How much rates vary
Facilitymedian $110 · 10th to 90th $30 to $288Professionalmedian $102 · 10th to 90th $79 to $151
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 $52.48 Median $102.33 Typical High $204.17 | Facility | None | $52.48 | $102.33 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $54.95 | Facility | 26 · Professional part | $23.99 | $31.62 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $72.44 Typical High $181.97 | Facility | TC · Technical part | $28.18 | $72.44 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $165.96 | Professional | None (both parts) | $52.48 | $52.48 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $23.99 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $28.18 Typical High $114.82 | Professional | TC · Technical part | $28.18 | $28.18 | $114.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $56.23 Median $75.86 Typical High $100.00 | Professional | None (both parts) | $56.23 | $75.86 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $102.33 Typical High $120.23 | Professional | None (both parts) | $85.11 | $102.33 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $37.15 | Professional | 26 · Professional part | $25.12 | $29.51 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $72.44 Typical High $81.28 | Professional | TC · Technical part | $60.26 | $72.44 | $81.28 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $44.67 Median $102.33 Typical High $147.91 | Professional | None (both parts) | $44.67 | $102.33 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $218.78 Typical High $363.08 | Facility | None | $158.49 | $218.78 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $91.20 Typical High $478.63 | Professional | None (both parts) | $57.54 | $91.20 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.99 Typical High $79.43 | Professional | 26 · Professional part | $21.88 | $23.99 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $61.66 Typical High $331.13 | Professional | TC · Technical part | $33.11 | $61.66 | $331.13 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $85.11 Typical High $245.47 | Facility | None | $54.95 | $85.11 | $245.47 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $177.83 | Professional | None (both parts) | $102.33 | $117.49 | $177.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $64.57 | Professional | 26 · Professional part | $30.90 | $34.67 | $64.57 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $123.03 | Professional | TC · Technical part | $81.28 | $83.18 | $123.03 |
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 $85.11 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $85.11 | $93.33 | $141.25 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $28.84 | $43.65 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $66.07 | $100.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $67.61 Median $181.97 Typical High $1,047.13 | Facility | None | $67.61 | $181.97 | $1,047.13 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $177.83 Typical High $346.74 | Facility | TC · Technical part | $72.44 | $177.83 | $346.74 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $229.09 | Professional | None (both parts) | $93.33 | $117.49 | $229.09 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $36.31 Typical High $63.10 | Professional | 26 · Professional part | $28.84 | $36.31 | $63.10 |
MVP Health Care Setting Facility Modifier None Typical Low $70.79 Median $131.83 Typical High $257.04 | Facility | None | $70.79 | $131.83 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $257.04 | Professional | None (both parts) | $120.23 | $120.23 | $257.04 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $60.26 | Professional | 26 · Professional part | $33.11 | $41.69 | $60.26 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $95.50 | $141.25 |
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 $72.44 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $72.44 | $93.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $21.38 | $27.54 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $120.23 | Professional | TC · Technical part | $52.48 | $66.07 | $120.23 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $186.21 | Facility | None | $30.20 | $30.20 | $186.21 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $158.49 | Facility | TC · Technical part | $18.20 | $18.20 | $158.49 |
Univera Setting Professional Modifier None (both parts) Typical Low $85.11 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $85.11 | $93.33 | $131.83 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $28.84 Typical High $40.74 | Professional | 26 · Professional part | $17.38 | $28.84 | $40.74 |
Univera Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $66.07 Typical High $91.20 | Professional | TC · Technical part | $64.57 | $66.07 | $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 $26.30 Median $26.30 Typical High $51.29 | Professional | 52 · Reduced service | $26.30 | $26.30 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $20.42 | Professional | 53 · Discontinued | $10.47 | $10.47 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $41.69 Typical High $83.18 | Professional | FX · Film X-ray | $41.69 | $41.69 | $83.18 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $64.57 Median $64.57 Typical High $109.65 | Professional | GL · Free upgrade | $64.57 | $64.57 | $109.65 |
Fidelis Setting Professional Modifier 59 · Distinct service Typical Low $66.07 Median $66.07 Typical High $93.33 | Professional | 59 · Distinct service | $66.07 | $66.07 | $93.33 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $67.61 Typical High $100.00 | Professional | 53 · Discontinued | $53.70 | $67.61 | $100.00 |
Where New York sits
The same service costs 4.2 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· 43rd of 51
$102
AK $302UT $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.