How much rates vary
Facilitymedian $93 · 10th to 90th $20 to $288Professionalmedian $66 · 10th to 90th $55 to $120
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 $54.95 Median $89.13 Typical High $199.53 | Facility | None | $54.95 | $89.13 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $54.95 Typical High $89.13 | Professional | None (both parts) | $54.95 | $54.95 | $89.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.30 Typical High $15.49 | Professional | 26 · Professional part | $12.30 | $12.30 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $42.66 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $54.95 | $64.57 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $19.95 | Professional | 26 · Professional part | $12.88 | $15.14 | $19.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $48.98 Typical High $83.18 | Professional | TC · Technical part | $41.69 | $48.98 | $83.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $21.88 Median $100.00 Typical High $123.03 | Professional | None (both parts) | $21.88 | $100.00 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $239.88 Typical High $407.38 | Facility | None | $165.96 | $239.88 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $67.61 Typical High $389.05 | Professional | None (both parts) | $52.48 | $67.61 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $11.75 Typical High $41.69 | Professional | 26 · Professional part | $10.47 | $11.75 | $41.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $56.23 Typical High $323.59 | Professional | TC · Technical part | $40.74 | $56.23 | $323.59 |
Emblem Health Setting Facility Modifier None Typical Low $53.70 Median $81.28 Typical High $234.42 | Facility | None | $53.70 | $81.28 | $234.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $138.04 | Professional | None (both parts) | $81.28 | $97.72 | $138.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $31.62 | Professional | 26 · Professional part | $14.79 | $17.38 | $31.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $77.62 | $79.43 | $117.49 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | TC · Technical part | $12.02 | $12.02 | $12.02 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $120.23 | Professional | None (both parts) | $50.12 | $77.62 | $120.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.45 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $14.45 | $22.39 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $41.69 | $63.10 | $97.72 |
MVP Health Care Setting Facility Modifier None Typical Low $69.18 Median $131.83 Typical High $257.04 | Facility | None | $69.18 | $131.83 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $204.17 | Professional | None (both parts) | $79.43 | $79.43 | $204.17 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $26.30 | Professional | 26 · Professional part | $16.98 | $20.42 | $26.30 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $85.11 Typical High $114.82 | Professional | TC · Technical part | $67.61 | $85.11 | $114.82 |
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 $57.54 Median $74.13 Typical High $138.04 | Professional | None (both parts) | $57.54 | $74.13 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.80 Typical High $26.30 | Professional | 26 · Professional part | $11.48 | $13.80 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $61.66 Typical High $114.82 | Professional | TC · Technical part | $50.12 | $61.66 | $114.82 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $109.65 | Facility | None | $20.42 | $20.42 | $109.65 |
Univera Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $89.13 | Facility | TC · Technical part | $12.02 | $12.02 | $89.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $50.12 Median $77.62 Typical High $107.15 | Professional | None (both parts) | $50.12 | $77.62 | $107.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $14.45 Typical High $20.42 | Professional | 26 · Professional part | $8.51 | $14.45 | $20.42 |
Univera Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $63.10 Typical High $87.10 | Professional | TC · Technical part | $41.69 | $63.10 | $87.10 |
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 $27.54 Median $27.54 Typical High $44.67 | Professional | 52 · Reduced service | $27.54 | $27.54 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $17.78 | Professional | 53 · Discontinued | $10.96 | $10.96 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $43.65 Typical High $72.44 | Professional | FX · Film X-ray | $43.65 | $43.65 | $72.44 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | GL · Free upgrade | $61.66 | $61.66 | $63.10 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $52.48 Typical High $83.18 | Professional | 53 · Discontinued | $42.66 | $52.48 | $83.18 |
Where New York sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 47th of 51
$66.07
AK $251KY $58.88
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.