How much rates vary
Facilitymedian $182 · 10th to 90th $50 to $1,738Professionalmedian $162 · 10th to 90th $132 to $380
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 $131.83 Median $389.05 Typical High $12,589.25 | Facility | None | $131.83 | $389.05 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $251.19 | Professional | None (both parts) | $131.83 | $131.83 | $251.19 |
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 $87.10 Median $87.10 Typical High $177.83 | Professional | TC · Technical part | $87.10 | $87.10 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $257.04 | Professional | None (both parts) | $141.25 | $165.96 | $257.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $46.77 | $54.95 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $109.65 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $109.65 | $169.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $77.62 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $77.62 | $147.91 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $354.81 Typical High $4,168.69 | Facility | None | $269.15 | $354.81 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $562.34 | Professional | None (both parts) | $117.49 | $134.90 | $562.34 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $147.91 | Professional | 26 · Professional part | $38.90 | $45.71 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $416.87 | Professional | TC · Technical part | $79.43 | $89.13 | $416.87 |
Emblem Health Setting Facility Modifier None Typical Low $91.20 Median $138.04 Typical High $398.11 | Facility | None | $91.20 | $138.04 | $398.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $199.53 Typical High $288.40 | Professional | None (both parts) | $158.49 | $199.53 | $288.40 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $52.48 | $63.10 | $114.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $128.82 | $138.04 | $199.53 |
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 $151.36 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $151.36 | $162.18 | $234.42 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $79.43 | Professional | 26 · Professional part | $34.67 | $52.48 | $79.43 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $117.49 | $154.88 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $257.04 | Facility | None | $107.15 | $199.53 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $239.88 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $239.88 | $660.69 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $74.13 | $95.50 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $141.25 Typical High $194.98 | Professional | TC · Technical part | $112.20 | $141.25 | $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 $125.89 Median $154.88 Typical High $457.09 | Professional | None (both parts) | $125.89 | $154.88 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $51.29 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $229.09 | Professional | TC · Technical part | $83.18 | $102.33 | $229.09 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $190.55 | Facility | None | $50.12 | $50.12 | $190.55 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $190.55 | Facility | TC · Technical part | $30.20 | $30.20 | $190.55 |
Univera Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $208.93 | Professional | None (both parts) | $151.36 | $162.18 | $208.93 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $52.48 Typical High $70.79 | Professional | 26 · Professional part | $34.67 | $52.48 | $70.79 |
Univera Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $117.49 Typical High $141.25 | Professional | TC · Technical part | $100.00 | $117.49 | $141.25 |
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 $66.07 Median $66.07 Typical High $93.33 | Professional | 52 · Reduced service | $66.07 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | 53 · Discontinued | $26.30 | $26.30 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $128.82 | Professional | FX · Film X-ray | $104.71 | $104.71 | $128.82 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $107.15 Typical High $165.96 | Professional | 53 · Discontinued | $85.11 | $107.15 | $165.96 |
Where New York sits
The same service costs 4.0 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· 47th of 51
$162
AK $479TX $120
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.