How much rates vary
Facilitymedian $204 · 10th to 90th $59 to $1,202Professionalmedian $89 · 10th to 90th $72 to $240
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 $74.13 Median $120.23 Typical High $251.19 | Facility | None | $74.13 | $120.23 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $74.13 | $74.13 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $35.48 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $74.13 | Professional | TC · Technical part | $39.81 | $39.81 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $181.97 | Professional | None (both parts) | $70.79 | $83.18 | $181.97 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $34.67 | $40.74 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $91.20 | Professional | TC · Technical part | $38.02 | $44.67 | $91.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $66.07 Median $100.00 Typical High $165.96 | Professional | None (both parts) | $66.07 | $100.00 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $1,202.26 | Facility | None | $169.82 | $234.42 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $323.59 | Professional | None (both parts) | $87.10 | $95.50 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.88 Typical High $123.03 | Professional | 26 · Professional part | $31.62 | $33.88 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $58.88 Typical High $213.80 | Professional | TC · Technical part | $56.23 | $58.88 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $50.12 Median $75.86 Typical High $218.78 | Facility | None | $50.12 | $75.86 | $218.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $107.15 | $123.03 | $177.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $48.98 | $87.10 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $74.13 | $109.65 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $91.20 | $100.00 | $151.36 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $63.10 | Professional | 26 · Professional part | $24.55 | $40.74 | $63.10 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $89.13 | Professional | TC · Technical part | $58.88 | $67.61 | $89.13 |
MVP Health Care Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $257.04 | Facility | None | $104.71 | $123.03 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $162.18 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $162.18 | $281.84 | $281.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $79.43 | Professional | 26 · Professional part | $48.98 | $61.66 | $79.43 |
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 $1,584.89 Median $1,819.70 Typical High $2,238.72 | Facility | None | $1,584.89 | $1,819.70 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $213.80 | Professional | None (both parts) | $85.11 | $104.71 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $41.69 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $134.90 | Professional | TC · Technical part | $50.12 | $60.26 | $134.90 |
Univera Setting Facility Modifier None Typical Low $117.49 Median $120.23 Typical High $616.60 | Facility | None | $117.49 | $120.23 | $616.60 |
Univera Setting Professional Modifier None (both parts) Typical Low $91.20 Median $107.15 Typical High $138.04 | Professional | None (both parts) | $91.20 | $107.15 | $138.04 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $40.74 | $56.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $81.28 | Professional | TC · Technical part | $58.88 | $67.61 | $81.28 |
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 $37.15 Median $37.15 Typical High $60.26 | Professional | 52 · Reduced service | $37.15 | $37.15 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $23.99 | Professional | 53 · Discontinued | $15.14 | $15.14 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $60.26 Typical High $95.50 | Professional | FX · Film X-ray | $60.26 | $60.26 | $95.50 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $74.13 Typical High $107.15 | Professional | 53 · Discontinued | $58.88 | $74.13 | $107.15 |
Where New York sits
The same service costs 4.6 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
$89.13
AK $347UT $75.86
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.