How much rates vary
Facilitymedian $89 · 10th to 90th $44 to $257Professionalmedian $66 · 10th to 90th $54 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 $38.02 Median $81.28 Typical High $190.55 | Facility | None | $38.02 | $81.28 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $53.70 Typical High $138.04 | Professional | None (both parts) | $41.69 | $53.70 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $52.48 | Professional | 26 · Professional part | $19.50 | $22.91 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $30.90 Typical High $83.18 | Professional | TC · Technical part | $22.91 | $30.90 | $83.18 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $120.23 | Professional | None (both parts) | $52.48 | $63.10 | $120.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $51.29 | Professional | 26 · Professional part | $26.30 | $32.36 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $69.18 | Professional | TC · Technical part | $28.18 | $33.88 | $69.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $46.77 Median $66.07 Typical High $112.20 | Professional | None (both parts) | $46.77 | $66.07 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $512.86 Typical High $575.44 | Facility | None | $131.83 | $512.86 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $251.19 | Professional | None (both parts) | $58.88 | $70.79 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $95.50 | Professional | 26 · Professional part | $21.88 | $28.18 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $41.69 Typical High $158.49 | Professional | TC · Technical part | $36.31 | $41.69 | $158.49 |
Emblem Health Setting Facility Modifier None Typical Low $39.81 Median $61.66 Typical High $177.83 | Facility | None | $39.81 | $61.66 | $177.83 |
Emblem Health 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 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $35.48 | $38.02 | $58.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $63.10 Typical High $97.72 | Professional | TC · Technical part | $58.88 | $63.10 | $97.72 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $89.13 Typical High $138.04 | Professional | None (both parts) | $63.10 | $89.13 | $138.04 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $35.48 | $56.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $52.48 Typical High $83.18 | Professional | TC · Technical part | $38.02 | $52.48 | $83.18 |
MVP Health Care Setting Facility Modifier None Typical Low $89.13 Median $107.15 Typical High $257.04 | Facility | None | $89.13 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $100.00 | $120.23 | $165.96 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $43.65 Typical High $64.57 | Professional | 26 · Professional part | $33.88 | $43.65 | $64.57 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $57.54 Typical High $97.72 | Professional | TC · Technical part | $42.66 | $57.54 | $97.72 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $186.21 | Professional | None (both parts) | $57.54 | $74.13 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $30.90 Typical High $81.28 | Professional | 26 · Professional part | $21.88 | $30.90 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $41.69 Typical High $109.65 | Professional | TC · Technical part | $33.11 | $41.69 | $109.65 |
Univera Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $218.78 | Facility | None | $89.13 | $89.13 | $218.78 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $35.48 Median $36.31 Typical High $74.13 | Facility | 26 · Professional part | $35.48 | $36.31 | $74.13 |
Univera Setting Facility Modifier TC · Technical part Typical Low $52.48 Median $53.70 Typical High $190.55 | Facility | TC · Technical part | $52.48 | $53.70 | $190.55 |
Univera Setting Professional Modifier None (both parts) Typical Low $63.10 Median $79.43 Typical High $117.49 | Professional | None (both parts) | $63.10 | $79.43 | $117.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $47.86 | Professional | 26 · Professional part | $25.70 | $31.62 | $47.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $47.86 Typical High $70.79 | Professional | TC · Technical part | $38.02 | $47.86 | $70.79 |
4 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 $26.92 Median $26.92 Typical High $40.74 | Professional | 52 · Reduced service | $26.92 | $26.92 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.72 Median $10.72 Typical High $16.22 | Professional | 53 · Discontinued | $10.72 | $10.72 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $43.65 Typical High $64.57 | Professional | FX · Film X-ray | $43.65 | $43.65 | $64.57 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $50.12 Typical High $81.28 | Professional | 53 · Discontinued | $38.02 | $50.12 | $81.28 |
Where New York sits
The same service costs 5.9 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· 41st of 51
$66.07
AK $245TX $41.69
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.