How much rates vary
Facilitymedian $132 · 10th to 90th $35 to $282Professionalmedian $117 · 10th to 90th $91 to $178
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 $95.50 Median $117.49 Typical High $323.59 | Facility | None | $95.50 | $117.49 | $323.59 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $138.04 | Facility | 26 · Professional part | $41.69 | $51.29 | $138.04 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $190.55 | Facility | TC · Technical part | $53.70 | $64.57 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $186.21 | Professional | None (both parts) | $95.50 | $95.50 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $41.69 | $72.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $109.65 | Professional | TC · Technical part | $53.70 | $53.70 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $102.33 | $123.03 | $229.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $53.70 Median $109.65 Typical High $147.91 | Professional | None (both parts) | $53.70 | $109.65 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $46.77 Typical High $72.44 | Professional | 26 · Professional part | $41.69 | $46.77 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $114.82 | Professional | TC · Technical part | $58.88 | $69.18 | $114.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $72.44 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $72.44 | $91.20 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $208.93 Typical High $588.84 | Facility | None | $165.96 | $208.93 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $138.04 Typical High $389.05 | Professional | None (both parts) | $89.13 | $138.04 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $131.83 | Professional | 26 · Professional part | $35.48 | $39.81 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $66.07 Typical High $346.74 | Professional | TC · Technical part | $50.12 | $66.07 | $346.74 |
Emblem Health Setting Facility Modifier None Typical Low $57.54 Median $89.13 Typical High $257.04 | Facility | None | $57.54 | $89.13 | $257.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $218.78 | Professional | None (both parts) | $128.82 | $144.54 | $218.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $104.71 | Professional | 26 · Professional part | $52.48 | $58.88 | $104.71 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $87.10 Typical High $125.89 | Professional | TC · Technical part | $85.11 | $87.10 | $125.89 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $169.82 | Professional | None (both parts) | $109.65 | $131.83 | $169.82 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $54.95 | $72.44 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $97.72 | Professional | TC · Technical part | $63.10 | $75.86 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $114.82 Median $141.25 Typical High $263.03 | Facility | None | $114.82 | $141.25 | $263.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $134.90 | $138.04 | $281.84 |
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 $120.23 Median $120.23 Typical High $288.40 | Professional | None (both parts) | $120.23 | $120.23 | $288.40 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $102.33 | Professional | 26 · Professional part | $54.95 | $69.18 | $102.33 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $66.07 | $87.10 | $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 $85.11 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $85.11 | $107.15 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $34.67 | $45.71 | $85.11 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $60.26 Typical High $112.20 | Professional | TC · Technical part | $50.12 | $60.26 | $112.20 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $239.88 | Facility | None | $35.48 | $35.48 | $239.88 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $169.82 | Facility | TC · Technical part | $21.38 | $21.38 | $169.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $109.65 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $109.65 | $131.83 | $158.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $67.61 | Professional | 26 · Professional part | $46.77 | $54.95 | $67.61 |
Univera Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $91.20 | Professional | TC · Technical part | $63.10 | $75.86 | $91.20 |
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 $47.86 Median $47.86 Typical High $58.88 | Professional | 52 · Reduced service | $47.86 | $47.86 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $23.44 | Professional | 53 · Discontinued | $19.05 | $19.05 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $93.33 | Professional | FX · Film X-ray | $75.86 | $75.86 | $93.33 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $102.33 Median $104.71 Typical High $112.20 | Professional | GL · Free upgrade | $102.33 | $104.71 | $112.20 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $107.15 Median $125.89 Typical High $125.89 | Professional | 59 · Distinct service | $107.15 | $125.89 | $125.89 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $77.62 Typical High $120.23 | Professional | 53 · Discontinued | $60.26 | $77.62 | $120.23 |
Where New York sits
The same service costs 3.9 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· 43rd of 51
$117
AK $363TX $93.33
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.