How much rates vary
Facilitymedian $89 · 10th to 90th $25 to $234Professionalmedian $81 · 10th to 90th $65 to $129
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 $66.07 Median $83.18 Typical High $208.93 | Facility | None | $66.07 | $83.18 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $72.44 | Facility | 26 · Professional part | $24.55 | $31.62 | $72.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $147.91 | Facility | TC · Technical part | $40.74 | $51.29 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $67.61 Typical High $134.90 | Professional | None (both parts) | $66.07 | $67.61 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.70 Typical High $47.86 | Professional | 26 · Professional part | $24.55 | $25.70 | $47.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $41.69 Typical High $83.18 | Professional | TC · Technical part | $40.74 | $41.69 | $83.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $57.54 Typical High $151.36 | Professional | None (both parts) | $50.12 | $57.54 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $117.49 | Professional | None (both parts) | $72.44 | $85.11 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $38.90 | Professional | 26 · Professional part | $26.30 | $30.90 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $53.70 | $72.44 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $45.71 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $45.71 | $74.13 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $173.78 Typical High $501.19 | Facility | None | $128.82 | $173.78 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $100.00 Typical High $302.00 | Professional | None (both parts) | $63.10 | $100.00 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $24.55 Typical High $83.18 | Professional | 26 · Professional part | $21.88 | $24.55 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $56.23 Typical High $245.47 | Professional | TC · Technical part | $38.90 | $56.23 | $245.47 |
Emblem Health Setting Facility Modifier None Typical Low $44.67 Median $63.10 Typical High $194.98 | Facility | None | $44.67 | $63.10 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $97.72 Typical High $151.36 | Professional | None (both parts) | $93.33 | $97.72 | $151.36 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $77.62 | Professional | 26 · Professional part | $32.36 | $36.31 | $77.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $61.66 Typical High $89.13 | Professional | TC · Technical part | $60.26 | $61.66 | $89.13 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $89.13 Typical High $114.82 | Professional | None (both parts) | $75.86 | $89.13 | $114.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $44.67 | Professional | 26 · Professional part | $28.84 | $33.88 | $44.67 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $70.79 | Professional | TC · Technical part | $45.71 | $54.95 | $70.79 |
Highmark BCBS Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $269.15 | Facility | None | $128.82 | $141.25 | $269.15 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $93.33 | $107.15 | $194.98 |
MVP Health Care Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $257.04 | Facility | None | $50.12 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $204.17 | Professional | None (both parts) | $50.12 | $50.12 | $204.17 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $33.88 | $42.66 | $61.66 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $52.48 | $67.61 | $100.00 |
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 $58.88 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $58.88 | $75.86 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $21.88 | $28.18 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $46.77 Typical High $89.13 | Professional | TC · Technical part | $37.15 | $46.77 | $89.13 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $190.55 | Facility | None | $25.12 | $25.12 | $190.55 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $147.91 | Facility | TC · Technical part | $15.14 | $15.14 | $147.91 |
Univera Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $75.86 | $97.72 | $107.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $41.69 | Professional | 26 · Professional part | $28.84 | $33.88 | $41.69 |
Univera Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $69.18 | Professional | TC · Technical part | $45.71 | $60.26 | $69.18 |
6 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 $33.11 Median $33.11 Typical High $41.69 | Professional | 52 · Reduced service | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $16.60 | Professional | 53 · Discontinued | $13.18 | $13.18 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | FX · Film X-ray | $52.48 | $52.48 | $66.07 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $75.86 Median $77.62 Typical High $83.18 | Professional | GL · Free upgrade | $75.86 | $77.62 | $83.18 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $48.98 Median $51.29 Typical High $77.62 | Professional | 59 · Distinct service | $48.98 | $51.29 | $77.62 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $54.95 Typical High $81.28 | Professional | 53 · Discontinued | $42.66 | $54.95 | $81.28 |
Where New York sits
The same service costs 3.6 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· 46th of 51
$81.28
AK $245TX $67.61
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.