How much rates vary
Facilitymedian $129 · 10th to 90th $41 to $1,122Professionalmedian $120 · 10th to 90th $98 to $302
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 $109.65 Median $151.36 Typical High $812.83 | Facility | None | $109.65 | $151.36 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $223.87 | Professional | None (both parts) | $109.65 | $109.65 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $63.10 | Professional | 26 · Professional part | $43.65 | $43.65 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $162.18 | Professional | TC · Technical part | $64.57 | $64.57 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $194.98 | Professional | None (both parts) | $102.33 | $120.23 | $194.98 |
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 $61.66 Median $72.44 Typical High $104.71 | Professional | TC · Technical part | $61.66 | $72.44 | $104.71 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $77.62 Median $100.00 Typical High $177.83 | Professional | None (both parts) | $77.62 | $100.00 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $239.88 Typical High $2,344.23 | Facility | None | $190.55 | $239.88 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $512.86 | Professional | None (both parts) | $89.13 | $104.71 | $512.86 |
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 $51.29 Median $63.10 Typical High $346.74 | Professional | TC · Technical part | $51.29 | $63.10 | $346.74 |
Emblem Health Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $234.42 | Facility | None | $52.48 | $81.28 | $234.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $131.83 | $141.25 | $204.17 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $51.29 | $61.66 | $112.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $79.43 Typical High $117.49 | Professional | TC · Technical part | $74.13 | $79.43 | $117.49 |
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 $109.65 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $109.65 | $134.90 | $169.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $51.29 Typical High $75.86 | Professional | 26 · Professional part | $30.20 | $51.29 | $75.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $109.65 | Professional | TC · Technical part | $58.88 | $77.62 | $109.65 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | TC · Technical part | $5,011.87 | $5,011.87 | $5,011.87 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $48.98 | $131.83 |
MVP Health Care Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $257.04 | Facility | None | $66.07 | $123.03 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $186.21 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $186.21 | $660.69 | $660.69 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $95.50 | Professional | 26 · Professional part | $58.88 | $72.44 | $95.50 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $131.83 | Professional | TC · Technical part | $75.86 | $97.72 | $131.83 |
United Setting Facility Modifier None Typical Low $3,162.28 Median $3,715.35 Typical High $4,570.88 | Facility | None | $3,162.28 | $3,715.35 | $4,570.88 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $380.19 | Professional | None (both parts) | $97.72 | $123.03 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $50.12 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $165.96 | Professional | TC · Technical part | $54.95 | $69.18 | $165.96 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $398.11 | Facility | None | $40.74 | $40.74 | $398.11 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $229.09 | Facility | TC · Technical part | $23.99 | $23.99 | $229.09 |
Univera Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $154.88 | Professional | None (both parts) | $109.65 | $134.90 | $154.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $51.29 | $70.79 |
Univera Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $77.62 Typical High $109.65 | Professional | TC · Technical part | $58.88 | $77.62 | $109.65 |
5 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 $75.86 | Professional | 52 · Reduced service | $53.70 | $53.70 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $30.20 | Professional | 53 · Discontinued | $21.88 | $21.88 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $97.72 | Professional | FX · Film X-ray | $87.10 | $87.10 | $97.72 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 59 · Distinct service | $104.71 | $104.71 | $104.71 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $85.11 Typical High $120.23 | Professional | 53 · Discontinued | $69.18 | $85.11 | $120.23 |
Where New York sits
The same service costs 4.8 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· 47th of 51
$120
AK $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.