How much rates vary
Facilitymedian $162 · 10th to 90th $81 to $3,162Professionalmedian $138 · 10th to 90th $115 to $372
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 $125.89 Median $263.03 Typical High $12,589.25 | Facility | None | $125.89 | $263.03 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $245.47 | Professional | None (both parts) | $125.89 | $125.89 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $42.66 | $42.66 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $199.53 | Professional | TC · Technical part | $83.18 | $83.18 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $245.47 | Professional | None (both parts) | $117.49 | $134.90 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $147.91 | Professional | 26 · Professional part | $41.69 | $50.12 | $147.91 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $89.13 Typical High $144.54 | Professional | TC · Technical part | $75.86 | $89.13 | $144.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $75.86 Median $128.82 Typical High $204.17 | Professional | None (both parts) | $75.86 | $128.82 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $316.23 Typical High $4,168.69 | Facility | None | $229.09 | $316.23 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $549.54 | Professional | None (both parts) | $104.71 | $123.03 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $39.81 Typical High $141.25 | Professional | 26 · Professional part | $37.15 | $39.81 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $398.11 | Professional | TC · Technical part | $67.61 | $79.43 | $398.11 |
Emblem Health Setting Facility Modifier None Typical Low $74.13 Median $114.82 Typical High $331.13 | Facility | None | $74.13 | $114.82 | $331.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $169.82 Typical High $309.03 | Professional | None (both parts) | $158.49 | $169.82 | $309.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $58.88 | $104.71 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $112.20 Typical High $165.96 | Professional | TC · Technical part | $104.71 | $112.20 | $165.96 |
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 $134.90 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $134.90 | $158.49 | $323.59 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $48.98 | $74.13 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $295.12 | Professional | TC · Technical part | $85.11 | $109.65 | $295.12 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $61.66 | $61.66 | $97.72 |
MVP Health Care Setting Facility Modifier None Typical Low $104.71 Median $165.96 Typical High $257.04 | Facility | None | $104.71 | $165.96 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $218.78 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $218.78 | $660.69 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $56.23 | $70.79 | $91.20 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $100.00 | $125.89 | $177.83 |
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 $114.82 Median $141.25 Typical High $436.52 | Professional | None (both parts) | $114.82 | $141.25 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $47.86 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $89.13 | $204.17 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $478.63 | Facility | None | $81.28 | $81.28 | $478.63 |
Univera Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $309.03 | Facility | TC · Technical part | $48.98 | $48.98 | $309.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $134.90 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $134.90 | $177.83 | $323.59 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $48.98 | $67.61 |
Univera Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $112.20 Typical High $295.12 | Professional | TC · Technical part | $85.11 | $112.20 | $295.12 |
6 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 $63.10 Median $63.10 Typical High $89.13 | Professional | 52 · Reduced service | $63.10 | $63.10 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $35.48 | Professional | 53 · Discontinued | $25.12 | $25.12 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $114.82 | Professional | FX · Film X-ray | $100.00 | $100.00 | $114.82 |
Ambetter Setting Professional Modifier 59 · Distinct service + 76 · Repeat, same provider Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 59 · Distinct service + 76 · Repeat, same provider | $117.49 | $117.49 | $117.49 |
Highmark BCBS Setting Facility Modifier XS · Separate structure Typical Low $6,918.31 Median $6,918.31 Typical High $6,918.31 | Facility | XS · Separate structure | $6,918.31 | $6,918.31 | $6,918.31 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $100.00 Typical High $144.54 | Professional | 53 · Discontinued | $79.43 | $100.00 | $144.54 |
Where New York sits
The same service costs 4.2 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
$138
AK $437UT $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.