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 $346.74 Median $371.54 Typical High $1,230.27 | Facility | None | $346.74 | $371.54 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $309.03 | Facility | 26 · Professional part | $117.49 | $138.04 | $309.03 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $562.34 | Facility | TC · Technical part | $213.80 | $245.47 | $562.34 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $363.08 Typical High $562.34 | Professional | None (both parts) | $338.84 | $363.08 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $117.49 Typical High $177.83 | Professional | 26 · Professional part | $112.20 | $117.49 | $177.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $354.81 | Professional | TC · Technical part | $213.80 | $245.47 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $239.88 Typical High $269.15 | Professional | None (both parts) | $218.78 | $239.88 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $446.68 | Professional | None (both parts) | $275.42 | $323.59 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $102.33 | $120.23 | $144.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $173.78 | $204.17 | $281.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $165.96 Median $245.47 Typical High $407.38 | Professional | None (both parts) | $165.96 | $245.47 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $2,818.38 | Facility | None | $524.81 | $812.83 | $2,818.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $1,584.89 | Professional | None (both parts) | $269.15 | $323.59 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $85.11 Typical High $309.03 | Professional | 26 · Professional part | $81.28 | $85.11 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $239.88 Typical High $1,047.13 | Professional | TC · Technical part | $181.97 | $239.88 | $1,047.13 |
Emblem Health Setting Facility Modifier None Typical Low $173.78 Median $263.03 Typical High $758.58 | Facility | None | $173.78 | $263.03 | $758.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $549.54 | Professional | None (both parts) | $338.84 | $389.05 | $549.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $346.74 | Professional | 26 · Professional part | $112.20 | $128.82 | $346.74 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $257.04 Typical High $380.19 | Professional | TC · Technical part | $251.19 | $257.04 | $380.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $128.82 | Facility | None | $128.82 | $128.82 | $128.82 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | TC · Technical part | $75.86 | $75.86 | $75.86 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $537.03 | Professional | None (both parts) | $302.00 | $363.08 | $537.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $97.72 | $120.23 | $190.55 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $354.81 | Professional | TC · Technical part | $199.53 | $239.88 | $354.81 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $109.65 Typical High $165.96 | Professional | 26 · Professional part | $107.15 | $109.65 | $165.96 |
Highmark BCBS Setting Facility Modifier None Typical Low $363.08 Median $524.81 Typical High $1,096.48 | Facility | None | $363.08 | $524.81 | $1,096.48 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $691.83 | Professional | None (both parts) | $338.84 | $398.11 | $691.83 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $436.52 | Facility | None | $107.15 | $257.04 | $436.52 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $389.05 | $389.05 | $724.44 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $123.03 Median $151.36 Typical High $190.55 | Professional | 26 · Professional part | $123.03 | $151.36 | $190.55 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $316.23 Typical High $426.58 | Professional | TC · Technical part | $245.47 | $316.23 | $426.58 |
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 $269.15 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $269.15 | $346.74 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $213.80 | Professional | 26 · Professional part | $87.10 | $107.15 | $213.80 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $537.03 | Professional | TC · Technical part | $177.83 | $223.87 | $537.03 |
Univera Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $851.14 | Facility | None | $128.82 | $128.82 | $851.14 |
Univera Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $562.34 | Facility | TC · Technical part | $75.86 | $75.86 | $562.34 |
Univera Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $467.74 | Professional | None (both parts) | $302.00 | $363.08 | $467.74 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $165.96 | Professional | 26 · Professional part | $97.72 | $120.23 | $165.96 |
Univera Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $309.03 | Professional | TC · Technical part | $199.53 | $239.88 | $309.03 |
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 CT · Older CT scanner Typical Low $295.12 Median $309.03 Typical High $309.03 | Professional | CT · Older CT scanner | $295.12 | $309.03 | $309.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $288.40 Typical High $288.40 | Professional | FX · Film X-ray | $281.84 | $288.40 | $288.40 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $363.08 Median $2,344.23 Typical High $2,344.23 | Professional | GL · Free upgrade | $363.08 | $2,344.23 | $2,344.23 |
Excellus BCBS Setting Professional Modifier FY · Cassette-based X-ray Typical Low $245.47 Median $346.74 Typical High $537.03 | Professional | FY · Cassette-based X-ray | $245.47 | $346.74 | $537.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $234.42 Typical High $331.13 | Professional | 53 · Discontinued | $190.55 | $234.42 | $331.13 |
Univera Setting Professional Modifier FY · Cassette-based X-ray Typical Low $288.40 Median $338.84 Typical High $512.86 | Professional | FY · Cassette-based X-ray | $288.40 | $338.84 | $512.86 |
Where New York sits
The same service costs 5.1 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· 45th of 51
$331
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.