How much rates vary
Facilitymedian $81 · 10th to 90th $48 to $229Professionalmedian $87 · 10th to 90th $68 to $151
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 $70.79 Median $75.86 Typical High $177.83 | Facility | None | $70.79 | $75.86 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | None (both parts) | $74.13 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $34.67 | Professional | 26 · Professional part | $26.30 | $26.30 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $46.77 Typical High $61.66 | Professional | TC · Technical part | $43.65 | $46.77 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $112.20 | Professional | None (both parts) | $69.18 | $87.10 | $112.20 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $40.74 | Professional | 26 · Professional part | $27.54 | $32.36 | $40.74 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $128.82 Typical High $169.82 | Professional | 50 · Both sides | $109.65 | $128.82 | $169.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $53.70 | $72.44 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $45.71 Median $64.57 Typical High $109.65 | Professional | None (both parts) | $45.71 | $64.57 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $154.88 Typical High $512.86 | Facility | None | $114.82 | $154.88 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $95.50 Typical High $275.42 | Professional | None (both parts) | $60.26 | $95.50 | $275.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.30 Typical High $89.13 | Professional | 26 · Professional part | $21.88 | $26.30 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $52.48 Typical High $213.80 | Professional | TC · Technical part | $33.11 | $52.48 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $154.88 | Facility | None | $35.48 | $54.95 | $154.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $91.20 Typical High $138.04 | Professional | None (both parts) | $79.43 | $91.20 | $138.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $89.13 | Professional | 26 · Professional part | $33.11 | $38.02 | $89.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $52.48 | $53.70 | $77.62 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $107.15 | Professional | None (both parts) | $58.88 | $74.13 | $107.15 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $18.62 | $31.62 | $46.77 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $60.26 | Professional | TC · Technical part | $38.90 | $41.69 | $60.26 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | TC · Technical part | $478.63 | $478.63 | $478.63 |
MVP Health Care Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $257.04 | Facility | None | $77.62 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $199.53 | Professional | None (both parts) | $138.04 | $151.36 | $199.53 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $64.57 | Professional | 26 · Professional part | $38.02 | $46.77 | $64.57 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $83.18 Typical High $95.50 | Professional | TC · Technical part | $63.10 | $83.18 | $95.50 |
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 $57.54 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $57.54 | $87.10 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $23.44 | $30.90 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $54.95 Typical High $100.00 | Professional | TC · Technical part | $34.67 | $54.95 | $100.00 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $204.17 | Facility | None | $60.26 | $60.26 | $204.17 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $147.91 | Facility | TC · Technical part | $36.31 | $36.31 | $147.91 |
Univera Setting Professional Modifier None (both parts) Typical Low $58.88 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $58.88 | $74.13 | $100.00 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $18.62 | $31.62 | $43.65 |
Univera Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $57.54 | Professional | TC · Technical part | $38.90 | $41.69 | $57.54 |
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 $37.15 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $37.15 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | FX · Film X-ray | $58.88 | $58.88 | $61.66 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $85.11 Median $100.00 Typical High $100.00 | Professional | GL · Free upgrade | $85.11 | $100.00 | $100.00 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $64.57 Typical High $83.18 | Professional | 53 · Discontinued | $50.12 | $64.57 | $83.18 |
Where New York sits
The same service costs 3.7 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· 39th of 51
$87.10
AK $229TX $61.66
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.