How much rates vary
Facilitymedian $110 · 10th to 90th $58 to $407Professionalmedian $81 · 10th to 90th $65 to $170
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 $67.61 Median $75.86 Typical High $83.18 | Facility | None | $67.61 | $75.86 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $83.18 | Professional | None (both parts) | $67.61 | $67.61 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.39 Typical High $30.20 | Professional | 26 · Professional part | $22.39 | $22.39 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | TC · Technical part | $44.67 | $44.67 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $89.13 | Professional | None (both parts) | $64.57 | $77.62 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $38.90 | Professional | 26 · Professional part | $23.99 | $28.18 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $57.54 | Professional | TC · Technical part | $43.65 | $51.29 | $57.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $42.66 Median $75.86 Typical High $117.49 | Professional | None (both parts) | $42.66 | $75.86 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $489.78 Typical High $549.54 | Facility | None | $128.82 | $489.78 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $245.47 | Professional | None (both parts) | $63.10 | $70.79 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $79.43 | Professional | 26 · Professional part | $20.89 | $23.44 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $47.86 Typical High $165.96 | Professional | TC · Technical part | $42.66 | $47.86 | $165.96 |
Emblem Health Setting Facility Modifier None Typical Low $114.82 Median $162.18 Typical High $489.78 | Facility | None | $114.82 | $162.18 | $489.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $151.36 | $181.97 | $302.00 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $53.70 | Professional | 26 · Professional part | $27.54 | $33.11 | $53.70 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $147.91 Typical High $251.19 | Professional | TC · Technical part | $144.54 | $147.91 | $251.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $34.67 | Facility | TC · Technical part | $34.67 | $34.67 | $34.67 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $102.33 | $151.36 | $234.42 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $16.98 | $27.54 | $41.69 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $85.11 | $123.03 | $190.55 |
MVP Health Care Setting Facility Modifier None Typical Low $74.13 Median $154.88 Typical High $257.04 | Facility | None | $74.13 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $72.44 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $72.44 | $100.00 | $100.00 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $50.12 | Professional | 26 · Professional part | $32.36 | $39.81 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $144.54 Typical High $257.04 | Professional | None (both parts) | $114.82 | $144.54 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $26.92 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $208.93 | Professional | TC · Technical part | $91.20 | $114.82 | $208.93 |
Univera Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $380.19 | Facility | None | $57.54 | $57.54 | $380.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $323.59 | Facility | TC · Technical part | $34.67 | $34.67 | $323.59 |
Univera Setting Professional Modifier None (both parts) Typical Low $95.50 Median $151.36 Typical High $229.09 | Professional | None (both parts) | $95.50 | $151.36 | $229.09 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $27.54 Typical High $41.69 | Professional | 26 · Professional part | $16.98 | $27.54 | $41.69 |
Univera Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $123.03 Typical High $190.55 | Professional | TC · Technical part | $70.79 | $123.03 | $190.55 |
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 $33.11 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | 53 · Discontinued | $13.49 | $13.49 | $16.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | FX · Film X-ray | $53.70 | $53.70 | $67.61 |
Where New York sits
The same service costs 4.4 times more in Alaska than in Texas. 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
$81.28
AK $331TX $75.86
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.