How much rates vary
Facilitymedian $117 · 10th to 90th $46 to $380Professionalmedian $74 · 10th to 90th $58 to $141
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 $63.10 Median $100.00 Typical High $229.09 | Facility | None | $63.10 | $100.00 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $63.10 | $63.10 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $18.20 | Professional | 26 · Professional part | $13.49 | $13.49 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $81.28 | Professional | TC · Technical part | $48.98 | $48.98 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $57.54 | $72.44 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.60 Typical High $25.12 | Professional | 26 · Professional part | $14.13 | $16.60 | $25.12 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $56.23 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $56.23 | $97.72 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $25.70 Median $112.20 Typical High $138.04 | Professional | None (both parts) | $25.70 | $112.20 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $549.54 | Facility | None | $190.55 | $269.15 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $74.13 Typical High $245.47 | Professional | None (both parts) | $64.57 | $74.13 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $47.86 | Professional | 26 · Professional part | $12.02 | $13.80 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $204.17 | Professional | TC · Technical part | $51.29 | $61.66 | $204.17 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $295.12 | Facility | None | $66.07 | $102.33 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $173.78 | Professional | None (both parts) | $95.50 | $120.23 | $173.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.89 Typical High $37.15 | Professional | 26 · Professional part | $17.78 | $20.89 | $37.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $93.33 | $100.00 | $147.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | TC · Technical part | $27.54 | $27.54 | $27.54 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $67.61 | $95.50 | $134.90 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $25.70 | Professional | 26 · Professional part | $15.14 | $17.78 | $25.70 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $109.65 | Professional | TC · Technical part | $52.48 | $79.43 | $109.65 |
MVP Health Care Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $257.04 | Facility | None | $79.43 | $151.36 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $229.09 | Professional | None (both parts) | $50.12 | $50.12 | $229.09 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $19.50 | $23.44 | $29.51 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $95.50 Typical High $128.82 | Professional | TC · Technical part | $75.86 | $95.50 | $128.82 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $85.11 Typical High $158.49 | Professional | None (both parts) | $70.79 | $85.11 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $16.60 Typical High $30.20 | Professional | 26 · Professional part | $13.18 | $16.60 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $128.82 | Professional | TC · Technical part | $57.54 | $70.79 | $128.82 |
Univera Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $169.82 | Facility | None | $45.71 | $45.71 | $169.82 |
Univera Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $134.90 | Facility | TC · Technical part | $27.54 | $27.54 | $134.90 |
Univera Setting Professional Modifier None (both parts) Typical Low $67.61 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $67.61 | $95.50 | $125.89 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $23.99 | Professional | 26 · Professional part | $15.14 | $17.78 | $23.99 |
Univera Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $79.43 Typical High $102.33 | Professional | TC · Technical part | $52.48 | $79.43 | $102.33 |
4 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 $31.62 Median $31.62 Typical High $50.12 | Professional | 52 · Reduced service | $31.62 | $31.62 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $19.95 | Professional | 53 · Discontinued | $12.59 | $12.59 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $79.43 | Professional | FX · Film X-ray | $50.12 | $50.12 | $79.43 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $58.88 Typical High $93.33 | Professional | 53 · Discontinued | $47.86 | $58.88 | $93.33 |
Where New York sits
The same service costs 3.8 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· 50th of 51
$74.13
AK $282KY $74.13
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.