How much rates vary
Facilitymedian $49 · 10th to 90th $25 to $1,349Professionalmedian $95 · 10th to 90th $76 to $229
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 $69.18 Median $223.87 Typical High $12,589.25 | Facility | None | $69.18 | $223.87 | $12,589.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $190.55 | Professional | None (both parts) | $69.18 | $69.18 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $57.54 | Professional | 26 · Professional part | $13.49 | $13.49 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $147.91 | Professional | TC · Technical part | $51.29 | $54.95 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $81.28 | $95.50 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $35.48 | $43.65 | $48.98 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $85.11 | Professional | TC · Technical part | $43.65 | $52.48 | $85.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $66.07 Median $79.43 Typical High $147.91 | Professional | None (both parts) | $66.07 | $79.43 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $4,168.69 Typical High $4,677.35 | Facility | None | $154.88 | $4,168.69 | $4,677.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $77.62 Typical High $446.68 | Professional | None (both parts) | $72.44 | $77.62 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $33.88 Typical High $100.00 | Professional | 26 · Professional part | $13.49 | $33.88 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $269.15 | Professional | TC · Technical part | $38.90 | $52.48 | $269.15 |
Emblem Health Setting Facility Modifier None Typical Low $40.74 Median $63.10 Typical High $177.83 | Facility | None | $40.74 | $63.10 | $177.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $102.33 | $112.20 | $162.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $52.48 | $85.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $57.54 | $61.66 | $89.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $138.04 | Professional | None (both parts) | $85.11 | $104.71 | $138.04 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $10.00 | $43.65 | $66.07 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $54.95 | $97.72 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $2,570.40 Median $2,570.40 Typical High $2,570.40 | Facility | TC · Technical part | $2,570.40 | $2,570.40 | $2,570.40 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
MVP Health Care Setting Facility Modifier None Typical Low $51.29 Median $107.15 Typical High $257.04 | Facility | None | $51.29 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $147.91 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $147.91 | $616.60 | $616.60 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $61.66 | $81.28 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $102.33 | Professional | TC · Technical part | $60.26 | $77.62 | $102.33 |
United Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $309.03 | Professional | None (both parts) | $77.62 | $97.72 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $81.28 | Professional | 26 · Professional part | $30.20 | $42.66 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $138.04 | Professional | TC · Technical part | $42.66 | $54.95 | $138.04 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $323.59 | Facility | None | $25.12 | $25.12 | $323.59 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $199.53 | Facility | TC · Technical part | $15.14 | $15.14 | $199.53 |
Univera Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $138.04 | Professional | None (both parts) | $89.13 | $104.71 | $138.04 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $10.00 | $43.65 | $64.57 |
Univera Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $61.66 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $61.66 | $97.72 |
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 $34.67 Median $34.67 Typical High $48.98 | Professional | 52 · Reduced service | $34.67 | $34.67 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $19.95 | Professional | 53 · Discontinued | $13.80 | $13.80 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $79.43 | Professional | FX · Film X-ray | $54.95 | $54.95 | $79.43 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $69.18 Typical High $93.33 | Professional | 53 · Discontinued | $54.95 | $69.18 | $93.33 |
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· 46th of 51
$95.50
AK $295TX $74.13
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.