How much rates vary
Facilitymedian $107 · 10th to 90th $30 to $389Professionalmedian $129 · 10th to 90th $89 to $288
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 $74.13 Median $158.49 Typical High $239.88 | Facility | None | $74.13 | $158.49 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $239.88 | Professional | None (both parts) | $158.49 | $158.49 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $30.20 | Professional | 26 · Professional part | $23.44 | $23.44 | $30.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $229.09 | Professional | TC · Technical part | $147.91 | $147.91 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $109.65 | $128.82 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $28.18 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $223.87 | Professional | TC · Technical part | $85.11 | $100.00 | $223.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $43.65 Median $316.23 Typical High $354.81 | Professional | None (both parts) | $43.65 | $316.23 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $489.78 | Facility | None | $128.82 | $199.53 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $389.05 | Professional | None (both parts) | $63.10 | $74.13 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $81.28 | Professional | 26 · Professional part | $20.89 | $23.44 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $45.71 Typical High $275.42 | Professional | TC · Technical part | $41.69 | $45.71 | $275.42 |
Emblem Health Setting Facility Modifier None Typical Low $56.23 Median $79.43 Typical High $251.19 | Facility | None | $56.23 | $79.43 | $251.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $190.55 | Professional | None (both parts) | $89.13 | $109.65 | $190.55 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $61.66 | Professional | 26 · Professional part | $28.84 | $33.88 | $61.66 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $138.04 | Professional | TC · Technical part | $75.86 | $75.86 | $138.04 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $75.86 | $89.13 | $138.04 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $17.38 | $28.18 | $42.66 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $61.66 Typical High $95.50 | Professional | TC · Technical part | $52.48 | $61.66 | $95.50 |
MVP Health Care Setting Facility Modifier None Typical Low $38.90 Median $154.88 Typical High $257.04 | Facility | None | $38.90 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $645.65 | Professional | None (both parts) | $95.50 | $95.50 | $645.65 |
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 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 $67.61 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $67.61 | $223.87 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $26.92 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $199.53 Typical High $380.19 | Professional | TC · Technical part | $44.67 | $199.53 | $380.19 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $218.78 | Facility | None | $30.20 | $30.20 | $218.78 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $177.83 | Facility | TC · Technical part | $18.20 | $18.20 | $177.83 |
Univera Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $125.89 | Professional | None (both parts) | $70.79 | $89.13 | $125.89 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.18 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $28.18 | $38.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $61.66 Typical High $91.20 | Professional | TC · Technical part | $45.71 | $61.66 | $91.20 |
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 $79.43 Median $79.43 Typical High $117.49 | Professional | 52 · Reduced service | $79.43 | $79.43 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $47.86 | Professional | 53 · Discontinued | $31.62 | $31.62 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $190.55 | Professional | FX · Film X-ray | $125.89 | $125.89 | $190.55 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $85.11 Median $85.11 Typical High $89.13 | Professional | GL · Free upgrade | $85.11 | $85.11 | $89.13 |
Where New York sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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
$129
NE $389HI $66.07
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.