How much rates vary
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 $66.07 Median $81.28 Typical High $87.10 | Facility | None | $66.07 | $81.28 | $87.10 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $66.07 | $81.28 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $28.18 | Professional | 26 · Professional part | $23.44 | $26.92 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $53.70 Typical High $53.70 | Professional | TC · Technical part | $41.69 | $53.70 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $42.66 | Professional | 26 · Professional part | $18.62 | $18.62 | $42.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $104.71 | Professional | None (both parts) | $81.28 | $95.50 | $104.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $37.15 | Professional | 26 · Professional part | $27.54 | $33.11 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $69.18 | Professional | TC · Technical part | $52.48 | $61.66 | $69.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $39.81 Median $72.44 Typical High $112.20 | Professional | None (both parts) | $39.81 | $72.44 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $562.34 Typical High $630.96 | Facility | None | $112.20 | $562.34 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $50.12 Typical High $213.80 | Professional | None (both parts) | $48.98 | $50.12 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $16.22 Typical High $69.18 | Professional | 26 · Professional part | $16.22 | $16.22 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $33.88 Typical High $144.54 | Professional | TC · Technical part | $33.11 | $33.88 | $144.54 |
Emblem Health Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $446.68 | Facility | None | $102.33 | $158.49 | $446.68 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $177.83 Typical High $295.12 | Professional | None (both parts) | $128.82 | $177.83 | $295.12 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $28.84 Typical High $45.71 | Professional | 26 · Professional part | $19.95 | $28.84 | $45.71 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $147.91 | $251.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $128.82 | $147.91 | $204.17 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $32.36 | Professional | 26 · Professional part | $19.50 | $23.99 | $32.36 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $109.65 | $123.03 | $190.55 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | 26 · Professional part | $20.42 | $20.42 | $20.42 |
MVP Health Care Setting Facility Modifier None Typical Low $38.90 Median $154.88 Typical High $257.04 | Facility | None | $38.90 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $46.77 Typical High $51.29 | Professional | 26 · Professional part | $36.31 | $46.77 | $51.29 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $107.15 | $144.54 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $29.51 Typical High $41.69 | Professional | 26 · Professional part | $17.78 | $29.51 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $112.20 | $151.36 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $128.82 Typical High $380.19 | Facility | None | $30.20 | $128.82 | $380.19 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $19.95 Median $25.70 Typical High $117.49 | Facility | 26 · Professional part | $19.95 | $25.70 | $117.49 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $109.65 Typical High $323.59 | Facility | TC · Technical part | $18.20 | $109.65 | $323.59 |
Univera Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $128.82 | $147.91 | $204.17 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.99 Typical High $30.20 | Professional | 26 · Professional part | $19.50 | $23.99 | $30.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $123.03 Typical High $173.78 | Professional | TC · Technical part | $109.65 | $123.03 | $173.78 |
3 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 $33.11 Median $40.74 Typical High $40.74 | Professional | 52 · Reduced service | $33.11 | $40.74 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $16.22 Typical High $16.22 | Professional | 53 · Discontinued | $13.18 | $16.22 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $64.57 Typical High $64.57 | Professional | FX · Film X-ray | $52.48 | $64.57 | $64.57 |
Where New York sits
The same service costs 6.6 times more in Nebraska 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· 44th of 51
$100
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.