How much rates vary
Facilitymedian $126 · 10th to 90th $41 to $1,549Professionalmedian $112 · 10th to 90th $91 to $309
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 $107.15 Median $114.82 Typical High $263.03 | Facility | None | $107.15 | $114.82 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $223.87 | Professional | None (both parts) | $107.15 | $107.15 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $43.65 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $63.10 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $63.10 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $100.00 | $100.00 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $95.50 | $112.20 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $43.65 | $51.29 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $112.20 | Professional | TC · Technical part | $52.48 | $63.10 | $112.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $75.86 | $93.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $223.87 Typical High $4,168.69 | Facility | None | $177.83 | $223.87 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $501.19 | Professional | None (both parts) | $85.11 | $104.71 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $40.74 Typical High $147.91 | Professional | 26 · Professional part | $38.02 | $40.74 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $60.26 Typical High $323.59 | Professional | TC · Technical part | $46.77 | $60.26 | $323.59 |
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 $125.89 Median $134.90 Typical High $194.98 | Professional | None (both parts) | $125.89 | $134.90 | $194.98 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $50.12 | $61.66 | $112.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $69.18 | $74.13 | $109.65 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | TC · Technical part | $23.99 | $23.99 | $23.99 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $162.18 | Professional | None (both parts) | $89.13 | $125.89 | $162.18 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $50.12 | $75.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $66.07 Typical High $109.65 | Professional | TC · Technical part | $53.70 | $66.07 | $109.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $5,623.41 Median $5,623.41 Typical High $5,623.41 | Facility | None | $5,623.41 | $5,623.41 | $5,623.41 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
MVP Health Care Setting Facility Modifier None Typical Low $61.66 Median $114.82 Typical High $257.04 | Facility | None | $61.66 | $114.82 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $177.83 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $177.83 | $660.69 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $58.88 | $72.44 | $93.33 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $123.03 | Professional | TC · Technical part | $70.79 | $91.20 | $123.03 |
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 $93.33 Median $117.49 Typical High $363.08 | Professional | None (both parts) | $93.33 | $117.49 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $48.98 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $64.57 Typical High $158.49 | Professional | TC · Technical part | $51.29 | $64.57 | $158.49 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $380.19 | Facility | None | $40.74 | $40.74 | $380.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $223.87 | Facility | TC · Technical part | $23.99 | $23.99 | $223.87 |
Univera Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $162.18 | Professional | None (both parts) | $104.71 | $131.83 | $162.18 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $50.12 | $75.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $56.23 | $74.13 | $109.65 |
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 $53.70 Median $53.70 Typical High $74.13 | Professional | 52 · Reduced service | $53.70 | $53.70 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $30.20 | Professional | 53 · Discontinued | $21.38 | $21.38 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | FX · Film X-ray | $85.11 | $85.11 | $93.33 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $83.18 Typical High $114.82 | Professional | 53 · Discontinued | $66.07 | $83.18 | $114.82 |
Where New York sits
The same service costs 4.8 times more in Kansas 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
$112
KS $363UT $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.