How much rates vary
Facilitymedian $115 · 10th to 90th $41 to $339Professionalmedian $135 · 10th to 90th $110 to $174
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 $114.82 Median $123.03 Typical High $134.90 | Facility | None | $114.82 | $123.03 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $114.82 | $114.82 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | 26 · Professional part | $29.51 | $29.51 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $85.11 Typical High $97.72 | Professional | TC · Technical part | $85.11 | $85.11 | $97.72 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $134.90 Typical High $151.36 | Professional | None (both parts) | $114.82 | $134.90 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $46.77 | Professional | 26 · Professional part | $30.90 | $36.31 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $109.65 | Professional | TC · Technical part | $85.11 | $100.00 | $109.65 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $52.48 Median $138.04 Typical High $190.55 | Professional | None (both parts) | $52.48 | $138.04 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $870.96 Typical High $977.24 | Facility | None | $208.93 | $870.96 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $309.03 | Professional | None (both parts) | $102.33 | $104.71 | $309.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $25.70 Typical High $79.43 | Professional | 26 · Professional part | $25.70 | $25.70 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $79.43 Typical High $229.09 | Professional | TC · Technical part | $77.62 | $79.43 | $229.09 |
Emblem Health Setting Facility Modifier None Typical Low $91.20 Median $151.36 Typical High $446.68 | Facility | None | $91.20 | $151.36 | $446.68 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $177.83 Typical High $316.23 | Professional | None (both parts) | $114.82 | $177.83 | $316.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $32.36 | $40.74 | $64.57 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $138.04 Typical High $251.19 | Professional | TC · Technical part | $120.23 | $138.04 | $251.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | TC · Technical part | $23.99 | $23.99 | $23.99 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $120.23 | $141.25 | $199.53 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $33.88 | $47.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $165.96 | Professional | TC · Technical part | $93.33 | $109.65 | $165.96 |
MVP Health Care Setting Facility Modifier None Typical Low $52.48 Median $154.88 Typical High $257.04 | Facility | None | $52.48 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $39.81 | $50.12 | $64.57 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $199.53 | Professional | None (both parts) | $114.82 | $138.04 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $33.88 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $107.15 Typical High $151.36 | Professional | TC · Technical part | $87.10 | $107.15 | $151.36 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $114.82 Typical High $309.03 | Facility | None | $40.74 | $114.82 | $309.03 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $128.82 | Facility | 26 · Professional part | $32.36 | $40.74 | $128.82 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $83.18 Typical High $269.15 | Facility | TC · Technical part | $23.99 | $83.18 | $269.15 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $120.23 | $141.25 | $199.53 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $33.88 | $47.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $151.36 | Professional | TC · Technical part | $83.18 | $109.65 | $151.36 |
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 $57.54 Median $57.54 Typical High $67.61 | Professional | 52 · Reduced service | $57.54 | $57.54 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | 53 · Discontinued | $22.91 | $22.91 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $107.15 | Professional | FX · Film X-ray | $91.20 | $91.20 | $107.15 |
Where New York sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 40th of 51
$135
AK $389DC $87.10
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.