How much rates vary
Facilitymedian $123 · 10th to 90th $30 to $324Professionalmedian $123 · 10th to 90th $93 to $170
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 $93.33 Median $117.49 Typical High $331.13 | Facility | None | $93.33 | $117.49 | $331.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $85.11 | Facility | 26 · Professional part | $24.55 | $31.62 | $85.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $263.03 | Facility | TC · Technical part | $67.61 | $87.10 | $263.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $93.33 | $93.33 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $24.55 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $102.33 | Professional | TC · Technical part | $67.61 | $67.61 | $102.33 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | 26 · Professional part | $22.91 | $22.91 | $22.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $158.49 | Professional | None (both parts) | $109.65 | $128.82 | $158.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $39.81 | Professional | 26 · Professional part | $28.18 | $33.11 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $112.20 | Professional | TC · Technical part | $81.28 | $97.72 | $112.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $44.67 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $44.67 | $120.23 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $257.04 Typical High $707.95 | Facility | None | $173.78 | $257.04 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $524.81 | Professional | None (both parts) | $87.10 | $107.15 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $83.18 | Professional | 26 · Professional part | $21.88 | $23.99 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $380.19 | Professional | TC · Technical part | $64.57 | $74.13 | $380.19 |
Emblem Health Setting Facility Modifier None Typical Low $63.10 Median $97.72 Typical High $281.84 | Facility | None | $63.10 | $97.72 | $281.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $194.98 | Professional | None (both parts) | $112.20 | $128.82 | $194.98 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $93.33 | Professional | 26 · Professional part | $30.20 | $34.67 | $93.33 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $93.33 | $95.50 | $141.25 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $77.62 | $104.71 | $154.88 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $28.84 | $43.65 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $75.86 | $112.20 |
Highmark BCBS Setting Facility Modifier None Typical Low $144.54 Median $158.49 Typical High $177.83 | Facility | None | $144.54 | $158.49 | $177.83 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $43.65 | $66.07 |
MVP Health Care Setting Facility Modifier None Typical Low $81.28 Median $154.88 Typical High $257.04 | Facility | None | $81.28 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $269.15 | Professional | None (both parts) | $151.36 | $151.36 | $269.15 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $41.69 | $61.66 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $162.18 | Professional | TC · Technical part | $85.11 | $109.65 | $162.18 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $102.33 Typical High $190.55 | Professional | None (both parts) | $81.28 | $102.33 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $28.18 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $74.13 | $141.25 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $208.93 | Facility | None | $30.20 | $30.20 | $208.93 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $173.78 | Facility | TC · Technical part | $18.20 | $18.20 | $173.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $77.62 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $77.62 | $104.71 | $154.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $28.84 | $43.65 |
Univera Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $60.26 | $75.86 | $112.20 |
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 $46.77 Median $46.77 Typical High $58.88 | Professional | 52 · Reduced service | $46.77 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | 53 · Discontinued | $18.62 | $18.62 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | FX · Film X-ray | $74.13 | $74.13 | $93.33 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $102.33 Median $107.15 Typical High $112.20 | Professional | GL · Free upgrade | $102.33 | $107.15 | $112.20 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $75.86 Typical High $114.82 | Professional | 53 · Discontinued | $58.88 | $75.86 | $114.82 |
Where New York sits
The same service costs 3.9 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· 32nd of 51
$123
AK $339TX $87.10
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.