How much rates vary
Facilitymedian $151 · 10th to 90th $50 to $1,862Professionalmedian $132 · 10th to 90th $110 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 $204.17 | Professional | None (both parts) | $117.49 | $117.49 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $53.70 | Professional | 26 · Professional part | $42.66 | $42.66 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $75.86 Typical High $154.88 | Professional | TC · Technical part | $75.86 | $75.86 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $131.83 Typical High $208.93 | Professional | None (both parts) | $112.20 | $131.83 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $48.98 | $70.79 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $83.18 Typical High $128.82 | Professional | TC · Technical part | $70.79 | $83.18 | $128.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $75.86 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $75.86 | $120.23 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $288.40 Typical High $4,168.69 | Facility | None | $213.80 | $288.40 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $512.86 | Professional | None (both parts) | $100.00 | $114.82 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $144.54 | Professional | 26 · Professional part | $38.02 | $41.69 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $389.05 | Professional | TC · Technical part | $61.66 | $74.13 | $389.05 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $295.12 | Facility | None | $66.07 | $102.33 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $147.91 | $158.49 | $309.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $50.12 | $60.26 | $107.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $100.00 | $147.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | TC · Technical part | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $125.89 | $154.88 | $323.59 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $31.62 | $50.12 | $75.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $288.40 | Professional | TC · Technical part | $75.86 | $100.00 | $288.40 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
MVP Health Care Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $257.04 | Facility | None | $83.18 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $204.17 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $204.17 | $660.69 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $72.44 Typical High $91.20 | Professional | 26 · Professional part | $57.54 | $72.44 | $91.20 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $162.18 | Professional | TC · Technical part | $91.20 | $114.82 | $162.18 |
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 $109.65 Median $134.90 Typical High $407.38 | Professional | None (both parts) | $109.65 | $134.90 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $47.86 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $83.18 | $190.55 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $457.09 | Facility | None | $50.12 | $50.12 | $457.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $275.42 | Facility | TC · Technical part | $30.20 | $30.20 | $275.42 |
Univera Setting Professional Modifier None (both parts) Typical Low $125.89 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $125.89 | $165.96 | $323.59 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $50.12 | $69.18 |
Univera Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $288.40 | Professional | TC · Technical part | $75.86 | $100.00 | $288.40 |
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 $85.11 | Professional | 52 · Reduced service | $58.88 | $58.88 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $33.88 | Professional | 53 · Discontinued | $23.44 | $23.44 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $109.65 | Professional | FX · Film X-ray | $95.50 | $95.50 | $109.65 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $95.50 Typical High $134.90 | Professional | 53 · Discontinued | $75.86 | $95.50 | $134.90 |
Where New York sits
The same service costs 4.3 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
$132
AK $407UT $95.50
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.