $28.84 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $120.23 | Professional | TC · Technical part | $13.49 | $13.49 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $81.28 | Professional | None (both parts) | $70.79 | $70.79 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $131.83 | Professional | None (both parts) | $93.33 | $114.82 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $35.48 | Professional | 26 · Professional part | $25.70 | $30.20 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $72.44 | $85.11 | $97.72 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $40.74 Median $107.15 Typical High $147.91 | Professional | None (both parts) | $40.74 | $107.15 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $251.19 Typical High $2,818.38 | Facility | None | $158.49 | $251.19 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $478.63 | Professional | None (both parts) | $75.86 | $87.10 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.38 Typical High $74.13 | Professional | 26 · Professional part | $19.95 | $21.38 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $354.81 | Professional | TC · Technical part | $54.95 | $61.66 | $354.81 |
Emblem Health Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $257.04 | Facility | None | $58.88 | $89.13 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $102.33 | $102.33 | $169.82 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $26.30 | $26.30 | $48.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $128.82 | Professional | TC · Technical part | $74.13 | $74.13 | $128.82 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $81.28 | $112.20 | $177.83 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $21.88 | $30.90 | $47.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $128.82 | Professional | TC · Technical part | $58.88 | $81.28 | $128.82 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $38.90 | $40.74 | $40.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $134.90 | Facility | None | $67.61 | $95.50 | $134.90 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $104.71 | $114.82 | $138.04 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $257.04 | Facility | None | $107.15 | $151.36 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $257.04 | Professional | None (both parts) | $72.44 | $72.44 | $257.04 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $37.15 Typical High $46.77 | Professional | 26 · Professional part | $30.20 | $37.15 | $46.77 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $97.72 | $131.83 |
United Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $251.19 | Facility | None | $173.78 | $204.17 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $81.28 | $95.50 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $53.70 | Professional | 26 · Professional part | $20.89 | $26.30 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $151.36 | Professional | TC · Technical part | $58.88 | $70.79 | $151.36 |
Univera Setting Facility Modifier None Typical Low $112.20 Median $114.82 Typical High $186.21 | Facility | None | $112.20 | $114.82 | $186.21 |
Univera Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $169.82 | Professional | None (both parts) | $81.28 | $95.50 | $169.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $45.71 | Professional | 26 · Professional part | $21.88 | $26.30 | $45.71 |
Univera Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $58.88 | $69.18 | $123.03 |
4 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 $36.31 Median $36.31 Typical High $104.71 | Professional | CT · Older CT scanner | $36.31 | $36.31 | $104.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $33.88 Typical High $100.00 | Professional | FX · Film X-ray | $33.88 | $33.88 | $100.00 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $75.86 Median $107.15 Typical High $165.96 | Professional | FY · Cassette-based X-ray | $75.86 | $107.15 | $165.96 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $75.86 Median $91.20 Typical High $158.49 | Professional | FY · Cassette-based X-ray | $75.86 | $91.20 | $158.49 |
Where New York sits
The same service costs 4.2 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· 36th of 51
$112
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.