How much rates vary
Facilitymedian $74 · 10th to 90th $25 to $257Professionalmedian $81 · 10th to 90th $69 to $141
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 $69.18 Median $83.18 Typical High $95.50 | Facility | None | $69.18 | $83.18 | $95.50 |
Aetna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $69.18 Typical High $95.50 | Professional | None (both parts) | $69.18 | $69.18 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $24.55 | $24.55 | $35.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $60.26 | Professional | TC · Technical part | $45.71 | $45.71 | $60.26 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $100.00 | Professional | None (both parts) | $64.57 | $79.43 | $100.00 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $25.12 | $30.20 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $67.61 | Professional | TC · Technical part | $43.65 | $51.29 | $67.61 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $48.98 Median $81.28 Typical High $131.83 | Professional | None (both parts) | $48.98 | $81.28 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $512.86 Typical High $575.44 | Facility | None | $147.91 | $512.86 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $295.12 | Professional | None (both parts) | $72.44 | $85.11 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $102.33 | Professional | 26 · Professional part | $26.30 | $30.90 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $54.95 Typical High $190.55 | Professional | TC · Technical part | $46.77 | $54.95 | $190.55 |
Emblem Health Setting Facility Modifier None Typical Low $53.70 Median $87.10 Typical High $263.03 | Facility | None | $53.70 | $87.10 | $263.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $128.82 Typical High $218.78 | Professional | None (both parts) | $114.82 | $128.82 | $218.78 |
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 $77.62 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $77.62 | $95.50 | $147.91 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $33.11 | $50.12 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $50.12 | $63.10 | $97.72 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $380.19 Typical High $380.19 | Facility | TC · Technical part | $380.19 | $380.19 | $380.19 |
MVP Health Care Setting Facility Modifier None Typical Low $32.36 Median $154.88 Typical High $257.04 | Facility | None | $32.36 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $63.10 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $63.10 | $141.25 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $208.93 | Professional | None (both parts) | $75.86 | $95.50 | $208.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $70.79 | Professional | 26 · Professional part | $24.55 | $32.36 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $63.10 Typical High $138.04 | Professional | TC · Technical part | $50.12 | $63.10 | $138.04 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $77.62 Typical High $194.98 | Facility | None | $25.12 | $77.62 | $194.98 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $32.36 Median $38.90 Typical High $117.49 | Facility | 26 · Professional part | $32.36 | $38.90 | $117.49 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $45.71 Typical High $158.49 | Facility | TC · Technical part | $15.14 | $45.71 | $158.49 |
Univera Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $147.91 | Professional | None (both parts) | $77.62 | $95.50 | $147.91 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $19.50 | $33.11 | $50.12 |
Univera Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $45.71 | $63.10 | $97.72 |
3 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 $34.67 Median $34.67 Typical High $47.86 | Professional | 52 · Reduced service | $34.67 | $34.67 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $19.05 | Professional | 53 · Discontinued | $13.80 | $13.80 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | FX · Film X-ray | $56.23 | $56.23 | $75.86 |
Where New York sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 49th of 51
$81.28
AK $282OR $61.66
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.