How much rates vary
Facilitymedian $132 · 10th to 90th $50 to $3,162Professionalmedian $120 · 10th to 90th $95 to $309
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 $275.42 Typical High $12,589.25 | Facility | None | $107.15 | $275.42 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $234.42 | Professional | None (both parts) | $107.15 | $107.15 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $42.66 | $42.66 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $165.96 | Professional | TC · Technical part | $64.57 | $64.57 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $102.33 | $120.23 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $48.98 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $70.79 | $112.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $75.86 | $102.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $4,168.69 | Facility | None | $194.98 | $239.88 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $478.63 | Professional | None (both parts) | $91.20 | $104.71 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $144.54 | Professional | 26 · Professional part | $38.90 | $40.74 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $354.81 | Professional | TC · Technical part | $52.48 | $63.10 | $354.81 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $85.11 Typical High $245.47 | Facility | None | $54.95 | $85.11 | $245.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $134.90 | $144.54 | $204.17 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $61.66 | $112.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $83.18 | $123.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | TC · Technical part | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $107.15 | $131.83 | $173.78 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $50.12 | $75.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $114.82 | Professional | TC · Technical part | $58.88 | $74.13 | $114.82 |
MVP Health Care Setting Facility Modifier None Typical Low $67.61 Median $128.82 Typical High $257.04 | Facility | None | $67.61 | $128.82 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $186.21 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $186.21 | $660.69 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $72.44 | $91.20 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $75.86 | $97.72 | $131.83 |
United Setting Facility Modifier None Typical Low $11,220.18 Median $13,182.57 Typical High $16,218.10 | Facility | None | $11,220.18 | $13,182.57 | $16,218.10 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $380.19 | Professional | None (both parts) | $97.72 | $120.23 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $91.20 | Professional | 26 · Professional part | $40.74 | $48.98 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $69.18 | $165.96 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $407.38 | Facility | None | $50.12 | $50.12 | $407.38 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $234.42 | Facility | TC · Technical part | $30.20 | $30.20 | $234.42 |
Univera Setting Professional Modifier None (both parts) Typical Low $112.20 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $112.20 | $138.04 | $165.96 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $50.12 | $75.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $114.82 | Professional | TC · Technical part | $61.66 | $81.28 | $114.82 |
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 $53.70 Median $53.70 Typical High $75.86 | Professional | 52 · Reduced service | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | 53 · Discontinued | $21.38 | $21.38 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | FX · Film X-ray | $87.10 | $87.10 | $97.72 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $85.11 Typical High $123.03 | Professional | 53 · Discontinued | $67.61 | $85.11 | $123.03 |
Where New York sits
The same service costs 4.9 times more in Alaska 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· 46th of 51
$120
AK $372UT $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.