How much rates vary
Facilitymedian $132 · 10th to 90th $76 to $1,479Professionalmedian $123 · 10th to 90th $98 to $316
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 $120.23 Typical High $281.84 | Facility | None | $109.65 | $120.23 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $229.09 | Professional | None (both parts) | $109.65 | $109.65 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $42.66 | $42.66 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $158.49 | Professional | TC · Technical part | $67.61 | $67.61 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $194.98 | Professional | None (both parts) | $104.71 | $123.03 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $48.98 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $109.65 | Professional | TC · Technical part | $63.10 | $74.13 | $109.65 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $74.13 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $74.13 | $102.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $245.47 Typical High $4,168.69 | Facility | None | $190.55 | $245.47 | $4,168.69 |
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 $36.31 Median $41.69 Typical High $144.54 | Professional | 26 · Professional part | $36.31 | $41.69 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $363.08 | Professional | TC · Technical part | $52.48 | $66.07 | $363.08 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $85.11 Typical High $245.47 | Facility | None | $54.95 | $85.11 | $245.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $141.25 Typical High $295.12 | Professional | None (both parts) | $131.83 | $141.25 | $295.12 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $97.72 | Professional | 26 · Professional part | $48.98 | $58.88 | $97.72 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $77.62 | $83.18 | $123.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | TC · Technical part | $48.98 | $48.98 | $48.98 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $112.20 Median $144.54 Typical High $316.23 | Professional | None (both parts) | $112.20 | $144.54 | $316.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $33.88 | $48.98 | $74.13 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $281.84 | Professional | TC · Technical part | $63.10 | $83.18 | $281.84 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $10,471.29 Median $10,471.29 Typical High $10,471.29 | Facility | TC · Technical part | $10,471.29 | $10,471.29 | $10,471.29 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
MVP Health Care Setting Facility Modifier None Typical Low $104.71 Median $128.82 Typical High $257.04 | Facility | None | $104.71 | $128.82 | $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 $56.23 Median $70.79 Typical High $91.20 | Professional | 26 · Professional part | $56.23 | $70.79 | $91.20 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $100.00 | $134.90 |
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 $97.72 Median $123.03 Typical High $371.54 | Professional | None (both parts) | $97.72 | $123.03 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $39.81 | $47.86 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $70.79 Typical High $165.96 | Professional | TC · Technical part | $57.54 | $70.79 | $165.96 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $398.11 | Facility | None | $81.28 | $81.28 | $398.11 |
Univera Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $239.88 | Facility | TC · Technical part | $48.98 | $48.98 | $239.88 |
Univera Setting Professional Modifier None (both parts) Typical Low $112.20 Median $147.91 Typical High $316.23 | Professional | None (both parts) | $112.20 | $147.91 | $316.23 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $48.98 | $67.61 |
Univera Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $281.84 | Professional | TC · Technical part | $63.10 | $83.18 | $281.84 |
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 $54.95 Median $54.95 Typical High $77.62 | Professional | 52 · Reduced service | $54.95 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $30.90 | Professional | 53 · Discontinued | $21.88 | $21.88 | $30.90 |
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 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $87.10 Typical High $120.23 | Professional | 53 · Discontinued | $69.18 | $87.10 | $120.23 |
Where New York sits
The same service costs 4.9 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· 46th of 51
$123
AK $372UT $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.