How much rates vary
Facilitymedian $141 · 10th to 90th $79 to $3,162Professionalmedian $132 · 10th to 90th $105 to $324
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 $117.49 Median $309.03 Typical High $12,589.25 | Facility | None | $117.49 | $309.03 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $218.78 | Professional | None (both parts) | $117.49 | $117.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $47.86 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $69.18 | $69.18 | $123.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $112.20 | $131.83 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $81.28 | Professional | 26 · Professional part | $46.77 | $54.95 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $64.57 | $75.86 | $112.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $87.10 | $107.15 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $4,168.69 | Facility | None | $204.17 | $257.04 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $512.86 | Professional | None (both parts) | $95.50 | $114.82 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $165.96 | Professional | 26 · Professional part | $42.66 | $47.86 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $67.61 Typical High $354.81 | Professional | TC · Technical part | $53.70 | $67.61 | $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 $141.25 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $141.25 | $151.36 | $309.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $69.18 Typical High $123.03 | Professional | 26 · Professional part | $57.54 | $69.18 | $123.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $83.18 | $123.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | TC · Technical part | $54.95 | $54.95 | $54.95 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $323.59 | Professional | None (both parts) | $120.23 | $147.91 | $323.59 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $36.31 | $57.54 | $87.10 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $81.28 Typical High $281.84 | Professional | TC · Technical part | $64.57 | $81.28 | $281.84 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $72.44 | $72.44 | $72.44 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $257.04 | Facility | None | $107.15 | $131.83 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $199.53 Median $676.08 Typical High $676.08 | Professional | None (both parts) | $199.53 | $676.08 | $676.08 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $66.07 | $81.28 | $104.71 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $81.28 | $102.33 | $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 $104.71 Median $131.83 Typical High $407.38 | Professional | None (both parts) | $104.71 | $131.83 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $46.77 | $56.23 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $74.13 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $74.13 | $165.96 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $436.52 | Facility | None | $91.20 | $91.20 | $436.52 |
Univera Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $239.88 | Facility | TC · Technical part | $54.95 | $54.95 | $239.88 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $158.49 Typical High $323.59 | Professional | None (both parts) | $120.23 | $158.49 | $323.59 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $57.54 Typical High $77.62 | Professional | 26 · Professional part | $36.31 | $57.54 | $77.62 |
Univera Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $281.84 | Professional | TC · Technical part | $64.57 | $85.11 | $281.84 |
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 $58.88 Median $58.88 Typical High $83.18 | Professional | 52 · Reduced service | $58.88 | $58.88 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $33.11 | Professional | 53 · Discontinued | $23.44 | $23.44 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $107.15 | Professional | FX · Film X-ray | $93.33 | $93.33 | $107.15 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $93.33 Typical High $131.83 | Professional | 53 · Discontinued | $75.86 | $93.33 | $131.83 |
Where New York sits
The same service costs 5.4 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· 47th of 51
$132
AK $407UT $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.