How much rates vary
Facilitymedian $76 · 10th to 90th $25 to $229Professionalmedian $71 · 10th to 90th $58 to $138
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 $58.88 Median $72.44 Typical High $199.53 | Facility | None | $58.88 | $72.44 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $75.86 | Facility | 26 · Professional part | $21.88 | $28.18 | $75.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $125.89 | Facility | TC · Technical part | $37.15 | $43.65 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $97.72 | Professional | None (both parts) | $58.88 | $58.88 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $21.88 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $37.15 Typical High $57.54 | Professional | TC · Technical part | $37.15 | $37.15 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $104.71 | Professional | None (both parts) | $53.70 | $67.61 | $104.71 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $72.44 Typical High $89.13 | Professional | None (both parts) | $57.54 | $72.44 | $89.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $35.48 | Professional | 26 · Professional part | $22.39 | $26.30 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $45.71 Typical High $57.54 | Professional | TC · Technical part | $38.90 | $45.71 | $57.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $39.81 Median $64.57 Typical High $104.71 | Professional | None (both parts) | $39.81 | $64.57 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $478.63 | Facility | None | $112.20 | $151.36 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $54.95 Median $87.10 Typical High $223.87 | Professional | None (both parts) | $54.95 | $87.10 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.38 Typical High $72.44 | Professional | 26 · Professional part | $19.05 | $21.38 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $44.67 Typical High $204.17 | Professional | TC · Technical part | $33.11 | $44.67 | $204.17 |
Emblem Health Setting Facility Modifier None Typical Low $33.88 Median $52.48 Typical High $169.82 | Facility | None | $33.88 | $52.48 | $169.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $83.18 Typical High $125.89 | Professional | None (both parts) | $72.44 | $83.18 | $125.89 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $32.36 | $58.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $51.29 Typical High $75.86 | Professional | TC · Technical part | $50.12 | $51.29 | $75.86 |
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 $64.57 Median $69.18 Typical High $97.72 | Professional | None (both parts) | $64.57 | $69.18 | $97.72 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $22.39 | $26.92 | $39.81 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $58.88 | Professional | TC · Technical part | $38.02 | $44.67 | $58.88 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $15.85 | $15.85 | $15.85 |
Highmark BCBS Setting Facility Modifier None Typical Low $112.20 Median $114.82 Typical High $123.03 | Facility | None | $112.20 | $114.82 | $123.03 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $144.54 Typical High $147.91 | Professional | None (both parts) | $85.11 | $144.54 | $147.91 |
MVP Health Care Setting Facility Modifier None Typical Low $42.66 Median $107.15 Typical High $257.04 | Facility | None | $42.66 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $104.71 Median $138.04 Typical High $177.83 | Professional | None (both parts) | $104.71 | $138.04 | $177.83 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $38.02 | $56.23 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $58.88 Typical High $85.11 | Professional | TC · Technical part | $45.71 | $58.88 | $85.11 |
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 $51.29 Median $66.07 Typical High $123.03 | Professional | None (both parts) | $51.29 | $66.07 | $123.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $19.05 | $24.55 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $31.62 | $40.74 | $77.62 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $204.17 | Facility | None | $25.12 | $25.12 | $204.17 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $138.04 | Facility | TC · Technical part | $15.14 | $15.14 | $138.04 |
Univera Setting Professional Modifier None (both parts) Typical Low $64.57 Median $69.18 Typical High $91.20 | Professional | None (both parts) | $64.57 | $69.18 | $91.20 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.92 Typical High $37.15 | Professional | 26 · Professional part | $22.39 | $26.92 | $37.15 |
Univera Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $44.67 Typical High $54.95 | Professional | TC · Technical part | $38.02 | $44.67 | $54.95 |
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 $29.51 Median $29.51 Typical High $36.31 | Professional | 52 · Reduced service | $29.51 | $29.51 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $14.45 | Professional | 53 · Discontinued | $11.75 | $11.75 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $46.77 Typical High $57.54 | Professional | FX · Film X-ray | $46.77 | $46.77 | $57.54 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $57.54 Median $64.57 Typical High $64.57 | Professional | GL · Free upgrade | $57.54 | $64.57 | $64.57 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $47.86 Typical High $70.79 | Professional | 53 · Discontinued | $38.02 | $47.86 | $70.79 |
Where New York sits
The same service costs 4.4 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· 44th of 51
$72.44
AK $214UT $48.98
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.