How much rates vary
Facilitymedian $204 · 10th to 90th $74 to $2,630Professionalmedian $87 · 10th to 90th $72 to $229
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 $75.86 Median $114.82 Typical High $263.03 | Facility | None | $75.86 | $114.82 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $134.90 | Professional | None (both parts) | $75.86 | $75.86 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $33.11 | $33.11 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $100.00 | Professional | TC · Technical part | $42.66 | $42.66 | $100.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $147.91 | Professional | None (both parts) | $67.61 | $85.11 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $32.36 | $38.02 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $95.50 | Professional | TC · Technical part | $39.81 | $46.77 | $95.50 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $58.88 Median $100.00 Typical High $158.49 | Professional | None (both parts) | $58.88 | $100.00 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $239.88 Typical High $2,630.27 | Facility | None | $177.83 | $239.88 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $83.18 Typical High $398.11 | Professional | None (both parts) | $77.62 | $83.18 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $112.20 | Professional | 26 · Professional part | $28.84 | $32.36 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $54.95 Typical High $263.03 | Professional | TC · Technical part | $44.67 | $54.95 | $263.03 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $100.00 Typical High $288.40 | Facility | None | $66.07 | $100.00 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $208.93 | Professional | None (both parts) | $117.49 | $144.54 | $208.93 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $74.13 | Professional | 26 · Professional part | $39.81 | $47.86 | $74.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $97.72 Typical High $144.54 | Professional | TC · Technical part | $93.33 | $97.72 | $144.54 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $87.10 | $117.49 | $158.49 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $39.81 | $57.54 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $64.57 | $77.62 | $102.33 |
MVP Health Care Setting Facility Modifier None Typical Low $104.71 Median $134.90 Typical High $257.04 | Facility | None | $104.71 | $134.90 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $154.88 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $154.88 | $398.11 | $398.11 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $70.79 | Professional | 26 · Professional part | $44.67 | $54.95 | $70.79 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $117.49 | Professional | TC · Technical part | $66.07 | $83.18 | $117.49 |
United Setting Facility Modifier None Typical Low $3,890.45 Median $4,570.88 Typical High $5,623.41 | Facility | None | $3,890.45 | $4,570.88 | $5,623.41 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $104.71 Typical High $302.00 | Professional | None (both parts) | $83.18 | $104.71 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $37.15 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $134.90 | Professional | TC · Technical part | $50.12 | $66.07 | $134.90 |
Univera Setting Facility Modifier None Typical Low $123.03 Median $125.89 Typical High $1,000.00 | Facility | None | $123.03 | $125.89 | $1,000.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $87.10 | $117.49 | $158.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $22.91 | $39.81 | $57.54 |
Univera Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $64.57 | $77.62 | $102.33 |
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 $38.02 Median $38.02 Typical High $57.54 | Professional | 52 · Reduced service | $38.02 | $38.02 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $15.14 Typical High $22.91 | Professional | 53 · Discontinued | $15.14 | $15.14 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $91.20 | Professional | FX · Film X-ray | $61.66 | $61.66 | $91.20 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $70.79 Typical High $107.15 | Professional | 53 · Discontinued | $56.23 | $70.79 | $107.15 |
Where New York sits
The same service costs 4.0 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· 49th of 51
$87.10
AK $339FL $85.11
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.