How much rates vary
Facilitymedian $166 · 10th to 90th $59 to $269Professionalmedian $83 · 10th to 90th $66 to $138
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 $74.13 Median $83.18 Typical High $190.55 | Facility | None | $74.13 | $83.18 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $93.33 | Professional | None (both parts) | $77.62 | $77.62 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $23.44 | Professional | 26 · Professional part | $18.20 | $18.20 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | TC · Technical part | $58.88 | $58.88 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $125.89 | Professional | None (both parts) | $74.13 | $89.13 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $18.20 | $21.38 | $30.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $93.33 | Professional | TC · Technical part | $57.54 | $67.61 | $93.33 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.88 Median $91.20 Typical High $125.89 | Professional | None (both parts) | $33.88 | $91.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $204.17 Typical High $537.03 | Facility | None | $141.25 | $204.17 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $70.79 Typical High $234.42 | Professional | None (both parts) | $61.66 | $70.79 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $17.78 Typical High $60.26 | Professional | 26 · Professional part | $16.60 | $17.78 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $173.78 | Professional | TC · Technical part | $45.71 | $51.29 | $173.78 |
Emblem Health Setting Facility Modifier None Typical Low $48.98 Median $75.86 Typical High $218.78 | Facility | None | $48.98 | $75.86 | $218.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $81.28 | $102.33 | $144.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $27.54 | $48.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $70.79 | $74.13 | $109.65 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $114.82 | Professional | None (both parts) | $66.07 | $81.28 | $114.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.91 Typical High $33.11 | Professional | 26 · Professional part | $12.88 | $22.91 | $33.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $83.18 | Professional | TC · Technical part | $53.70 | $58.88 | $83.18 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $186.21 | Facility | TC · Technical part | $114.82 | $141.25 | $186.21 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None (both parts) | $26.92 | $26.92 | $26.92 |
MVP Health Care Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $257.04 | Facility | None | $91.20 | $112.20 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $223.87 | Professional | None (both parts) | $66.07 | $66.07 | $223.87 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $30.90 | $38.90 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $117.49 | Professional | TC · Technical part | $69.18 | $87.10 | $117.49 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $61.66 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $61.66 | $81.28 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $21.38 Typical High $39.81 | Professional | 26 · Professional part | $17.38 | $21.38 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $60.26 Typical High $117.49 | Professional | TC · Technical part | $47.86 | $60.26 | $117.49 |
Univera Setting Facility Modifier None Typical Low $89.13 Median $91.20 Typical High $218.78 | Facility | None | $89.13 | $91.20 | $218.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $66.07 Median $81.28 Typical High $104.71 | Professional | None (both parts) | $66.07 | $81.28 | $104.71 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $12.88 | $22.91 | $30.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $58.88 Typical High $75.86 | Professional | TC · Technical part | $53.70 | $58.88 | $75.86 |
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 $38.90 Median $38.90 Typical High $41.69 | Professional | 52 · Reduced service | $38.90 | $38.90 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $15.49 Typical High $16.60 | Professional | 53 · Discontinued | $15.49 | $15.49 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $66.07 | Professional | FX · Film X-ray | $61.66 | $61.66 | $66.07 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $60.26 Typical High $83.18 | Professional | 53 · Discontinued | $47.86 | $60.26 | $83.18 |
Where New York sits
The same service costs 3.8 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· 39th of 51
$83.18
AK $245UT $64.57
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.