How much rates vary
Facilitymedian $195 · 10th to 90th $112 to $3,162Professionalmedian $162 · 10th to 90th $135 to $407
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 $141.25 Median $407.38 Typical High $12,589.25 | Facility | None | $141.25 | $407.38 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $141.25 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $63.10 | Professional | 26 · Professional part | $47.86 | $47.86 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $120.23 | Professional | TC · Technical part | $95.50 | $95.50 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $263.03 | Professional | None (both parts) | $138.04 | $162.18 | $263.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $81.28 | Professional | 26 · Professional part | $47.86 | $56.23 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $104.71 Typical High $169.82 | Professional | TC · Technical part | $89.13 | $104.71 | $169.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $89.13 Median $154.88 Typical High $245.47 | Professional | None (both parts) | $89.13 | $154.88 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $4,168.69 | Facility | None | $281.84 | $371.54 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $588.84 | Professional | None (both parts) | $123.03 | $141.25 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $165.96 | Professional | 26 · Professional part | $41.69 | $46.77 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $457.09 | Professional | TC · Technical part | $81.28 | $93.33 | $457.09 |
Emblem Health Setting Facility Modifier None Typical Low $91.20 Median $141.25 Typical High $407.38 | Facility | None | $91.20 | $141.25 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $208.93 Typical High $338.84 | Professional | None (both parts) | $194.98 | $208.93 | $338.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $69.18 | $123.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $138.04 Typical High $204.17 | Professional | TC · Technical part | $131.83 | $138.04 | $204.17 |
Excellus BCBS Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $66.07 | Facility | TC · Technical part | $66.07 | $66.07 | $66.07 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $354.81 | Professional | None (both parts) | $162.18 | $190.55 | $354.81 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $58.88 | $89.13 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $302.00 | Professional | TC · Technical part | $102.33 | $123.03 | $302.00 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $204.17 Typical High $257.04 | Facility | None | $107.15 | $204.17 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $257.04 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $257.04 | $676.08 | $676.08 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $102.33 | Professional | 26 · Professional part | $67.61 | $83.18 | $102.33 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $117.49 | $147.91 | $208.93 |
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 $134.90 Median $165.96 Typical High $489.78 | Professional | None (both parts) | $134.90 | $165.96 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $46.77 | $56.23 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $239.88 | Professional | TC · Technical part | $87.10 | $104.71 | $239.88 |
Univera Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $575.44 | Facility | None | $112.20 | $112.20 | $575.44 |
Univera Setting Facility Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $371.54 | Facility | TC · Technical part | $66.07 | $66.07 | $371.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $162.18 | $213.80 | $354.81 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $58.88 | $89.13 |
Univera Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $138.04 Typical High $302.00 | Professional | TC · Technical part | $102.33 | $138.04 | $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 $70.79 Median $70.79 Typical High $102.33 | Professional | 52 · Reduced service | $70.79 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $134.90 | Professional | FX · Film X-ray | $114.82 | $114.82 | $134.90 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $114.82 Typical High $173.78 | Professional | 53 · Discontinued | $93.33 | $114.82 | $173.78 |
Where New York sits
The same service costs 4.4 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
$162
AK $513TX $117
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.