How much rates vary
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 $44.67 Median $53.70 Typical High $125.89 | Facility | None | $44.67 | $53.70 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | None (both parts) | $44.67 | $44.67 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $17.78 | Professional | 26 · Professional part | $13.49 | $13.49 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | TC · Technical part | $31.62 | $31.62 | $52.48 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $52.48 Typical High $83.18 | Professional | None (both parts) | $44.67 | $52.48 | $83.18 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $16.22 Typical High $21.88 | Professional | 26 · Professional part | $13.80 | $16.22 | $21.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $36.31 Typical High $56.23 | Professional | TC · Technical part | $30.90 | $36.31 | $56.23 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $25.12 Median $52.48 Typical High $77.62 | Professional | None (both parts) | $25.12 | $52.48 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $125.89 Typical High $407.38 | Facility | None | $93.33 | $125.89 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $154.88 | Professional | None (both parts) | $39.81 | $45.71 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $12.88 Typical High $43.65 | Professional | 26 · Professional part | $12.30 | $12.88 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $31.62 Typical High $117.49 | Professional | TC · Technical part | $27.54 | $31.62 | $117.49 |
Emblem Health Setting Facility Modifier None Typical Low $40.74 Median $60.26 Typical High $144.54 | Facility | None | $40.74 | $60.26 | $144.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $100.00 | Professional | None (both parts) | $58.88 | $63.10 | $100.00 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $19.50 Typical High $35.48 | Professional | 26 · Professional part | $18.20 | $19.50 | $35.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $43.65 Typical High $64.57 | Professional | TC · Technical part | $41.69 | $43.65 | $64.57 |
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 $47.86 Median $57.54 Typical High $107.15 | Professional | None (both parts) | $47.86 | $57.54 | $107.15 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $25.12 | Professional | 26 · Professional part | $15.49 | $18.20 | $25.12 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $87.10 | Professional | TC · Technical part | $32.36 | $38.90 | $87.10 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Facility | TC · Technical part | $109.65 | $109.65 | $109.65 |
MVP Health Care Setting Facility Modifier None Typical Low $38.90 Median $107.15 Typical High $257.04 | Facility | None | $38.90 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $138.04 | Professional | None (both parts) | $60.26 | $60.26 | $138.04 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $23.44 Typical High $29.51 | Professional | 26 · Professional part | $19.05 | $23.44 | $29.51 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $67.61 | Professional | TC · Technical part | $39.81 | $50.12 | $67.61 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $102.33 | Professional | None (both parts) | $40.74 | $53.70 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $15.85 Typical High $30.20 | Professional | 26 · Professional part | $12.30 | $15.85 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $36.31 Typical High $77.62 | Professional | TC · Technical part | $28.18 | $36.31 | $77.62 |
Univera Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $154.88 | Facility | None | $30.20 | $30.20 | $154.88 |
Univera Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $112.20 | Facility | TC · Technical part | $18.20 | $18.20 | $112.20 |
Univera Setting Professional Modifier None (both parts) Typical Low $47.86 Median $66.07 Typical High $107.15 | Professional | None (both parts) | $47.86 | $66.07 | $107.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $22.39 | Professional | 26 · Professional part | $15.49 | $18.20 | $22.39 |
Univera Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $44.67 Typical High $87.10 | Professional | TC · Technical part | $32.36 | $44.67 | $87.10 |
1 more rate 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 $36.31 Median $36.31 Typical High $43.65 | Professional | FX · Film X-ray | $36.31 | $36.31 | $43.65 |
Where New York sits
The same service costs 4.8 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· 48th of 51
$52.48
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.