How much rates vary
Facilitymedian $155 · 10th to 90th $76 to $550Professionalmedian $110 · 10th to 90th $89 to $234
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 $354.81 Typical High $1,318.26 | Facility | None | $112.20 | $354.81 | $1,318.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $112.20 | $112.20 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $50.12 Typical High $64.57 | Professional | 26 · Professional part | $46.77 | $50.12 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $128.82 | Professional | TC · Technical part | $63.10 | $63.10 | $128.82 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $89.13 Median $104.71 Typical High $186.21 | Professional | None (both parts) | $89.13 | $104.71 | $186.21 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $46.77 Typical High $61.66 | Professional | 26 · Professional part | $38.90 | $46.77 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $57.54 Typical High $107.15 | Professional | TC · Technical part | $48.98 | $57.54 | $107.15 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $177.83 | Professional | None (both parts) | $66.07 | $109.65 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $281.84 Typical High $977.24 | Facility | None | $213.80 | $281.84 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $691.83 | Professional | None (both parts) | $109.65 | $131.83 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $35.48 Typical High $125.89 | Professional | 26 · Professional part | $33.11 | $35.48 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $85.11 Typical High $467.74 | Professional | TC · Technical part | $74.13 | $85.11 | $467.74 |
Emblem Health Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $323.59 | Facility | None | $69.18 | $107.15 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $125.89 | $158.49 | $223.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $43.65 | $52.48 | $93.33 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $154.88 | Professional | TC · Technical part | $100.00 | $104.71 | $154.88 |
Excellus BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | TC · Technical part | $45.71 | $45.71 | $45.71 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $147.91 Typical High $218.78 | Professional | None (both parts) | $117.49 | $147.91 | $218.78 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $43.65 | $75.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $144.54 | Professional | TC · Technical part | $79.43 | $95.50 | $144.54 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $251.19 | Facility | TC · Technical part | $125.89 | $125.89 | $251.19 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $95.50 | Professional | 26 · Professional part | $54.95 | $83.18 | $95.50 |
MVP Health Care Setting Facility Modifier None Typical Low $97.72 Median $162.18 Typical High $257.04 | Facility | None | $97.72 | $162.18 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $309.03 | Professional | None (both parts) | $100.00 | $100.00 | $309.03 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $50.12 | $63.10 | $79.43 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $125.89 Typical High $165.96 | Professional | TC · Technical part | $97.72 | $125.89 | $165.96 |
United Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $251.19 | Facility | None | $173.78 | $204.17 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $109.65 | $138.04 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $43.65 Typical High $89.13 | Professional | 26 · Professional part | $35.48 | $43.65 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $91.20 | $194.98 |
Univera Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $416.87 | Facility | None | $75.86 | $75.86 | $416.87 |
Univera Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $295.12 | Facility | TC · Technical part | $45.71 | $45.71 | $295.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $123.03 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $123.03 | $147.91 | $190.55 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $69.18 | Professional | 26 · Professional part | $32.36 | $43.65 | $69.18 |
Univera Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $81.28 | $95.50 | $125.89 |
5 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 $75.86 | Professional | 52 · Reduced service | $56.23 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $30.20 | Professional | 53 · Discontinued | $22.39 | $22.39 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $123.03 | Professional | FX · Film X-ray | $91.20 | $91.20 | $123.03 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $131.83 Median $131.83 Typical High $263.03 | Professional | GL · Free upgrade | $131.83 | $131.83 | $263.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $95.50 Typical High $134.90 | Professional | 53 · Discontinued | $75.86 | $95.50 | $134.90 |
Where New York sits
The same service costs 4.3 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· 49th of 51
$110
AK $447UT $105
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.