How much rates vary
Facilitymedian $74 · 10th to 90th $18 to $550Professionalmedian $22 · 10th to 90th $15 to $59
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 $23.99 Median $36.31 Typical High $1,230.27 | Facility | None | $23.99 | $36.31 | $1,230.27 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.55 Median $11.48 Typical High $26.30 | Facility | 26 · Professional part | $9.55 | $11.48 | $26.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.80 Median $16.60 Typical High $57.54 | Facility | TC · Technical part | $13.80 | $16.60 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $69.18 | Professional | None (both parts) | $23.99 | $23.99 | $69.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $9.77 Typical High $15.49 | Professional | 26 · Professional part | $9.77 | $9.77 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $13.80 Typical High $58.88 | Professional | TC · Technical part | $13.80 | $13.80 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | None (both parts) | $20.89 | $20.89 | $21.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $12.30 Median $20.42 Typical High $27.54 | Professional | None (both parts) | $12.30 | $20.42 | $27.54 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $12.02 | Professional | 26 · Professional part | $7.41 | $8.71 | $12.02 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $11.75 Median $13.80 Typical High $25.12 | Professional | TC · Technical part | $11.75 | $13.80 | $25.12 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $13.80 Median $18.20 Typical High $31.62 | Professional | None (both parts) | $13.80 | $18.20 | $31.62 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $1,096.48 Typical High $1,230.27 | Facility | None | $40.74 | $1,096.48 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $22.39 Typical High $204.17 | Professional | None (both parts) | $16.98 | $22.39 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.24 Typical High $25.70 | Professional | 26 · Professional part | $6.61 | $7.24 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.23 Median $15.14 Typical High $190.55 | Professional | TC · Technical part | $10.23 | $15.14 | $190.55 |
Emblem Health Setting Facility Modifier None Typical Low $12.88 Median $19.50 Typical High $57.54 | Facility | None | $12.88 | $19.50 | $57.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $28.18 Median $30.20 Typical High $46.77 | Professional | None (both parts) | $28.18 | $30.20 | $46.77 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $9.33 | $10.96 | $19.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $19.50 Typical High $28.18 | Professional | TC · Technical part | $18.20 | $19.50 | $28.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | TC · Technical part | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $23.99 | $31.62 | $48.98 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $5.62 | $9.12 | $13.80 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.95 Typical High $43.65 | Professional | TC · Technical part | $15.14 | $19.95 | $43.65 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $4.17 Median $11.48 Typical High $13.49 | Professional | 26 · Professional part | $4.17 | $11.48 | $13.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.30 Typical High $107.15 | Professional | None (both parts) | $23.99 | $26.30 | $107.15 |
MVP Health Care Setting Facility Modifier None Typical Low $28.18 Median $107.15 Typical High $257.04 | Facility | None | $28.18 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $33.88 Median $123.03 Typical High $123.03 | Professional | None (both parts) | $33.88 | $123.03 | $123.03 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $12.88 Typical High $16.22 | Professional | 26 · Professional part | $10.47 | $12.88 | $16.22 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $17.78 Typical High $28.84 | Professional | TC · Technical part | $13.49 | $17.78 | $28.84 |
United Setting Professional Modifier None (both parts) Typical Low $17.78 Median $23.44 Typical High $81.28 | Professional | None (both parts) | $17.78 | $23.44 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $18.20 | Professional | 26 · Professional part | $7.41 | $9.12 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $10.72 Median $13.80 Typical High $38.02 | Professional | TC · Technical part | $10.72 | $13.80 | $38.02 |
Univera Setting Facility Modifier None Typical Low $28.18 Median $100.00 Typical High $120.23 | Facility | None | $28.18 | $100.00 | $120.23 |
Univera Setting Facility Modifier TC · Technical part Typical Low $17.78 Median $60.26 Typical High $72.44 | Facility | TC · Technical part | $17.78 | $60.26 | $72.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $23.99 Median $31.62 Typical High $48.98 | Professional | None (both parts) | $23.99 | $31.62 | $48.98 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $9.12 Typical High $12.30 | Professional | 26 · Professional part | $5.62 | $9.12 | $12.30 |
Univera Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.95 Typical High $43.65 | Professional | TC · Technical part | $15.14 | $19.95 | $43.65 |
2 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 FX · Film X-ray Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | FX · Film X-ray | $19.05 | $19.05 | $21.88 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $25.12 Median $25.12 Typical High $57.54 | Professional | GL · Free upgrade | $25.12 | $25.12 | $57.54 |
Where New York sits
The same service costs 4.8 times more in Kansas than in New York. 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· 51st of 51
$22.39
KS $107NY $22.39
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.