How much rates vary
Facilitymedian $72 · 10th to 90th $40 to $257Professionalmedian $110 · 10th to 90th $87 to $155
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 $102.33 Typical High $120.23 | Facility | None | $100.00 | $102.33 | $120.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $120.23 | Professional | None (both parts) | $100.00 | $100.00 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $66.07 | Professional | 26 · Professional part | $52.48 | $52.48 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | TC · Technical part | $47.86 | $47.86 | $53.70 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $97.72 | $117.49 | $128.82 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $104.71 | Professional | 26 · Professional part | $53.70 | $63.10 | $104.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $58.88 | Professional | TC · Technical part | $45.71 | $53.70 | $58.88 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $77.62 Median $93.33 Typical High $169.82 | Professional | None (both parts) | $77.62 | $93.33 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $512.86 Typical High $562.34 | Facility | None | $194.98 | $512.86 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $263.03 | Professional | None (both parts) | $87.10 | $87.10 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $141.25 | Professional | 26 · Professional part | $44.67 | $44.67 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $43.65 Typical High $125.89 | Professional | TC · Technical part | $42.66 | $43.65 | $125.89 |
Emblem Health Setting Facility Modifier None Typical Low $58.88 Median $91.20 Typical High $263.03 | Facility | None | $58.88 | $91.20 | $263.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $102.33 | $154.88 | $263.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $75.86 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $75.86 | $120.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $79.43 Typical High $144.54 | Professional | TC · Technical part | $72.44 | $79.43 | $144.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $23.44 Typical High $23.44 | Facility | TC · Technical part | $23.44 | $23.44 | $23.44 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $107.15 | $131.83 | $199.53 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $52.48 | $63.10 | $93.33 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $107.15 | Professional | TC · Technical part | $54.95 | $69.18 | $107.15 |
MVP Health Care Setting Facility Modifier None Typical Low $51.29 Median $154.88 Typical High $257.04 | Facility | None | $51.29 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $53.70 | $53.70 | $53.70 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $89.13 Typical High $112.20 | Professional | 26 · Professional part | $70.79 | $89.13 | $112.20 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $95.50 | $114.82 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $56.23 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $58.88 Typical High $89.13 | Professional | TC · Technical part | $48.98 | $58.88 | $89.13 |
Univera Setting Facility Modifier None Typical Low $39.81 Median $102.33 Typical High $199.53 | Facility | None | $39.81 | $102.33 | $199.53 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $54.95 Median $70.79 Typical High $229.09 | Facility | 26 · Professional part | $54.95 | $70.79 | $229.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $46.77 Typical High $169.82 | Facility | TC · Technical part | $23.44 | $46.77 | $169.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $102.33 Median $131.83 Typical High $181.97 | Professional | None (both parts) | $102.33 | $131.83 | $181.97 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $63.10 Typical High $83.18 | Professional | 26 · Professional part | $52.48 | $63.10 | $83.18 |
Univera Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $69.18 Typical High $97.72 | Professional | TC · Technical part | $46.77 | $69.18 | $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 $50.12 Median $50.12 Typical High $60.26 | Professional | 52 · Reduced service | $50.12 | $50.12 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $23.99 | Professional | 53 · Discontinued | $19.95 | $19.95 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $79.43 Median $79.43 Typical High $95.50 | Professional | FX · Film X-ray | $79.43 | $79.43 | $95.50 |
Where New York sits
The same service costs 4.5 times more in Alaska than in Florida. 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
$110
AK $372FL $83.18
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.