How much rates vary
Facilitymedian $123 · 10th to 90th $35 to $355Professionalmedian $85 · 10th to 90th $68 to $162
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 $47.86 Median $81.28 Typical High $251.19 | Facility | None | $47.86 | $81.28 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | None (both parts) | $70.79 | $70.79 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $32.36 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | TC · Technical part | $38.02 | $38.02 | $66.07 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $131.83 | Professional | None (both parts) | $67.61 | $79.43 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $38.02 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $79.43 | Professional | TC · Technical part | $36.31 | $42.66 | $79.43 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $58.88 Median $95.50 Typical High $154.88 | Professional | None (both parts) | $58.88 | $95.50 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $229.09 Typical High $478.63 | Facility | None | $169.82 | $229.09 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $549.54 | Professional | None (both parts) | $70.79 | $89.13 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $112.20 | Professional | 26 · Professional part | $28.18 | $31.62 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $53.70 Typical High $338.84 | Professional | TC · Technical part | $39.81 | $53.70 | $338.84 |
Emblem Health Setting Facility Modifier None Typical Low $56.23 Median $87.10 Typical High $245.47 | Facility | None | $56.23 | $87.10 | $245.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $107.15 | $131.83 | $190.55 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $47.86 | $79.43 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $85.11 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $85.11 | $123.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $63.10 | $107.15 | $162.18 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $61.66 | Professional | 26 · Professional part | $22.39 | $39.81 | $61.66 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $40.74 | $66.07 | $100.00 |
MVP Health Care Setting Facility Modifier None Typical Low $67.61 Median $128.82 Typical High $257.04 | Facility | None | $67.61 | $128.82 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $141.25 | $141.25 | $263.03 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $70.79 | Professional | 26 · Professional part | $45.71 | $56.23 | $70.79 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $85.11 | $114.82 |
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 $83.18 Median $102.33 Typical High $181.97 | Professional | None (both parts) | $83.18 | $102.33 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $38.02 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $112.20 | Professional | TC · Technical part | $50.12 | $61.66 | $112.20 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $251.19 | Facility | None | $35.48 | $35.48 | $251.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $218.78 | Facility | TC · Technical part | $21.38 | $21.38 | $218.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $63.10 Median $107.15 Typical High $144.54 | Professional | None (both parts) | $63.10 | $107.15 | $144.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $39.81 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $39.81 | $56.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $66.07 Typical High $89.13 | Professional | TC · Technical part | $40.74 | $66.07 | $89.13 |
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 $35.48 Median $35.48 Typical High $53.70 | Professional | 52 · Reduced service | $35.48 | $35.48 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $21.38 | Professional | 53 · Discontinued | $14.13 | $14.13 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $85.11 | Professional | FX · Film X-ray | $56.23 | $56.23 | $85.11 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $79.43 Median $79.43 Typical High $87.10 | Professional | GL · Free upgrade | $79.43 | $79.43 | $87.10 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $69.18 Typical High $104.71 | Professional | 53 · Discontinued | $54.95 | $69.18 | $104.71 |
Where New York sits
The same service costs 4.4 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
$85.11
AK $324UT $74.13
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.