How much rates vary
Facilitymedian $42 · 10th to 90th $15 to $155Professionalmedian $30 · 10th to 90th $25 to $56
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 $24.55 Median $30.90 Typical High $87.10 | Facility | None | $24.55 | $30.90 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $38.02 | Professional | None (both parts) | $28.18 | $28.18 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $8.32 | Professional | 26 · Professional part | $6.92 | $6.92 | $8.32 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $30.20 | Professional | TC · Technical part | $20.89 | $20.89 | $30.20 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $24.55 Median $28.84 Typical High $48.98 | Professional | None (both parts) | $24.55 | $28.84 | $48.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $12.30 | Professional | 26 · Professional part | $6.46 | $7.59 | $12.30 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $21.38 | $41.69 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $11.75 Median $40.74 Typical High $52.48 | Professional | None (both parts) | $11.75 | $40.74 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $239.88 | Facility | None | $70.79 | $97.72 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $177.83 | Professional | None (both parts) | $27.54 | $33.11 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $6.76 Typical High $22.39 | Professional | 26 · Professional part | $5.75 | $6.76 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $24.55 Typical High $138.04 | Professional | TC · Technical part | $20.89 | $24.55 | $138.04 |
Emblem Health Setting Facility Modifier None Typical Low $22.91 Median $35.48 Typical High $102.33 | Facility | None | $22.91 | $35.48 | $102.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $43.65 Typical High $63.10 | Professional | None (both parts) | $34.67 | $43.65 | $63.10 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $16.98 | Professional | 26 · Professional part | $8.13 | $9.33 | $16.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $34.67 Typical High $51.29 | Professional | TC · Technical part | $33.11 | $34.67 | $51.29 |
Excellus BCBS Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $9.12 | Facility | TC · Technical part | $9.12 | $9.12 | $9.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $31.62 | $34.67 | $53.70 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.76 Typical High $11.75 | Professional | 26 · Professional part | $6.92 | $7.76 | $11.75 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $24.55 | $26.92 | $41.69 |
MVP Health Care Setting Facility Modifier None Typical Low $29.51 Median $107.15 Typical High $257.04 | Facility | None | $29.51 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $89.13 | Professional | None (both parts) | $44.67 | $44.67 | $89.13 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $14.13 | Professional | 26 · Professional part | $8.91 | $10.96 | $14.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $47.86 | Professional | TC · Technical part | $28.18 | $35.48 | $47.86 |
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 $27.54 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $27.54 | $33.11 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.41 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $7.41 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $48.98 | Professional | TC · Technical part | $21.38 | $25.70 | $48.98 |
Univera Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $85.11 | Facility | None | $15.14 | $15.14 | $85.11 |
Univera Setting Facility Modifier TC · Technical part Typical Low $9.12 Median $9.12 Typical High $72.44 | Facility | TC · Technical part | $9.12 | $9.12 | $72.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $31.62 Median $34.67 Typical High $53.70 | Professional | None (both parts) | $31.62 | $34.67 | $53.70 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.76 Typical High $11.75 | Professional | 26 · Professional part | $6.92 | $7.76 | $11.75 |
Univera Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $26.92 Typical High $41.69 | Professional | TC · Technical part | $24.55 | $26.92 | $41.69 |
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 $14.13 Median $14.13 Typical High $19.05 | Professional | 52 · Reduced service | $14.13 | $14.13 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $7.59 | Professional | 53 · Discontinued | $5.62 | $5.62 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $22.39 Typical High $30.90 | Professional | FX · Film X-ray | $22.39 | $22.39 | $30.90 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $33.11 Median $33.11 Typical High $36.31 | Professional | GL · Free upgrade | $33.11 | $33.11 | $36.31 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $23.44 Typical High $38.02 | Professional | 53 · Discontinued | $18.62 | $23.44 | $38.02 |
Where New York sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 50th of 51
$30.20
AK $110FL $29.51
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.