How much rates vary
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 $91.20 Typical High $251.19 | Facility | None | $72.44 | $91.20 | $251.19 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $91.20 | Facility | 26 · Professional part | $27.54 | $34.67 | $91.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $56.23 Typical High $162.18 | Facility | TC · Technical part | $44.67 | $56.23 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $134.90 | Professional | None (both parts) | $72.44 | $72.44 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $27.54 | $27.54 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $44.67 | $44.67 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $102.33 | Professional | None (both parts) | $69.18 | $81.28 | $102.33 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $69.18 Median $81.28 Typical High $117.49 | Professional | None (both parts) | $69.18 | $81.28 | $117.49 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $26.92 | $31.62 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $50.12 Typical High $79.43 | Professional | TC · Technical part | $42.66 | $50.12 | $79.43 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $48.98 Median $81.28 Typical High $128.82 | Professional | None (both parts) | $48.98 | $81.28 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $181.97 Typical High $549.54 | Facility | None | $131.83 | $181.97 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $107.15 Typical High $288.40 | Professional | None (both parts) | $69.18 | $107.15 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $89.13 | Professional | 26 · Professional part | $23.44 | $26.30 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $60.26 Typical High $275.42 | Professional | TC · Technical part | $42.66 | $60.26 | $275.42 |
Emblem Health Setting Facility Modifier None Typical Low $45.71 Median $70.79 Typical High $199.53 | Facility | None | $45.71 | $70.79 | $199.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $162.18 | Professional | None (both parts) | $91.20 | $91.20 | $162.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.88 Typical High $81.28 | Professional | 26 · Professional part | $33.11 | $33.88 | $81.28 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $100.00 | Professional | TC · Technical part | $57.54 | $57.54 | $100.00 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $79.43 | $87.10 | $125.89 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $28.84 | $32.36 | $48.98 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $77.62 | Professional | TC · Technical part | $50.12 | $53.70 | $77.62 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $24.55 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $24.55 | $38.90 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $363.08 Typical High $549.54 | Facility | TC · Technical part | $69.18 | $363.08 | $549.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $158.49 | Professional | None (both parts) | $104.71 | $104.71 | $158.49 |
MVP Health Care Setting Facility Modifier None Typical Low $56.23 Median $107.15 Typical High $257.04 | Facility | None | $56.23 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $109.65 | $109.65 | $218.78 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $45.71 Typical High $67.61 | Professional | 26 · Professional part | $36.31 | $45.71 | $67.61 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $72.44 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $72.44 | $112.20 |
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 $63.10 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $63.10 | $81.28 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $30.20 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $51.29 Typical High $95.50 | Professional | TC · Technical part | $40.74 | $51.29 | $95.50 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $234.42 | Facility | None | $30.20 | $30.20 | $234.42 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $144.54 | Facility | TC · Technical part | $18.20 | $18.20 | $144.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $79.43 Median $87.10 Typical High $125.89 | Professional | None (both parts) | $79.43 | $87.10 | $125.89 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $28.84 | $32.36 | $44.67 |
Univera Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $53.70 Typical High $72.44 | Professional | TC · Technical part | $50.12 | $53.70 | $72.44 |
2 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 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 $87.10 Typical High $107.15 | Professional | GL · Free upgrade | $81.28 | $87.10 | $107.15 |
Where New York sits
The same service costs 3.7 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· 48th of 51
$81.28
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.