How much rates vary
Facilitymedian $117 · 10th to 90th $22 to $295Professionalmedian $105 · 10th to 90th $81 to $166
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 $74.13 Median $109.65 Typical High $309.03 | Facility | None | $74.13 | $109.65 | $309.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $74.13 | Facility | 26 · Professional part | $20.89 | $26.92 | $74.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $81.28 Typical High $234.42 | Facility | TC · Technical part | $52.48 | $81.28 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $151.36 | Professional | None (both parts) | $74.13 | $74.13 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $37.15 | Professional | 26 · Professional part | $20.89 | $20.89 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $52.48 Typical High $114.82 | Professional | TC · Technical part | $52.48 | $52.48 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $138.04 | Professional | None (both parts) | $95.50 | $112.20 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $33.11 | Professional | 26 · Professional part | $22.39 | $26.30 | $33.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $102.33 | Professional | TC · Technical part | $72.44 | $85.11 | $102.33 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $38.90 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $38.90 | $114.82 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $245.47 Typical High $323.59 | Facility | None | $181.97 | $245.47 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $112.20 Typical High $338.84 | Professional | None (both parts) | $74.13 | $112.20 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.42 Typical High $69.18 | Professional | 26 · Professional part | $18.62 | $20.42 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $83.18 Typical High $257.04 | Professional | TC · Technical part | $52.48 | $83.18 | $257.04 |
Emblem Health Setting Facility Modifier None Typical Low $64.57 Median $100.00 Typical High $281.84 | Facility | None | $64.57 | $100.00 | $281.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $109.65 | $125.89 | $190.55 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $89.13 | Professional | 26 · Professional part | $26.30 | $30.20 | $89.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $95.50 | $95.50 | $141.25 |
Excellus BCBS Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $13.49 | Facility | TC · Technical part | $13.49 | $13.49 | $13.49 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $81.28 | $100.00 | $151.36 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $25.12 | $38.02 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $114.82 | Professional | TC · Technical part | $57.54 | $75.86 | $114.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $93.33 Median $204.17 Typical High $457.09 | Facility | None | $93.33 | $204.17 | $457.09 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $100.00 | $114.82 | $165.96 |
MVP Health Care Setting Facility Modifier None Typical Low $81.28 Median $151.36 Typical High $257.04 | Facility | None | $81.28 | $151.36 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $269.15 | Professional | None (both parts) | $93.33 | $93.33 | $269.15 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $36.31 | $52.48 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $112.20 Typical High $162.18 | Professional | TC · Technical part | $87.10 | $112.20 | $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 $79.43 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $79.43 | $100.00 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $18.62 | $23.99 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $60.26 | $77.62 | $141.25 |
Univera Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $134.90 | Facility | None | $22.39 | $22.39 | $134.90 |
Univera Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $93.33 | Facility | TC · Technical part | $13.49 | $13.49 | $93.33 |
Univera Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $151.36 | Professional | None (both parts) | $81.28 | $100.00 | $151.36 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $25.12 | $38.02 |
Univera Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $112.20 | Professional | TC · Technical part | $57.54 | $75.86 | $112.20 |
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 $58.88 Median $58.88 Typical High $87.10 | Professional | FX · Film X-ray | $58.88 | $58.88 | $87.10 |
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 |
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· 41st of 51
$105
AK $316TX $83.18
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.