How much rates vary
Facilitymedian $138 · 10th to 90th $30 to $355Professionalmedian $115 · 10th to 90th $95 to $186
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 $100.00 Median $117.49 Typical High $288.40 | Facility | None | $100.00 | $117.49 | $288.40 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $83.18 | Facility | 26 · Professional part | $28.18 | $36.31 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $229.09 | Facility | TC · Technical part | $72.44 | $81.28 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $154.88 | Professional | None (both parts) | $100.00 | $100.00 | $154.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | 26 · Professional part | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $114.82 | Professional | TC · Technical part | $69.18 | $72.44 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $93.33 | $114.82 | $147.91 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $43.65 | Professional | 26 · Professional part | $28.84 | $33.88 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $104.71 | Professional | TC · Technical part | $69.18 | $81.28 | $104.71 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $51.29 Median $109.65 Typical High $162.18 | Professional | None (both parts) | $51.29 | $109.65 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $309.03 Typical High $831.76 | Facility | None | $194.98 | $309.03 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $123.03 Typical High $588.84 | Professional | None (both parts) | $104.71 | $123.03 | $588.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $27.54 Typical High $93.33 | Professional | 26 · Professional part | $25.12 | $27.54 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $426.58 | Professional | TC · Technical part | $79.43 | $89.13 | $426.58 |
Emblem Health Setting Facility Modifier None Typical Low $70.79 Median $109.65 Typical High $316.23 | Facility | None | $70.79 | $109.65 | $316.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | None (both parts) | $125.89 | $125.89 | $218.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $109.65 | Professional | 26 · Professional part | $33.88 | $33.88 | $109.65 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $158.49 | Professional | TC · Technical part | $91.20 | $91.20 | $158.49 |
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 $81.28 Median $117.49 Typical High $181.97 | Professional | None (both parts) | $81.28 | $117.49 | $181.97 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $19.95 | $33.11 | $51.29 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $128.82 | Professional | TC · Technical part | $60.26 | $85.11 | $128.82 |
Highmark BCBS Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $234.42 | Facility | None | $112.20 | $151.36 | $234.42 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $125.89 | Professional | None (both parts) | $114.82 | $114.82 | $125.89 |
MVP Health Care Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $257.04 | Facility | None | $100.00 | $181.97 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $281.84 | Professional | None (both parts) | $128.82 | $128.82 | $281.84 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $48.98 | $70.79 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $138.04 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $138.04 | $199.53 |
United Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $251.19 | Facility | None | $173.78 | $204.17 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $234.42 | Professional | None (both parts) | $95.50 | $125.89 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $24.55 | $32.36 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $95.50 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $95.50 | $173.78 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $245.47 | Facility | None | $30.20 | $30.20 | $245.47 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $186.21 | Facility | TC · Technical part | $18.20 | $18.20 | $186.21 |
Univera Setting Professional Modifier None (both parts) Typical Low $81.28 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $81.28 | $117.49 | $173.78 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $19.95 | $33.11 | $51.29 |
Univera Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $85.11 Typical High $125.89 | Professional | TC · Technical part | $60.26 | $85.11 | $125.89 |
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 $50.12 Median $50.12 Typical High $58.88 | Professional | 52 · Reduced service | $50.12 | $50.12 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | FX · Film X-ray | $79.43 | $79.43 | $93.33 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $120.23 Median $128.82 Typical High $131.83 | Professional | GL · Free upgrade | $120.23 | $128.82 | $131.83 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $95.50 Typical High $138.04 | Professional | 53 · Discontinued | $74.13 | $95.50 | $138.04 |
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· 46th of 51
$115
AK $363TX $97.72
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.