How much rates vary
Facilitymedian $162 · 10th to 90th $60 to $427Professionalmedian $155 · 10th to 90th $123 to $240
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 $123.03 Median $151.36 Typical High $912.01 | Facility | None | $123.03 | $151.36 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $123.03 | $123.03 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $40.74 | Professional | 26 · Professional part | $28.84 | $28.84 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $93.33 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | 26 · Professional part | $27.54 | $27.54 | $27.54 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $138.04 | $162.18 | $234.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $45.71 | Professional | 26 · Professional part | $32.36 | $38.02 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $109.65 | $128.82 | $186.21 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $52.48 Median $165.96 Typical High $218.78 | Professional | None (both parts) | $52.48 | $165.96 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $363.08 Typical High $912.01 | Facility | None | $229.09 | $363.08 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $141.25 Typical High $691.83 | Professional | None (both parts) | $112.20 | $141.25 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $95.50 | Professional | 26 · Professional part | $25.70 | $28.18 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $524.81 | Professional | TC · Technical part | $87.10 | $104.71 | $524.81 |
Emblem Health Setting Facility Modifier None Typical Low $87.10 Median $134.90 Typical High $380.19 | Facility | None | $87.10 | $134.90 | $380.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $257.04 | Professional | None (both parts) | $147.91 | $169.82 | $257.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $125.89 | Professional | 26 · Professional part | $35.48 | $40.74 | $125.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $131.83 Typical High $190.55 | Professional | TC · Technical part | $128.82 | $131.83 | $190.55 |
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 $102.33 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $102.33 | $138.04 | $208.93 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $33.88 | $52.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $83.18 | $102.33 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $199.53 Typical High $257.04 | Facility | None | $107.15 | $199.53 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $380.19 | Professional | None (both parts) | $125.89 | $125.89 | $380.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $72.44 | Professional | 26 · Professional part | $39.81 | $50.12 | $72.44 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $223.87 | Professional | TC · Technical part | $120.23 | $154.88 | $223.87 |
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 $109.65 Median $138.04 Typical High $257.04 | Professional | None (both parts) | $109.65 | $138.04 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.88 Typical High $63.10 | Professional | 26 · Professional part | $25.70 | $33.88 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $104.71 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $104.71 | $194.98 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $281.84 | Facility | None | $60.26 | $60.26 | $281.84 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $194.98 | Facility | TC · Technical part | $36.31 | $36.31 | $194.98 |
Univera Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $102.33 | $138.04 | $208.93 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $33.88 | $52.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $158.49 | Professional | TC · Technical part | $83.18 | $102.33 | $158.49 |
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 $97.72 Median $97.72 Typical High $123.03 | Professional | FX · Film X-ray | $97.72 | $97.72 | $123.03 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $125.89 Median $131.83 Typical High $134.90 | Professional | GL · Free upgrade | $125.89 | $131.83 | $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· 37th of 51
$155
AK $437UT $102
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.