How much rates vary
Facilitymedian $120 · 10th to 90th $79 to $389Professionalmedian $107 · 10th to 90th $79 to $182
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 $102.33 Median $112.20 Typical High $251.19 | Facility | None | $102.33 | $112.20 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $109.65 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $27.54 | $27.54 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $83.18 | Professional | TC · Technical part | $75.86 | $83.18 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $162.18 | Professional | None (both parts) | $67.61 | $107.15 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $44.67 | Professional | 26 · Professional part | $26.30 | $30.90 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $134.90 | Professional | TC · Technical part | $66.07 | $79.43 | $134.90 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $48.98 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $48.98 | $112.20 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $269.15 Typical High $812.83 | Facility | None | $181.97 | $269.15 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $91.20 Typical High $323.59 | Professional | None (both parts) | $81.28 | $91.20 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $91.20 | Professional | 26 · Professional part | $23.44 | $26.30 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $245.47 | Professional | TC · Technical part | $56.23 | $64.57 | $245.47 |
Emblem Health Setting Facility Modifier None Typical Low $58.88 Median $89.13 Typical High $257.04 | Facility | None | $58.88 | $89.13 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $177.83 | Professional | None (both parts) | $100.00 | $125.89 | $177.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $38.02 | $67.61 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $128.82 | Professional | TC · Technical part | $83.18 | $87.10 | $128.82 |
Excellus BCBS Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | TC · Technical part | $47.86 | $47.86 | $47.86 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $93.33 | $100.00 | $154.88 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $28.18 | $31.62 | $48.98 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $66.07 | $69.18 | $104.71 |
MVP Health Care Setting Facility Modifier None Typical Low $102.33 Median $141.25 Typical High $257.04 | Facility | None | $102.33 | $141.25 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $288.40 | Professional | None (both parts) | $89.13 | $89.13 | $288.40 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $44.67 Typical High $57.54 | Professional | 26 · Professional part | $36.31 | $44.67 | $57.54 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $144.54 | Professional | TC · Technical part | $85.11 | $109.65 | $144.54 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,819.70 | Facility | None | $1,258.93 | $1,479.11 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $199.53 | Professional | None (both parts) | $79.43 | $104.71 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $25.70 | $30.20 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $74.13 | $144.54 |
Univera Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $169.82 | Facility | None | $79.43 | $79.43 | $169.82 |
Univera Setting Facility Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $123.03 | Facility | TC · Technical part | $47.86 | $47.86 | $123.03 |
Univera Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $141.25 | Professional | None (both parts) | $93.33 | $100.00 | $141.25 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $31.62 | $44.67 |
Univera Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $69.18 Typical High $102.33 | Professional | TC · Technical part | $66.07 | $69.18 | $102.33 |
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 $54.95 | Professional | 52 · Reduced service | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.88 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $87.10 | $89.13 | $89.13 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $77.62 Typical High $109.65 | Professional | 53 · Discontinued | $61.66 | $77.62 | $109.65 |
Where New York sits
The same service costs 4.6 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· 43rd of 51
$107
AK $324TX $70.79
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.