How much rates vary
Facilitymedian $69 · 10th to 90th $25 to $251Professionalmedian $48 · 10th to 90th $39 to $87
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 $39.81 Median $63.10 Typical High $141.25 | Facility | None | $39.81 | $63.10 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $63.10 | Professional | None (both parts) | $39.81 | $39.81 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.18 Typical High $17.78 | Professional | 26 · Professional part | $13.18 | $13.18 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $26.30 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $26.30 | $44.67 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $74.13 | Professional | None (both parts) | $38.90 | $45.71 | $74.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $20.89 | Professional | 26 · Professional part | $13.80 | $16.22 | $20.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $52.48 | Professional | TC · Technical part | $25.70 | $30.20 | $52.48 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $24.55 Median $58.88 Typical High $83.18 | Professional | None (both parts) | $24.55 | $58.88 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $275.42 | Facility | None | $104.71 | $141.25 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $48.98 Typical High $295.12 | Professional | None (both parts) | $40.74 | $48.98 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.18 Typical High $45.71 | Professional | 26 · Professional part | $12.02 | $13.18 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $33.88 Typical High $213.80 | Professional | TC · Technical part | $25.70 | $33.88 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $158.49 | Facility | None | $35.48 | $54.95 | $158.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $72.44 Typical High $104.71 | Professional | None (both parts) | $58.88 | $72.44 | $104.71 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $35.48 | Professional | 26 · Professional part | $16.98 | $19.50 | $35.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $79.43 | Professional | TC · Technical part | $50.12 | $53.70 | $79.43 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $58.88 Typical High $87.10 | Professional | None (both parts) | $31.62 | $58.88 | $87.10 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $16.22 Typical High $25.12 | Professional | 26 · Professional part | $9.12 | $16.22 | $25.12 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $63.10 | Professional | TC · Technical part | $22.39 | $41.69 | $63.10 |
MVP Health Care Setting Facility Modifier None Typical Low $44.67 Median $107.15 Typical High $257.04 | Facility | None | $44.67 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $138.04 | Professional | None (both parts) | $50.12 | $50.12 | $138.04 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.91 Typical High $28.84 | Professional | 26 · Professional part | $18.62 | $22.91 | $28.84 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $72.44 | Professional | TC · Technical part | $39.81 | $50.12 | $72.44 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $42.66 Median $52.48 Typical High $95.50 | Professional | None (both parts) | $42.66 | $52.48 | $95.50 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.49 Typical High $29.51 | Professional | 26 · Professional part | $12.88 | $15.49 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.02 Typical High $69.18 | Professional | TC · Technical part | $30.20 | $38.02 | $69.18 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $109.65 | Facility | None | $25.12 | $25.12 | $109.65 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $87.10 | Facility | TC · Technical part | $15.14 | $15.14 | $87.10 |
Univera Setting Professional Modifier None (both parts) Typical Low $31.62 Median $58.88 Typical High $79.43 | Professional | None (both parts) | $31.62 | $58.88 | $79.43 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $16.22 Typical High $22.91 | Professional | 26 · Professional part | $9.12 | $16.22 | $22.91 |
Univera Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $41.69 Typical High $57.54 | Professional | TC · Technical part | $22.39 | $41.69 | $57.54 |
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 52 · Reduced service Typical Low $19.95 Median $19.95 Typical High $30.90 | Professional | 52 · Reduced service | $19.95 | $19.95 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $12.59 | Professional | 53 · Discontinued | $7.94 | $7.94 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $50.12 | Professional | FX · Film X-ray | $31.62 | $31.62 | $50.12 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $43.65 Median $47.86 Typical High $47.86 | Professional | GL · Free upgrade | $43.65 | $47.86 | $47.86 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $37.15 Typical High $58.88 | Professional | 53 · Discontinued | $29.51 | $37.15 | $58.88 |
Where New York sits
The same service costs 5.6 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· 48th of 51
$47.86
AK $182UT $32.36
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.