How much rates vary
Facilitymedian $120 · 10th to 90th $25 to $282Professionalmedian $110 · 10th to 90th $85 to $174
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 $89.13 Median $112.20 Typical High $257.04 | Facility | None | $89.13 | $112.20 | $257.04 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $41.69 Typical High $95.50 | Facility | 26 · Professional part | $33.88 | $41.69 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $199.53 | Facility | TC · Technical part | $56.23 | $70.79 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $177.83 | Professional | None (both parts) | $89.13 | $89.13 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $33.88 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $56.23 Typical High $107.15 | Professional | TC · Technical part | $56.23 | $56.23 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $63.10 Median $102.33 Typical High $165.96 | Professional | None (both parts) | $63.10 | $102.33 | $165.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $95.50 | $112.20 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $52.48 | Professional | 26 · Professional part | $33.88 | $39.81 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $102.33 | Professional | TC · Technical part | $63.10 | $74.13 | $102.33 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $58.88 Median $100.00 Typical High $162.18 | Professional | None (both parts) | $58.88 | $100.00 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $588.84 | Facility | None | $165.96 | $218.78 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $128.82 Typical High $346.74 | Professional | None (both parts) | $85.11 | $128.82 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $107.15 | Professional | 26 · Professional part | $28.84 | $32.36 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $338.84 | Professional | TC · Technical part | $53.70 | $61.66 | $338.84 |
Emblem Health Setting Facility Modifier None Typical Low $61.66 Median $87.10 Typical High $275.42 | Facility | None | $61.66 | $87.10 | $275.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $114.82 | $131.83 | $199.53 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $47.86 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $47.86 | $95.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $85.11 | $125.89 |
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 $95.50 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $95.50 | $114.82 | $154.88 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $44.67 | $58.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $57.54 | $69.18 | $97.72 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $51.29 | $95.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $120.23 Median $169.82 Typical High $346.74 | Facility | None | $120.23 | $169.82 | $346.74 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $186.21 Typical High $537.03 | Facility | TC · Technical part | $102.33 | $186.21 | $537.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $141.25 Typical High $263.03 | Professional | None (both parts) | $125.89 | $141.25 | $263.03 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $109.65 | Professional | 26 · Professional part | $50.12 | $50.12 | $109.65 |
MVP Health Care Setting Facility Modifier None Typical Low $69.18 Median $131.83 Typical High $257.04 | Facility | None | $69.18 | $131.83 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $251.19 | Professional | None (both parts) | $50.12 | $50.12 | $251.19 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $44.67 | $56.23 | $83.18 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $91.20 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $91.20 | $138.04 |
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 $77.62 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $77.62 | $100.00 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $50.12 | $63.10 | $120.23 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $165.96 | Facility | None | $25.12 | $25.12 | $165.96 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $134.90 | Facility | TC · Technical part | $15.14 | $15.14 | $134.90 |
Univera Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $154.88 | Professional | None (both parts) | $100.00 | $114.82 | $154.88 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $44.67 | $58.88 |
Univera Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $69.18 | $97.72 |
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 $44.67 Median $44.67 Typical High $56.23 | Professional | 52 · Reduced service | $44.67 | $44.67 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.20 Typical High $22.39 | Professional | 53 · Discontinued | $18.20 | $18.20 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $72.44 Typical High $89.13 | Professional | FX · Film X-ray | $72.44 | $72.44 | $89.13 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $95.50 Median $100.00 Typical High $107.15 | Professional | GL · Free upgrade | $95.50 | $100.00 | $107.15 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $74.13 Typical High $112.20 | Professional | 53 · Discontinued | $57.54 | $74.13 | $112.20 |
Where New York sits
The same service costs 4.6 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· 39th of 51
$110
AK $331UT $72.44
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.