How much rates vary
Facilitymedian $120 · 10th to 90th $36 to $468Professionalmedian $186 · 10th to 90th $138 to $288
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 $162.18 Median $194.98 Typical High $549.54 | Facility | None | $162.18 | $194.98 | $549.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $109.65 Typical High $316.23 | Facility | TC · Technical part | $91.20 | $109.65 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $158.49 | $162.18 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $114.82 | Professional | 26 · Professional part | $70.79 | $70.79 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $91.20 Typical High $134.90 | Professional | TC · Technical part | $77.62 | $91.20 | $134.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $151.36 Median $162.18 Typical High $218.78 | Professional | None (both parts) | $151.36 | $162.18 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $239.88 | Professional | None (both parts) | $158.49 | $190.55 | $239.88 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $109.65 | Professional | 26 · Professional part | $70.79 | $83.18 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $114.82 | $147.91 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $281.84 | Professional | None (both parts) | $123.03 | $158.49 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $977.24 Typical High $1,096.48 | Facility | None | $229.09 | $977.24 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $223.87 Typical High $616.60 | Professional | None (both parts) | $147.91 | $223.87 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $223.87 | Professional | 26 · Professional part | $60.26 | $67.61 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $524.81 | Professional | TC · Technical part | $83.18 | $95.50 | $524.81 |
Emblem Health Setting Facility Modifier None Typical Low $95.50 Median $134.90 Typical High $426.58 | Facility | None | $95.50 | $134.90 | $426.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $346.74 | Professional | None (both parts) | $199.53 | $229.09 | $346.74 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $100.00 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $100.00 | $162.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $128.82 | $131.83 | $194.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $21.88 | Facility | TC · Technical part | $21.88 | $21.88 | $21.88 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $162.18 | $186.21 | $275.42 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | 26 · Professional part | $79.43 | $93.33 | $123.03 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $151.36 | Professional | TC · Technical part | $69.18 | $102.33 | $151.36 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $158.49 Typical High $512.86 | Facility | TC · Technical part | $144.54 | $158.49 | $512.86 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $389.05 Typical High $478.63 | Professional | None (both parts) | $229.09 | $389.05 | $478.63 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $257.04 | Facility | None | $107.15 | $194.98 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $446.68 | Professional | None (both parts) | $138.04 | $138.04 | $446.68 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $173.78 | Professional | 26 · Professional part | $93.33 | $117.49 | $173.78 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $144.54 Typical High $213.80 | Professional | TC · Technical part | $112.20 | $144.54 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $138.04 | $177.83 | $331.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $58.88 | $77.62 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $100.00 Typical High $186.21 | Professional | TC · Technical part | $77.62 | $100.00 | $186.21 |
Univera Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $446.68 | Facility | None | $36.31 | $36.31 | $446.68 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $154.88 | Facility | TC · Technical part | $21.88 | $21.88 | $154.88 |
Univera Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $251.19 | Professional | None (both parts) | $162.18 | $186.21 | $251.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $79.43 | $93.33 | $114.82 |
Univera Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $69.18 | $102.33 | $138.04 |
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 $81.28 Median $81.28 Typical High $97.72 | Professional | 52 · Reduced service | $81.28 | $81.28 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $39.81 | Professional | 53 · Discontinued | $32.36 | $32.36 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $158.49 | Professional | FX · Film X-ray | $128.82 | $128.82 | $158.49 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $151.36 Median $162.18 Typical High $177.83 | Professional | GL · Free upgrade | $151.36 | $162.18 | $177.83 |
Where New York sits
The same service costs 5.8 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· 42nd of 51
$186
AK $589UT $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.