How much rates vary
Facilitymedian $51 · 10th to 90th $42 to $251Professionalmedian $89 · 10th to 90th $71 to $138
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 $72.44 Median $89.13 Typical High $251.19 | Facility | None | $72.44 | $89.13 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $128.82 | Facility | 26 · Professional part | $38.02 | $47.86 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $41.69 Typical High $120.23 | Facility | TC · Technical part | $33.88 | $41.69 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $72.44 | $72.44 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $38.02 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $58.88 | Professional | TC · Technical part | $33.88 | $33.88 | $58.88 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | None (both parts) | $69.18 | $69.18 | $74.13 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $89.13 Typical High $123.03 | Professional | None (both parts) | $70.79 | $89.13 | $123.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $61.66 | Professional | 26 · Professional part | $38.02 | $44.67 | $61.66 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $64.57 | Professional | TC · Technical part | $38.02 | $44.67 | $64.57 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $61.66 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $61.66 | $67.61 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $457.09 Typical High $501.19 | Facility | None | $144.54 | $457.09 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $107.15 Typical High $323.59 | Professional | None (both parts) | $67.61 | $107.15 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $120.23 | Professional | 26 · Professional part | $32.36 | $37.15 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $46.77 Typical High $213.80 | Professional | TC · Technical part | $32.36 | $46.77 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $36.31 Median $51.29 Typical High $162.18 | Facility | None | $36.31 | $51.29 | $162.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $89.13 Median $91.20 Typical High $158.49 | Professional | None (both parts) | $89.13 | $91.20 | $158.49 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $47.86 Typical High $85.11 | Professional | 26 · Professional part | $46.77 | $47.86 | $85.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $74.13 | Professional | TC · Technical part | $42.66 | $42.66 | $74.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | TC · Technical part | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $81.28 | $95.50 | $125.89 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $67.61 | Professional | 26 · Professional part | $43.65 | $51.29 | $67.61 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $60.26 | Professional | TC · Technical part | $37.15 | $44.67 | $60.26 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $102.33 | $104.71 | $104.71 |
MVP Health Care Setting Facility Modifier None Typical Low $53.70 Median $107.15 Typical High $257.04 | Facility | None | $53.70 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $218.78 | Professional | None (both parts) | $120.23 | $120.23 | $218.78 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $51.29 | $64.57 | $95.50 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $54.95 Typical High $81.28 | Professional | TC · Technical part | $42.66 | $54.95 | $81.28 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $83.18 Typical High $158.49 | Professional | None (both parts) | $63.10 | $83.18 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $81.28 | Professional | 26 · Professional part | $33.11 | $42.66 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $72.44 | Professional | TC · Technical part | $30.20 | $38.90 | $72.44 |
Univera Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $263.03 | Facility | None | $41.69 | $41.69 | $263.03 |
Univera Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $120.23 | Facility | TC · Technical part | $25.12 | $25.12 | $120.23 |
Univera Setting Professional Modifier None (both parts) Typical Low $81.28 Median $107.15 Typical High $114.82 | Professional | None (both parts) | $81.28 | $107.15 | $114.82 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $63.10 | Professional | 26 · Professional part | $43.65 | $51.29 | $63.10 |
Univera Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $48.98 Typical High $60.26 | Professional | TC · Technical part | $37.15 | $48.98 | $60.26 |
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 $36.31 Median $36.31 Typical High $44.67 | Professional | 52 · Reduced service | $36.31 | $36.31 | $44.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $17.78 | Professional | 53 · Discontinued | $14.45 | $14.45 | $17.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $72.44 | Professional | FX · Film X-ray | $57.54 | $57.54 | $72.44 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $81.28 Median $83.18 Typical High $89.13 | Professional | GL · Free upgrade | $81.28 | $83.18 | $89.13 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $60.26 Typical High $89.13 | Professional | 53 · Discontinued | $46.77 | $60.26 | $89.13 |
Where New York sits
The same service costs 4.2 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· 45th of 51
$89.13
AK $275TX $66.07
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.