How much rates vary
Facilitymedian $68 · 10th to 90th $20 to $324Professionalmedian $209 · 10th to 90th $46 to $302
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 $44.67 Median $234.42 Typical High $275.42 | Facility | None | $44.67 | $234.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $234.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $14.45 | Professional | 26 · Professional part | $11.48 | $11.48 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $275.42 | Professional | TC · Technical part | $229.09 | $275.42 | $275.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $186.21 | $218.78 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $19.50 | Professional | 26 · Professional part | $11.75 | $13.80 | $19.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $331.13 | Professional | TC · Technical part | $173.78 | $204.17 | $331.13 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $20.42 Median $316.23 Typical High $338.84 | Professional | None (both parts) | $20.42 | $316.23 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $128.82 Typical High $338.84 | Facility | None | $87.10 | $128.82 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $131.83 | Professional | None (both parts) | $37.15 | $42.66 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $38.90 | Professional | 26 · Professional part | $9.77 | $11.48 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $97.72 | Professional | TC · Technical part | $26.92 | $30.90 | $97.72 |
Emblem Health Setting Facility Modifier None Typical Low $33.88 Median $52.48 Typical High $165.96 | Facility | None | $33.88 | $52.48 | $165.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $53.70 | $66.07 | $117.49 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $30.20 | Professional | 26 · Professional part | $14.13 | $16.60 | $30.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $50.12 | $50.12 | $91.20 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | TC · Technical part | $12.02 | $12.02 | $12.02 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $83.18 | Professional | None (both parts) | $44.67 | $53.70 | $83.18 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.80 Typical High $20.89 | Professional | 26 · Professional part | $11.48 | $13.80 | $20.89 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $39.81 Typical High $61.66 | Professional | TC · Technical part | $33.11 | $39.81 | $61.66 |
MVP Health Care Setting Facility Modifier None Typical Low $26.30 Median $154.88 Typical High $257.04 | Facility | None | $26.30 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $602.56 | Professional | None (both parts) | $54.95 | $54.95 | $602.56 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $19.05 Typical High $24.55 | Professional | 26 · Professional part | $15.85 | $19.05 | $24.55 |
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 $41.69 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $41.69 | $208.93 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $12.88 Typical High $25.12 | Professional | 26 · Professional part | $10.72 | $12.88 | $25.12 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $29.51 | $199.53 | $389.05 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $144.54 | Facility | None | $20.42 | $20.42 | $144.54 |
Univera Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $123.03 | Facility | TC · Technical part | $12.02 | $12.02 | $123.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $42.66 Median $53.70 Typical High $75.86 | Professional | None (both parts) | $42.66 | $53.70 | $75.86 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.80 Typical High $19.05 | Professional | 26 · Professional part | $11.48 | $13.80 | $19.05 |
Univera Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $60.26 | Professional | TC · Technical part | $30.20 | $39.81 | $60.26 |
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 52 · Reduced service Typical Low $117.49 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $46.77 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $186.21 | $223.87 | $223.87 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $51.29 Median $51.29 Typical High $53.70 | Professional | GL · Free upgrade | $51.29 | $51.29 | $53.70 |
Where New York sits
The same service costs 6.6 times more in Colorado than in Michigan. 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· 15th of 51
$209
CO $316MI $47.86
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.