How much rates vary
Facilitymedian $17 · 10th to 90th $5 to $129Professionalmedian $7 · 10th to 90th $4 to $14
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 $4.27 Median $7.08 Typical High $16.98 | Facility | None | $4.27 | $7.08 | $16.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $5.75 Median $5.75 Typical High $8.32 | Professional | None (both parts) | $5.75 | $5.75 | $8.32 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $2.24 Typical High $2.69 | Professional | 26 · Professional part | $2.24 | $2.24 | $2.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.47 Median $3.47 Typical High $4.79 | Professional | TC · Technical part | $3.47 | $3.47 | $4.79 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $3.72 Median $6.31 Typical High $7.94 | Professional | None (both parts) | $3.72 | $6.31 | $7.94 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.19 Median $2.57 Typical High $4.68 | Professional | 26 · Professional part | $2.19 | $2.57 | $4.68 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $4.47 Typical High $7.94 | Professional | TC · Technical part | $3.55 | $4.47 | $7.94 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $3.80 Median $6.17 Typical High $10.00 | Professional | None (both parts) | $3.80 | $6.17 | $10.00 |
Cigna Setting Facility Modifier None Typical Low $12.02 Median $16.22 Typical High $181.97 | Facility | None | $12.02 | $16.22 | $181.97 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5.62 Median $6.61 Typical High $44.67 | Professional | None (both parts) | $5.62 | $6.61 | $44.67 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.04 Median $2.19 Typical High $7.59 | Professional | 26 · Professional part | $2.04 | $2.19 | $7.59 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $4.07 Typical High $40.74 | Professional | TC · Technical part | $3.39 | $4.07 | $40.74 |
Emblem Health Setting Facility Modifier None Typical Low $4.07 Median $6.03 Typical High $18.20 | Facility | None | $4.07 | $6.03 | $18.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $7.24 Median $9.33 Typical High $13.49 | Professional | None (both parts) | $7.24 | $9.33 | $13.49 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $2.51 Median $3.16 Typical High $4.68 | Professional | 26 · Professional part | $2.51 | $3.16 | $4.68 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $5.89 Median $6.03 Typical High $8.91 | Professional | TC · Technical part | $5.89 | $6.03 | $8.91 |
Excellus BCBS Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $18.20 | Facility | TC · Technical part | $18.20 | $18.20 | $18.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $6.76 Median $7.24 Typical High $10.23 | Professional | None (both parts) | $6.76 | $7.24 | $10.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $2.19 Median $2.51 Typical High $3.80 | Professional | 26 · Professional part | $2.19 | $2.51 | $3.80 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $4.90 Typical High $6.46 | Professional | TC · Technical part | $4.27 | $4.90 | $6.46 |
MVP Health Care Setting Facility Modifier None Typical Low $8.32 Median $38.90 Typical High $257.04 | Facility | None | $8.32 | $38.90 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $11.22 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $11.22 | $95.50 | $95.50 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $2.95 Median $3.80 Typical High $5.13 | Professional | 26 · Professional part | $2.95 | $3.80 | $5.13 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $5.75 Typical High $7.94 | Professional | TC · Technical part | $4.37 | $5.75 | $7.94 |
United Setting Facility Modifier None Typical Low $208.93 Median $245.47 Typical High $302.00 | Facility | None | $208.93 | $245.47 | $302.00 |
United Setting Professional Modifier None (both parts) Typical Low $5.62 Median $6.92 Typical High $23.99 | Professional | None (both parts) | $5.62 | $6.92 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.04 Median $2.51 Typical High $5.13 | Professional | 26 · Professional part | $2.04 | $2.51 | $5.13 |
United Setting Professional Modifier TC · Technical part Typical Low $3.39 Median $4.27 Typical High $10.00 | Professional | TC · Technical part | $3.39 | $4.27 | $10.00 |
Univera Setting Facility Modifier None Typical Low $7.94 Median $30.20 Typical High $36.31 | Facility | None | $7.94 | $30.20 | $36.31 |
Univera Setting Facility Modifier TC · Technical part Typical Low $5.01 Median $18.20 Typical High $21.88 | Facility | TC · Technical part | $5.01 | $18.20 | $21.88 |
Univera Setting Professional Modifier None (both parts) Typical Low $6.76 Median $7.24 Typical High $10.23 | Professional | None (both parts) | $6.76 | $7.24 | $10.23 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $2.19 Median $2.51 Typical High $3.47 | Professional | 26 · Professional part | $2.19 | $2.51 | $3.47 |
Univera Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $4.90 Typical High $6.46 | Professional | TC · Technical part | $4.27 | $4.90 | $6.46 |
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 $2.88 Median $2.88 Typical High $4.17 | Professional | 52 · Reduced service | $2.88 | $2.88 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.66 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $4.57 Median $4.57 Typical High $5.62 | Professional | FX · Film X-ray | $4.57 | $4.57 | $5.62 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $3.63 Median $4.79 Typical High $7.24 | Professional | 53 · Discontinued | $3.63 | $4.79 | $7.24 |
Where New York sits
The same service costs 4.2 times more in Kansas 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· 50th of 51
$6.61
KS $23.99FL $5.75
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.