How much rates vary
Facilitymedian $123 · 10th to 90th $69 to $813Professionalmedian $100 · 10th to 90th $78 to $240
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 $128.82 Median $173.78 Typical High $1,174.90 | Facility | None | $128.82 | $173.78 | $1,174.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $194.98 | Facility | 26 · Professional part | $57.54 | $85.11 | $194.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $87.10 Typical High $208.93 | Facility | TC · Technical part | $69.18 | $87.10 | $208.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $208.93 | Professional | None (both parts) | $128.82 | $128.82 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $57.54 | $57.54 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $123.03 | Professional | TC · Technical part | $70.79 | $70.79 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $56.23 Typical High $158.49 | Professional | 26 · Professional part | $38.90 | $56.23 | $158.49 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $213.80 | Professional | None (both parts) | $77.62 | $91.20 | $213.80 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $42.66 Typical High $79.43 | Professional | 26 · Professional part | $36.31 | $42.66 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $47.86 Typical High $104.71 | Professional | TC · Technical part | $40.74 | $47.86 | $104.71 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $102.33 Median $107.15 Typical High $208.93 | Professional | None (both parts) | $102.33 | $107.15 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $1,202.26 Typical High $1,348.96 | Facility | None | $199.53 | $1,202.26 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $446.68 | Professional | None (both parts) | $97.72 | $104.71 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $186.21 | Professional | 26 · Professional part | $41.69 | $50.12 | $186.21 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $56.23 Typical High $263.03 | Professional | TC · Technical part | $54.95 | $56.23 | $263.03 |
Emblem Health Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $194.98 | Facility | None | $44.67 | $69.18 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $128.82 | $144.54 | $204.17 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $123.03 | Professional | 26 · Professional part | $67.61 | $79.43 | $123.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $64.57 | $67.61 | $100.00 |
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 $112.20 Median $117.49 Typical High $208.93 | Professional | None (both parts) | $112.20 | $117.49 | $208.93 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $37.15 | $64.57 | $114.82 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $52.48 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $52.48 | $95.50 |
Highmark BCBS Setting Facility Modifier None Typical Low $81.28 Median $724.44 Typical High $1,621.81 | Facility | None | $81.28 | $724.44 | $1,621.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $158.49 | Professional | None (both parts) | $117.49 | $117.49 | $158.49 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $91.20 Typical High $147.91 | Professional | 26 · Professional part | $75.86 | $91.20 | $147.91 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $131.83 Typical High $257.04 | Facility | None | $107.15 | $131.83 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $363.08 | Professional | None (both parts) | $144.54 | $144.54 | $363.08 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $95.50 Typical High $128.82 | Professional | 26 · Professional part | $75.86 | $95.50 | $128.82 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $138.04 | Professional | TC · Technical part | $75.86 | $100.00 | $138.04 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $100.00 | $134.90 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $67.61 Typical High $138.04 | Professional | 26 · Professional part | $50.12 | $67.61 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $69.18 Typical High $162.18 | Professional | TC · Technical part | $47.86 | $69.18 | $162.18 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $112.20 Typical High $389.05 | Facility | None | $91.20 | $112.20 | $389.05 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $141.25 | Facility | 26 · Professional part | $61.66 | $61.66 | $141.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $50.12 Median $54.95 Typical High $173.78 | Facility | TC · Technical part | $50.12 | $54.95 | $173.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $181.97 | Professional | None (both parts) | $112.20 | $128.82 | $181.97 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $64.57 Typical High $100.00 | Professional | 26 · Professional part | $37.15 | $64.57 | $100.00 |
Univera Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $67.61 Typical High $95.50 | Professional | TC · Technical part | $50.12 | $67.61 | $95.50 |
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 FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $138.04 | Professional | FX · Film X-ray | $102.33 | $102.33 | $138.04 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $109.65 Median $109.65 Typical High $263.03 | Professional | GL · Free upgrade | $109.65 | $109.65 | $263.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $100.00 Typical High $141.25 | Professional | 53 · Discontinued | $77.62 | $100.00 | $141.25 |
Where New York sits
The same service costs 5.9 times more in Alaska than in Utah. 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
$100
AK $447UT $75.86
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.