How much rates vary
Facilitymedian $145 · 10th to 90th $25 to $525Professionalmedian $98 · 10th to 90th $74 to $182
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 $81.28 Median $134.90 Typical High $302.00 | Facility | None | $81.28 | $134.90 | $302.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $134.90 | Professional | None (both parts) | $81.28 | $81.28 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $28.18 | Professional | 26 · Professional part | $21.88 | $21.88 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $107.15 | Professional | TC · Technical part | $58.88 | $58.88 | $107.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $144.54 | Professional | None (both parts) | $57.54 | $91.20 | $144.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $21.38 | $25.12 | $36.31 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $141.25 Typical High $234.42 | Professional | 50 · Both sides | $117.49 | $141.25 | $234.42 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $125.89 | Professional | TC · Technical part | $57.54 | $67.61 | $125.89 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $40.74 Median $151.36 Typical High $190.55 | Professional | None (both parts) | $40.74 | $151.36 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $707.95 | Facility | None | $234.42 | $363.08 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $323.59 | Professional | None (both parts) | $81.28 | $102.33 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $75.86 | Professional | 26 · Professional part | $19.95 | $21.88 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $257.04 | Professional | TC · Technical part | $60.26 | $81.28 | $257.04 |
Emblem Health Setting Facility Modifier None Typical Low $83.18 Median $128.82 Typical High $371.54 | Facility | None | $83.18 | $128.82 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $229.09 | Professional | None (both parts) | $125.89 | $158.49 | $229.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $57.54 | Professional | 26 · Professional part | $26.92 | $33.11 | $57.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $125.89 Typical High $186.21 | Professional | TC · Technical part | $117.49 | $125.89 | $186.21 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $89.13 | $125.89 | $177.83 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $15.49 | $26.92 | $39.81 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $100.00 | $138.04 |
MVP Health Care Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $257.04 | Facility | None | $100.00 | $181.97 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $316.23 | Professional | None (both parts) | $100.00 | $100.00 | $316.23 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $48.98 | Professional | 26 · Professional part | $30.20 | $38.02 | $48.98 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $100.00 | $128.82 | $169.82 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $213.80 | Professional | None (both parts) | $97.72 | $120.23 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $48.98 | Professional | 26 · Professional part | $21.88 | $26.30 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $91.20 Typical High $169.82 | Professional | TC · Technical part | $75.86 | $91.20 | $169.82 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $257.04 | Facility | None | $25.12 | $25.12 | $257.04 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $218.78 | Facility | TC · Technical part | $15.14 | $15.14 | $218.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $89.13 | $125.89 | $177.83 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $15.49 | $26.92 | $39.81 |
Univera Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $74.13 | $100.00 | $138.04 |
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 $40.74 Median $40.74 Typical High $67.61 | Professional | 52 · Reduced service | $40.74 | $40.74 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $26.92 | Professional | 53 · Discontinued | $16.22 | $16.22 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | FX · Film X-ray | $64.57 | $64.57 | $109.65 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $83.18 Typical High $125.89 | Professional | 53 · Discontinued | $64.57 | $83.18 | $125.89 |
Where New York sits
The same service costs 3.9 times more in Alaska than in New York. 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· 51st of 51
$97.72
AK $380NY $97.72
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.