How much rates vary
Facilitymedian $76 · 10th to 90th $41 to $229Professionalmedian $85 · 10th to 90th $51 to $110
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 $60.26 Median $67.61 Typical High $162.18 | Facility | None | $60.26 | $67.61 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $91.20 | Professional | None (both parts) | $64.57 | $64.57 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $35.48 | Professional | 26 · Professional part | $23.44 | $23.44 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $37.15 | $41.69 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $52.48 Median $53.70 Typical High $61.66 | Professional | None (both parts) | $52.48 | $53.70 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $93.33 Typical High $109.65 | Professional | None (both parts) | $48.98 | $93.33 | $109.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $40.74 Typical High $46.77 | Professional | 26 · Professional part | $34.67 | $40.74 | $46.77 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $57.54 Typical High $66.07 | Professional | TC · Technical part | $45.71 | $57.54 | $66.07 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $42.66 | $51.29 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $436.52 | Facility | None | $93.33 | $123.03 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $81.28 Typical High $218.78 | Professional | None (both parts) | $51.29 | $81.28 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $79.43 | Professional | 26 · Professional part | $20.89 | $23.44 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $190.55 | Professional | TC · Technical part | $28.18 | $44.67 | $190.55 |
Emblem Health Setting Facility Modifier None Typical Low $31.62 Median $48.98 Typical High $138.04 | Facility | None | $31.62 | $48.98 | $138.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $70.79 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $70.79 | $83.18 | $125.89 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $30.20 | $35.48 | $54.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $47.86 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $47.86 | $69.18 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | TC · Technical part | $23.99 | $23.99 | $23.99 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $52.48 | $66.07 | $97.72 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $16.60 | $29.51 | $43.65 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $53.70 | Professional | TC · Technical part | $33.88 | $37.15 | $53.70 |
Highmark BCBS Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
MVP Health Care Setting Facility Modifier None Typical Low $52.48 Median $107.15 Typical High $257.04 | Facility | None | $52.48 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $162.18 | Professional | None (both parts) | $70.79 | $70.79 | $162.18 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $60.26 | Professional | 26 · Professional part | $32.36 | $40.74 | $60.26 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $75.86 | Professional | TC · Technical part | $36.31 | $46.77 | $75.86 |
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 $48.98 Median $60.26 Typical High $112.20 | Professional | None (both parts) | $48.98 | $60.26 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $26.92 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $33.11 | $63.10 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $177.83 | Facility | None | $40.74 | $40.74 | $177.83 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $128.82 | Facility | TC · Technical part | $23.99 | $23.99 | $128.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $52.48 Median $66.07 Typical High $97.72 | Professional | None (both parts) | $52.48 | $66.07 | $97.72 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $29.51 Typical High $43.65 | Professional | 26 · Professional part | $16.60 | $29.51 | $43.65 |
Univera Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $37.15 Typical High $53.70 | Professional | TC · Technical part | $33.88 | $37.15 | $53.70 |
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 $32.36 Median $32.36 Typical High $33.88 | Professional | 52 · Reduced service | $32.36 | $32.36 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $13.49 | Professional | 53 · Discontinued | $12.88 | $12.88 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | FX · Film X-ray | $52.48 | $52.48 | $53.70 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $43.65 Typical High $69.18 | Professional | 53 · Discontinued | $34.67 | $43.65 | $69.18 |
Where New York sits
The same service costs 3.8 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· 25th of 51
$85.11
AK $204TX $53.70
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.