How much rates vary
Facilitymedian $331 · 10th to 90th $112 to $537Professionalmedian $126 · 10th to 90th $105 to $224
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 $107.15 Median $158.49 Typical High $354.81 | Facility | None | $107.15 | $158.49 | $354.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $107.15 | $107.15 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $18.62 | $18.62 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $87.10 | $134.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $104.71 | $123.03 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $30.90 | Professional | 26 · Professional part | $19.05 | $22.39 | $30.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $85.11 | $100.00 | $169.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.11 Median $190.55 Typical High $223.87 | Professional | None (both parts) | $33.11 | $190.55 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $407.38 Typical High $912.01 | Facility | None | $269.15 | $407.38 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $724.44 | Professional | None (both parts) | $107.15 | $125.89 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $63.10 | Professional | 26 · Professional part | $16.22 | $18.20 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $104.71 Typical High $616.60 | Professional | TC · Technical part | $85.11 | $104.71 | $616.60 |
Emblem Health Setting Facility Modifier None Typical Low $102.33 Median $158.49 Typical High $457.09 | Facility | None | $102.33 | $158.49 | $457.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $144.54 | $181.97 | $251.19 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $26.30 | $53.70 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $154.88 Typical High $229.09 | Professional | TC · Technical part | $151.36 | $154.88 | $229.09 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $93.33 | $144.54 | $213.80 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $33.88 | Professional | 26 · Professional part | $13.18 | $21.88 | $33.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $123.03 | $177.83 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $229.09 Typical High $257.04 | Facility | None | $107.15 | $229.09 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $371.54 | Professional | None (both parts) | $151.36 | $151.36 | $371.54 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $39.81 | Professional | 26 · Professional part | $25.70 | $31.62 | $39.81 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $165.96 Typical High $218.78 | Professional | TC · Technical part | $131.83 | $165.96 | $218.78 |
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 $107.15 Median $138.04 Typical High $251.19 | Professional | None (both parts) | $107.15 | $138.04 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $21.38 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $117.49 | $218.78 |
Univera Setting Facility Modifier None Typical Low $162.18 Median $165.96 Typical High $346.74 | Facility | None | $162.18 | $165.96 | $346.74 |
Univera Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $194.98 | Professional | None (both parts) | $93.33 | $144.54 | $194.98 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $21.88 | $30.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $123.03 Typical High $165.96 | Professional | TC · Technical part | $79.43 | $123.03 | $165.96 |
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 $53.70 Median $53.70 Typical High $79.43 | Professional | 52 · Reduced service | $53.70 | $53.70 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $31.62 | Professional | 53 · Discontinued | $21.38 | $21.38 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $128.82 | Professional | FX · Film X-ray | $85.11 | $85.11 | $128.82 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $120.23 Median $120.23 Typical High $128.82 | Professional | GL · Free upgrade | $120.23 | $120.23 | $128.82 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $97.72 Typical High $151.36 | Professional | 53 · Discontinued | $79.43 | $97.72 | $151.36 |
Where New York sits
The same service costs 3.8 times more in Alaska 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· 48th of 51
$126
AK $447FL $117
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.