How much rates vary
Facilitymedian $110 · 10th to 90th $25 to $288Professionalmedian $85 · 10th to 90th $72 to $148
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 $83.18 Median $102.33 Typical High $288.40 | Facility | None | $83.18 | $102.33 | $288.40 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $83.18 | Facility | 26 · Professional part | $22.91 | $30.20 | $83.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $323.59 | Facility | TC · Technical part | $58.88 | $72.44 | $323.59 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $104.71 | Professional | None (both parts) | $83.18 | $83.18 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $30.90 | Professional | 26 · Professional part | $22.91 | $22.91 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $74.13 | Professional | TC · Technical part | $58.88 | $58.88 | $74.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None (both parts) | $69.18 | $69.18 | $69.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $85.11 Typical High $125.89 | Professional | None (both parts) | $67.61 | $85.11 | $125.89 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $28.84 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $93.33 | Professional | TC · Technical part | $47.86 | $56.23 | $93.33 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $43.65 Median $104.71 Typical High $147.91 | Professional | None (both parts) | $43.65 | $104.71 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $223.87 Typical High $588.84 | Facility | None | $154.88 | $223.87 | $588.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $97.72 Typical High $467.74 | Professional | None (both parts) | $75.86 | $97.72 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $22.91 Typical High $77.62 | Professional | 26 · Professional part | $20.89 | $22.91 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $66.07 Typical High $331.13 | Professional | TC · Technical part | $54.95 | $66.07 | $331.13 |
Emblem Health Setting Facility Modifier None Typical Low $54.95 Median $85.11 Typical High $239.88 | Facility | None | $54.95 | $85.11 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $100.00 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $100.00 | $117.49 | $173.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $91.20 | Professional | 26 · Professional part | $29.51 | $33.88 | $91.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $83.18 Typical High $120.23 | Professional | TC · Technical part | $81.28 | $83.18 | $120.23 |
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 $75.86 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $75.86 | $93.33 | $141.25 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $16.98 | $28.18 | $42.66 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $100.00 | Professional | TC · Technical part | $60.26 | $64.57 | $100.00 |
Highmark BCBS Setting Facility Modifier None Typical Low $104.71 Median $112.20 Typical High $181.97 | Facility | None | $104.71 | $112.20 | $181.97 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $33.88 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $33.88 | $64.57 |
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 $117.49 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $117.49 | $117.49 | $245.47 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $40.74 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $40.74 | $58.88 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $75.86 | $97.72 | $141.25 |
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 $74.13 Median $93.33 Typical High $173.78 | Professional | None (both parts) | $74.13 | $93.33 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $26.92 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $66.07 Typical High $123.03 | Professional | TC · Technical part | $52.48 | $66.07 | $123.03 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $229.09 | Facility | None | $25.12 | $25.12 | $229.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $173.78 | Facility | TC · Technical part | $15.14 | $15.14 | $173.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $75.86 Median $93.33 Typical High $131.83 | Professional | None (both parts) | $75.86 | $93.33 | $131.83 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $16.98 | $28.18 | $39.81 |
Univera Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $64.57 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $64.57 | $91.20 |
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 $41.69 Median $41.69 Typical High $51.29 | Professional | 52 · Reduced service | $41.69 | $41.69 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $20.42 | Professional | 53 · Discontinued | $16.60 | $16.60 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $81.28 | Professional | FX · Film X-ray | $66.07 | $66.07 | $81.28 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $91.20 Median $93.33 Typical High $100.00 | Professional | GL · Free upgrade | $91.20 | $93.33 | $100.00 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $69.18 Typical High $100.00 | Professional | 53 · Discontinued | $53.70 | $69.18 | $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· 48th of 51
$85.11
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.