How much rates vary
Facilitymedian $145 · 10th to 90th $79 to $1,514Professionalmedian $138 · 10th to 90th $110 to $339
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 $123.03 Median $138.04 Typical High $323.59 | Facility | None | $123.03 | $138.04 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $123.03 | $123.03 | $173.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $52.48 | $52.48 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $100.00 | Professional | TC · Technical part | $69.18 | $69.18 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $117.49 | $138.04 | $208.93 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $60.26 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $77.62 | $125.89 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $93.33 | $107.15 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $4,168.69 | Facility | None | $204.17 | $257.04 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $537.03 | Professional | None (both parts) | $100.00 | $117.49 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $177.83 | Professional | 26 · Professional part | $45.71 | $51.29 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $363.08 | Professional | TC · Technical part | $54.95 | $67.61 | $363.08 |
Emblem Health Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $257.04 | Facility | None | $57.54 | $89.13 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $151.36 | $162.18 | $309.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $74.13 | $131.83 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $81.28 | $87.10 | $125.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | TC · Technical part | $54.95 | $54.95 | $54.95 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $323.59 | Professional | None (both parts) | $128.82 | $154.88 | $323.59 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $38.90 | $61.66 | $95.50 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $288.40 | Professional | TC · Technical part | $66.07 | $89.13 | $288.40 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $9,120.11 Median $9,120.11 Typical High $9,120.11 | Facility | TC · Technical part | $9,120.11 | $9,120.11 | $9,120.11 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $257.04 | Facility | None | $107.15 | $134.90 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $208.93 Median $691.83 Typical High $691.83 | Professional | None (both parts) | $208.93 | $691.83 | $691.83 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $89.13 | $112.20 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $104.71 Typical High $141.25 | Professional | TC · Technical part | $81.28 | $104.71 | $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 $109.65 Median $138.04 Typical High $426.58 | Professional | None (both parts) | $109.65 | $138.04 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $60.26 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $169.82 | Professional | TC · Technical part | $60.26 | $75.86 | $169.82 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $467.74 | Facility | None | $91.20 | $91.20 | $467.74 |
Univera Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $239.88 | Facility | TC · Technical part | $54.95 | $54.95 | $239.88 |
Univera Setting Professional Modifier None (both parts) Typical Low $128.82 Median $169.82 Typical High $323.59 | Professional | None (both parts) | $128.82 | $169.82 | $323.59 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $38.90 | $61.66 | $85.11 |
Univera Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $89.13 Typical High $288.40 | Professional | TC · Technical part | $66.07 | $89.13 | $288.40 |
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 $61.66 Median $61.66 Typical High $87.10 | Professional | 52 · Reduced service | $61.66 | $61.66 | $87.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $34.67 | Professional | 53 · Discontinued | $24.55 | $24.55 | $34.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | FX · Film X-ray | $97.72 | $97.72 | $109.65 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $79.43 Median $97.72 Typical High $138.04 | Professional | 53 · Discontinued | $79.43 | $97.72 | $138.04 |
Where New York sits
The same service costs 4.7 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· 46th of 51
$138
AK $427TX $91.20
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.