How much rates vary
Facilitymedian $91 · 10th to 90th $30 to $224Professionalmedian $87 · 10th to 90th $68 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 $67.61 Median $93.33 Typical High $218.78 | Facility | None | $67.61 | $93.33 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $147.91 | Professional | None (both parts) | $67.61 | $67.61 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $48.98 Typical High $81.28 | Professional | 26 · Professional part | $48.98 | $48.98 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $64.57 | Professional | TC · Technical part | $18.62 | $18.62 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $162.18 | Professional | None (both parts) | $72.44 | $85.11 | $162.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $61.66 Typical High $112.20 | Professional | 26 · Professional part | $52.48 | $61.66 | $112.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $51.29 | Professional | TC · Technical part | $19.05 | $22.39 | $51.29 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $36.31 Median $95.50 Typical High $131.83 | Professional | None (both parts) | $36.31 | $95.50 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $1,862.09 Typical High $2,041.74 | Facility | None | $158.49 | $1,862.09 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $109.65 Typical High $363.08 | Professional | None (both parts) | $66.07 | $109.65 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $75.86 Typical High $234.42 | Professional | 26 · Professional part | $45.71 | $75.86 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $31.62 Typical High $138.04 | Professional | TC · Technical part | $19.95 | $31.62 | $138.04 |
Emblem Health Setting Facility Modifier None Typical Low $22.91 Median $35.48 Typical High $102.33 | Facility | None | $22.91 | $35.48 | $102.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $117.49 Typical High $181.97 | Professional | None (both parts) | $104.71 | $117.49 | $181.97 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $125.89 | Professional | 26 · Professional part | $72.44 | $79.43 | $125.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $36.31 Typical High $56.23 | Professional | TC · Technical part | $34.67 | $36.31 | $56.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | None | $91.20 | $91.20 | $91.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $54.95 | Facility | TC · Technical part | $54.95 | $54.95 | $54.95 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $141.25 | Professional | None (both parts) | $79.43 | $93.33 | $141.25 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $66.07 | $102.33 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $43.65 | Professional | TC · Technical part | $23.99 | $33.11 | $43.65 |
MVP Health Care Setting Facility Modifier None Typical Low $50.12 Median $107.15 Typical High $257.04 | Facility | None | $50.12 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $223.87 | Professional | None (both parts) | $120.23 | $120.23 | $223.87 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $138.04 | Professional | 26 · Professional part | $69.18 | $89.13 | $138.04 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $54.95 | Professional | TC · Technical part | $25.12 | $33.88 | $54.95 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $89.13 Typical High $269.15 | Professional | None (both parts) | $69.18 | $89.13 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $165.96 | Professional | 26 · Professional part | $48.98 | $66.07 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $25.70 Typical High $81.28 | Professional | TC · Technical part | $20.42 | $25.70 | $81.28 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $323.59 | Facility | None | $81.28 | $91.20 | $323.59 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $229.09 | Facility | 26 · Professional part | $57.54 | $75.86 | $229.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $54.95 Typical High $93.33 | Facility | TC · Technical part | $23.99 | $54.95 | $93.33 |
Univera Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $138.04 | Professional | None (both parts) | $79.43 | $93.33 | $138.04 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $66.07 Typical High $97.72 | Professional | 26 · Professional part | $37.15 | $66.07 | $97.72 |
Univera Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $30.20 Typical High $41.69 | Professional | TC · Technical part | $23.99 | $30.20 | $41.69 |
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 $33.88 Median $33.88 Typical High $61.66 | Professional | 52 · Reduced service | $33.88 | $33.88 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $24.55 | Professional | 53 · Discontinued | $13.49 | $13.49 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $75.86 | Professional | FX · Film X-ray | $54.95 | $54.95 | $75.86 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $61.66 Typical High $95.50 | Professional | 53 · Discontinued | $46.77 | $61.66 | $95.50 |
Where New York sits
The same service costs 5.2 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· 47th of 51
$89.13
AK $309TX $58.88
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.