How much rates vary
Facilitymedian $129 · 10th to 90th $28 to $339Professionalmedian $117 · 10th to 90th $93 to $182
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 $93.33 Median $120.23 Typical High $338.84 | Facility | None | $93.33 | $120.23 | $338.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $35.48 Typical High $95.50 | Facility | 26 · Professional part | $28.18 | $35.48 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $83.18 Typical High $239.88 | Facility | TC · Technical part | $64.57 | $83.18 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $177.83 | Professional | None (both parts) | $93.33 | $93.33 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $51.29 | Professional | 26 · Professional part | $28.18 | $28.18 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $125.89 | Professional | TC · Technical part | $64.57 | $64.57 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $120.23 | Professional | None (both parts) | $79.43 | $79.43 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $162.18 | Professional | None (both parts) | $100.00 | $117.49 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $33.11 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $112.20 | Professional | TC · Technical part | $72.44 | $85.11 | $112.20 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $50.12 Median $120.23 Typical High $169.82 | Professional | None (both parts) | $50.12 | $120.23 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $288.40 Typical High $724.44 | Facility | None | $194.98 | $288.40 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $138.04 Typical High $398.11 | Professional | None (both parts) | $91.20 | $138.04 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $27.54 Typical High $89.13 | Professional | 26 · Professional part | $24.55 | $27.54 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $75.86 Typical High $398.11 | Professional | TC · Technical part | $63.10 | $75.86 | $398.11 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $288.40 | Facility | None | $66.07 | $102.33 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $234.42 | Professional | None (both parts) | $128.82 | $141.25 | $234.42 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $107.15 | Professional | 26 · Professional part | $35.48 | $40.74 | $107.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $97.72 | $100.00 | $147.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $16.98 | Facility | TC · Technical part | $16.98 | $16.98 | $16.98 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $85.11 | $112.20 | $162.18 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $33.88 | $50.12 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $77.62 | $114.82 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $218.78 Typical High $954.99 | Facility | TC · Technical part | $213.80 | $218.78 | $954.99 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $239.88 | Professional | None (both parts) | $131.83 | $131.83 | $239.88 |
MVP Health Care Setting Facility Modifier None Typical Low $81.28 Median $154.88 Typical High $257.04 | Facility | None | $81.28 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $288.40 | Professional | None (both parts) | $128.82 | $128.82 | $288.40 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $47.86 Typical High $69.18 | Professional | 26 · Professional part | $38.02 | $47.86 | $69.18 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $109.65 Typical High $162.18 | Professional | TC · Technical part | $85.11 | $109.65 | $162.18 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $83.18 Median $107.15 Typical High $199.53 | Professional | None (both parts) | $83.18 | $107.15 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $23.99 | $31.62 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $58.88 | $74.13 | $144.54 |
Univera Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $245.47 | Facility | None | $28.18 | $28.18 | $245.47 |
Univera Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $16.98 Typical High $186.21 | Facility | TC · Technical part | $16.98 | $16.98 | $186.21 |
Univera Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $162.18 | Professional | None (both parts) | $85.11 | $112.20 | $162.18 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.88 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $33.88 | $50.12 |
Univera Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $114.82 | Professional | TC · Technical part | $66.07 | $77.62 | $114.82 |
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 $46.77 Median $46.77 Typical High $58.88 | Professional | 52 · Reduced service | $46.77 | $46.77 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $23.99 | Professional | 53 · Discontinued | $18.62 | $18.62 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | FX · Film X-ray | $74.13 | $74.13 | $95.50 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $104.71 Median $107.15 Typical High $114.82 | Professional | GL · Free upgrade | $104.71 | $107.15 | $114.82 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | 59 · Distinct service | $85.11 | $85.11 | $85.11 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $77.62 Typical High $117.49 | Professional | 53 · Discontinued | $61.66 | $77.62 | $117.49 |
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· 40th of 51
$117
AK $347TX $89.13
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.