How much rates vary
Facilitymedian $214 · 10th to 90th $81 to $708Professionalmedian $120 · 10th to 90th $95 to $302
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 $97.72 Median $109.65 Typical High $117.49 | Facility | None | $97.72 | $109.65 | $117.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $117.49 | Professional | None (both parts) | $97.72 | $97.72 | $117.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $32.36 | $32.36 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $64.57 | $64.57 | $75.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | None (both parts) | $95.50 | $112.20 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $33.88 | $39.81 | $50.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $81.28 | Professional | TC · Technical part | $63.10 | $74.13 | $81.28 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $60.26 Median $107.15 Typical High $165.96 | Professional | None (both parts) | $60.26 | $107.15 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $707.95 Typical High $794.33 | Facility | None | $177.83 | $707.95 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $275.42 | Professional | None (both parts) | $89.13 | $91.20 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $89.13 | Professional | 26 · Professional part | $29.51 | $29.51 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $61.66 Typical High $186.21 | Professional | TC · Technical part | $60.26 | $61.66 | $186.21 |
Emblem Health Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $870.96 | Facility | None | $199.53 | $309.03 | $870.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $234.42 | $331.13 | $549.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $72.44 | Professional | 26 · Professional part | $36.31 | $44.67 | $72.44 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $478.63 | Professional | TC · Technical part | $245.47 | $288.40 | $478.63 |
Excellus BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | TC · Technical part | $48.98 | $48.98 | $48.98 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $234.42 | $275.42 | $389.05 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $37.15 | $52.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $363.08 | Professional | TC · Technical part | $204.17 | $239.88 | $363.08 |
MVP Health Care Setting Facility Modifier None Typical Low $104.71 Median $154.88 Typical High $257.04 | Facility | None | $104.71 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $72.44 | Professional | 26 · Professional part | $45.71 | $57.54 | $72.44 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $346.74 | Professional | None (both parts) | $204.17 | $257.04 | $346.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $38.02 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $38.02 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $295.12 | Professional | TC · Technical part | $177.83 | $213.80 | $295.12 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $234.42 Typical High $691.83 | Facility | None | $81.28 | $234.42 | $691.83 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $147.91 | Facility | 26 · Professional part | $36.31 | $44.67 | $147.91 |
Univera Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $194.98 Typical High $630.96 | Facility | TC · Technical part | $48.98 | $194.98 | $630.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $234.42 | $275.42 | $389.05 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $52.48 | Professional | 26 · Professional part | $24.55 | $37.15 | $52.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $331.13 | Professional | TC · Technical part | $194.98 | $239.88 | $331.13 |
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 $48.98 Median $48.98 Typical High $58.88 | Professional | 52 · Reduced service | $48.98 | $48.98 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | 53 · Discontinued | $19.50 | $19.50 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $95.50 | Professional | FX · Film X-ray | $77.62 | $77.62 | $95.50 |
Where New York sits
The same service costs 5.2 times more in North Dakota 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· 47th of 51
$120
ND $457FL $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.