How much rates vary
Facilitymedian $155 · 10th to 90th $35 to $3,162Professionalmedian $151 · 10th to 90th $126 to $380
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 $128.82 Median $154.88 Typical High $10,471.29 | Facility | None | $128.82 | $154.88 | $10,471.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $83.18 Typical High $234.42 | Facility | 26 · Professional part | $43.65 | $83.18 | $234.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $199.53 | Facility | TC · Technical part | $70.79 | $85.11 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $257.04 | Professional | None (both parts) | $128.82 | $128.82 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $114.82 | Professional | 26 · Professional part | $43.65 | $43.65 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $85.11 | $186.21 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $79.43 | Professional | 26 · Professional part | $70.79 | $70.79 | $79.43 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $128.82 | $151.36 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $69.18 | $81.28 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $120.23 | Professional | TC · Technical part | $58.88 | $69.18 | $120.23 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $223.87 | Professional | None (both parts) | $104.71 | $117.49 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $251.19 Typical High $4,168.69 | Facility | None | $199.53 | $251.19 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $602.56 | Professional | None (both parts) | $112.20 | $131.83 | $602.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $61.66 Typical High $199.53 | Professional | 26 · Professional part | $39.81 | $61.66 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $363.08 | Professional | TC · Technical part | $52.48 | $67.61 | $363.08 |
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 $151.36 Median $177.83 Typical High $257.04 | Professional | None (both parts) | $151.36 | $177.83 | $257.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $151.36 | Professional | 26 · Professional part | $77.62 | $95.50 | $151.36 |
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 $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $138.04 | $158.49 | $213.80 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $77.62 Typical High $117.49 | Professional | 26 · Professional part | $30.90 | $77.62 | $117.49 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $75.86 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $6,165.95 Median $6,309.57 Typical High $7,244.36 | Facility | None | $6,165.95 | $6,309.57 | $7,244.36 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $87.10 | $89.13 | $169.82 |
MVP Health Care Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $257.04 | Facility | None | $69.18 | $128.82 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $234.42 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $234.42 | $660.69 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $89.13 | $112.20 | $147.91 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $100.00 | $138.04 |
United Setting Facility Modifier None Typical Low $6,309.57 Median $7,413.10 Typical High $9,120.11 | Facility | None | $6,309.57 | $7,413.10 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $154.88 Typical High $446.68 | Professional | None (both parts) | $123.03 | $154.88 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $60.26 | $77.62 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $72.44 Typical High $181.97 | Professional | TC · Technical part | $57.54 | $72.44 | $181.97 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $501.19 | Facility | None | $35.48 | $35.48 | $501.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $295.12 | Facility | TC · Technical part | $21.38 | $21.38 | $295.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $138.04 Median $158.49 Typical High $190.55 | Professional | None (both parts) | $138.04 | $158.49 | $190.55 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $77.62 Typical High $104.71 | Professional | 26 · Professional part | $30.90 | $77.62 | $104.71 |
Univera Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $75.86 Typical High $128.82 | Professional | TC · Technical part | $61.66 | $75.86 | $128.82 |
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 $64.57 Median $64.57 Typical High $89.13 | Professional | 52 · Reduced service | $64.57 | $64.57 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $36.31 | Professional | 53 · Discontinued | $25.70 | $25.70 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $123.03 | Professional | FX · Film X-ray | $102.33 | $102.33 | $123.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $151.36 | Professional | 53 · Discontinued | $85.11 | $107.15 | $151.36 |
Where New York sits
The same service costs 4.1 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· 48th of 51
$151
AK $468TX $115
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.