How much rates vary
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 $218.78 Median $1,318.26 Typical High $2,238.72 | Facility | None | $218.78 | $1,318.26 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $371.54 Typical High $478.63 | Professional | None (both parts) | $131.83 | $371.54 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $28.84 | $112.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $257.04 Typical High $281.84 | Professional | TC · Technical part | $104.71 | $257.04 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $43.65 | $51.29 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $11.75 | $15.85 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $39.81 Typical High $50.12 | Professional | TC · Technical part | $33.88 | $39.81 | $50.12 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $16.98 Median $56.23 Typical High $74.13 | Professional | None (both parts) | $16.98 | $56.23 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $120.23 Typical High $158.49 | Facility | None | $72.44 | $120.23 | $158.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $43.65 Typical High $239.88 | Professional | None (both parts) | $38.90 | $43.65 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $8.91 Typical High $32.36 | Professional | 26 · Professional part | $8.51 | $8.91 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $34.67 Typical High $165.96 | Professional | TC · Technical part | $30.20 | $34.67 | $165.96 |
Emblem Health Setting Facility Modifier None Typical Low $27.54 Median $41.69 Typical High $120.23 | Facility | None | $27.54 | $41.69 | $120.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $53.70 Typical High $77.62 | Professional | None (both parts) | $50.12 | $53.70 | $77.62 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $23.44 | Professional | 26 · Professional part | $11.22 | $13.18 | $23.44 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $40.74 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $40.74 | $60.26 |
Excellus BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
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 $41.69 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $41.69 | $50.12 | $64.57 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $6.92 | $11.22 | $16.98 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $30.90 | $37.15 | $54.95 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | 26 · Professional part | $11.22 | $11.22 | $11.22 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $100.00 Typical High $426.58 | Facility | TC · Technical part | $38.90 | $100.00 | $426.58 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $15.14 Typical High $25.12 | Professional | 26 · Professional part | $10.96 | $15.14 | $25.12 |
MVP Health Care Setting Facility Modifier None Typical Low $63.10 Median $107.15 Typical High $257.04 | Facility | None | $63.10 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $128.82 | Professional | None (both parts) | $72.44 | $93.33 | $128.82 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $19.95 | Professional | 26 · Professional part | $12.88 | $15.85 | $19.95 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $52.48 Typical High $69.18 | Professional | TC · Technical part | $40.74 | $52.48 | $69.18 |
United Setting Professional Modifier None (both parts) Typical Low $37.15 Median $50.12 Typical High $109.65 | Professional | None (both parts) | $37.15 | $50.12 | $109.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $11.22 Typical High $23.44 | Professional | 26 · Professional part | $8.91 | $11.22 | $23.44 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $38.02 Typical High $85.11 | Professional | TC · Technical part | $28.18 | $38.02 | $85.11 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $58.88 Typical High $151.36 | Facility | None | $50.12 | $58.88 | $151.36 |
Univera Setting Facility Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $112.20 | Facility | TC · Technical part | $34.67 | $34.67 | $112.20 |
Univera Setting Professional Modifier None (both parts) Typical Low $41.69 Median $54.95 Typical High $64.57 | Professional | None (both parts) | $41.69 | $54.95 | $64.57 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $11.22 Typical High $16.98 | Professional | 26 · Professional part | $6.92 | $11.22 | $16.98 |
Univera Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $40.74 Typical High $54.95 | Professional | TC · Technical part | $30.90 | $40.74 | $54.95 |
2 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 FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | FX · Film X-ray | $295.12 | $295.12 | $302.00 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $48.98 Median $48.98 Typical High $117.49 | Professional | GL · Free upgrade | $48.98 | $48.98 | $117.49 |
Where New York sits
The same service costs 5.5 times more in Wyoming than in Utah. 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
$52.48
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.