How much rates vary
Facilitymedian $141 · 10th to 90th $83 to $1,514Professionalmedian $126 · 10th to 90th $105 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 $112.20 Median $128.82 Typical High $295.12 | Facility | None | $112.20 | $128.82 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $234.42 | Professional | None (both parts) | $112.20 | $112.20 | $234.42 |
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 $69.18 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $69.18 | $162.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $204.17 | Professional | None (both parts) | $107.15 | $125.89 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $41.69 | $48.98 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $117.49 | Professional | TC · Technical part | $64.57 | $77.62 | $117.49 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $77.62 Median $109.65 Typical High $186.21 | Professional | None (both parts) | $77.62 | $109.65 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $263.03 Typical High $4,168.69 | Facility | None | $208.93 | $263.03 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $575.44 | Professional | None (both parts) | $93.33 | $109.65 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $147.91 | Professional | 26 · Professional part | $38.02 | $41.69 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $371.54 | Professional | TC · Technical part | $54.95 | $66.07 | $371.54 |
Emblem Health Setting Facility Modifier None Typical Low $60.26 Median $93.33 Typical High $269.15 | Facility | None | $60.26 | $93.33 | $269.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $138.04 | $154.88 | $218.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $63.10 | $114.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $91.20 | $134.90 |
Excellus BCBS Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | TC · Technical part | $81.28 | $81.28 | $81.28 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $181.97 | Professional | None (both parts) | $117.49 | $138.04 | $181.97 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $51.29 | $77.62 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $89.13 | $112.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,981.07 Median $3,981.07 Typical High $7,244.36 | Facility | None | $3,981.07 | $3,981.07 | $7,244.36 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | 26 · Professional part | $63.10 | $63.10 | $63.10 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $257.04 | Facility | None | $107.15 | $144.54 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $194.98 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $194.98 | $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 $83.18 Median $107.15 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $107.15 | $141.25 |
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 $104.71 Median $128.82 Typical High $398.11 | Professional | None (both parts) | $104.71 | $128.82 | $398.11 |
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 $63.10 Median $75.86 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $75.86 | $173.78 |
Univera Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $426.58 | Facility | None | $134.90 | $134.90 | $426.58 |
Univera Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $81.28 Typical High $239.88 | Facility | TC · Technical part | $79.43 | $81.28 | $239.88 |
Univera Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $117.49 | $138.04 | $165.96 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $51.29 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $51.29 | $70.79 |
Univera Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $89.13 Typical High $112.20 | Professional | TC · Technical part | $67.61 | $89.13 | $112.20 |
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 $56.23 Median $56.23 Typical High $79.43 | Professional | 52 · Reduced service | $56.23 | $56.23 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $31.62 | Professional | 53 · Discontinued | $22.39 | $22.39 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $102.33 | Professional | FX · Film X-ray | $89.13 | $89.13 | $102.33 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $91.20 Typical High $125.89 | Professional | 53 · Discontinued | $72.44 | $91.20 | $125.89 |
Where New York sits
The same service costs 4.1 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· 48th of 51
$126
AK $389TX $95.50
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.