How much rates vary
Facilitymedian $257 · 10th to 90th $25 to $575Professionalmedian $186 · 10th to 90th $151 to $331
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 $158.49 Median $263.03 Typical High $602.56 | Facility | None | $158.49 | $263.03 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | None (both parts) | $158.49 | $158.49 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $79.43 | $79.43 | $162.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $309.03 | Professional | None (both parts) | $154.88 | $181.97 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $125.89 | Professional | 26 · Professional part | $77.62 | $91.20 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $79.43 | $93.33 | $186.21 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $144.54 Median $229.09 Typical High $371.54 | Professional | None (both parts) | $144.54 | $229.09 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $436.52 Typical High $645.65 | Facility | None | $151.36 | $436.52 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $354.81 Typical High $1,318.26 | Professional | None (both parts) | $186.21 | $354.81 | $1,318.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $208.93 | Professional | 26 · Professional part | $70.79 | $70.79 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $218.78 Typical High $851.14 | Professional | TC · Technical part | $97.72 | $218.78 | $851.14 |
Emblem Health Setting Facility Modifier None Typical Low $141.25 Median $218.78 Typical High $630.96 | Facility | None | $141.25 | $218.78 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $234.42 | $331.13 | $537.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $87.10 | $120.23 | $190.55 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $213.80 | $213.80 | $346.74 |
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 $154.88 Median $269.15 Typical High $371.54 | Professional | None (both parts) | $154.88 | $269.15 | $371.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $100.00 Typical High $147.91 | Professional | 26 · Professional part | $53.70 | $100.00 | $147.91 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $169.82 Typical High $229.09 | Professional | TC · Technical part | $100.00 | $169.82 | $229.09 |
Highmark BCBS Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $309.03 | Facility | None | $107.15 | $257.04 | $309.03 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $354.81 | Professional | None (both parts) | $151.36 | $151.36 | $354.81 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $138.04 Typical High $173.78 | Professional | 26 · Professional part | $109.65 | $138.04 | $173.78 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $257.04 | Professional | TC · Technical part | $147.91 | $186.21 | $257.04 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $501.19 | Facility | None | $354.81 | $407.38 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $234.42 Typical High $302.00 | Professional | None (both parts) | $186.21 | $234.42 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $120.23 | Professional | 26 · Professional part | $70.79 | $91.20 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $109.65 | $138.04 | $186.21 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $234.42 Typical High $323.59 | Facility | None | $25.12 | $234.42 | $323.59 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $338.84 | Facility | 26 · Professional part | $87.10 | $112.20 | $338.84 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $147.91 Typical High $263.03 | Facility | TC · Technical part | $15.14 | $147.91 | $263.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $338.84 | Professional | None (both parts) | $154.88 | $269.15 | $338.84 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $53.70 | $100.00 | $131.83 |
Univera Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $169.82 Typical High $204.17 | Professional | TC · Technical part | $100.00 | $169.82 | $204.17 |
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 $79.43 Median $79.43 Typical High $131.83 | Professional | 52 · Reduced service | $79.43 | $79.43 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $53.70 | Professional | 53 · Discontinued | $31.62 | $31.62 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | FX · Film X-ray | $125.89 | $125.89 | $213.80 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $162.18 Typical High $245.47 | Professional | 53 · Discontinued | $128.82 | $162.18 | $245.47 |
Where New York sits
The same service costs 5.4 times more in Alaska than in Texas. 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
$186
AK $741TX $138
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.