How much rates vary
Facilitymedian $174 · 10th to 90th $81 to $3,162Professionalmedian $151 · 10th to 90th $123 to $363
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 $134.90 Median $363.08 Typical High $12,589.25 | Facility | None | $134.90 | $363.08 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $134.90 | $134.90 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $54.95 | Professional | 26 · Professional part | $43.65 | $43.65 | $54.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | TC · Technical part | $91.20 | $91.20 | $117.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $128.82 | $151.36 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $42.66 | $50.12 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $100.00 Typical High $154.88 | Professional | TC · Technical part | $85.11 | $100.00 | $154.88 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $77.62 Median $144.54 Typical High $223.87 | Professional | None (both parts) | $77.62 | $144.54 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $346.74 Typical High $4,168.69 | Facility | None | $251.19 | $346.74 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $549.54 | Professional | None (both parts) | $112.20 | $128.82 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $151.36 | Professional | 26 · Professional part | $38.02 | $41.69 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $87.10 Typical High $416.87 | Professional | TC · Technical part | $74.13 | $87.10 | $416.87 |
Emblem Health Setting Facility Modifier None Typical Low $79.43 Median $120.23 Typical High $346.74 | Facility | None | $79.43 | $120.23 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $169.82 | $181.97 | $316.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $109.65 | Professional | 26 · Professional part | $51.29 | $61.66 | $109.65 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $173.78 | Professional | TC · Technical part | $112.20 | $117.49 | $173.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | TC · Technical part | $48.98 | $48.98 | $48.98 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $169.82 Typical High $331.13 | Professional | None (both parts) | $138.04 | $169.82 | $331.13 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $51.29 | $79.43 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $302.00 | Professional | TC · Technical part | $91.20 | $109.65 | $302.00 |
MVP Health Care Setting Facility Modifier None Typical Low $104.71 Median $177.83 Typical High $257.04 | Facility | None | $104.71 | $177.83 | $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 $60.26 Median $74.13 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $74.13 | $93.33 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $138.04 | $194.98 |
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 $151.36 Typical High $446.68 | Professional | None (both parts) | $123.03 | $151.36 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $50.12 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $223.87 | Professional | TC · Technical part | $81.28 | $97.72 | $223.87 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $512.86 | Facility | None | $81.28 | $81.28 | $512.86 |
Univera Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $331.13 | Facility | TC · Technical part | $48.98 | $48.98 | $331.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $331.13 | Professional | None (both parts) | $144.54 | $190.55 | $331.13 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $31.62 | $51.29 | $79.43 |
Univera Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $123.03 Typical High $302.00 | Professional | TC · Technical part | $93.33 | $123.03 | $302.00 |
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 $67.61 Median $67.61 Typical High $95.50 | Professional | 52 · Reduced service | $67.61 | $67.61 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $38.02 | Professional | 53 · Discontinued | $26.92 | $26.92 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $123.03 | Professional | FX · Film X-ray | $107.15 | $107.15 | $123.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $154.88 | Professional | 53 · Discontinued | $85.11 | $107.15 | $154.88 |
Where New York sits
The same service costs 4.4 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· 48th of 51
$151
AK $457UT $105
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.