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 $100.00 Median $128.82 Typical High $128.82 | Facility | None | $100.00 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $39.81 Typical High $39.81 | Facility | 26 · Professional part | $26.30 | $39.81 | $39.81 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $97.72 | Facility | TC · Technical part | $74.13 | $89.13 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $100.00 | $100.00 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $26.30 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $107.15 | Professional | TC · Technical part | $74.13 | $74.13 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $79.43 | $93.33 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $95.50 | Professional | None (both parts) | $72.44 | $85.11 | $95.50 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $45.71 | Professional | 26 · Professional part | $35.48 | $40.74 | $45.71 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $109.65 Median $125.89 Typical High $141.25 | Professional | 50 · Both sides | $109.65 | $125.89 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $43.65 Typical High $47.86 | Professional | TC · Technical part | $37.15 | $43.65 | $47.86 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $53.70 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $53.70 | $125.89 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $257.04 Typical High $309.03 | Facility | None | $169.82 | $257.04 | $309.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $109.65 Typical High $371.54 | Professional | None (both parts) | $93.33 | $109.65 | $371.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $107.15 | Professional | 26 · Professional part | $26.92 | $31.62 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $263.03 | Professional | TC · Technical part | $66.07 | $75.86 | $263.03 |
Emblem Health Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $45.71 | Facility | None | $20.89 | $28.18 | $45.71 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $100.00 | $123.03 | $181.97 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $42.66 | $56.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $69.18 | $81.28 | $125.89 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $69.18 | Professional | None (both parts) | $35.48 | $50.12 | $69.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $38.02 Median $128.82 Typical High $316.23 | Facility | None | $38.02 | $128.82 | $316.23 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $67.61 | $81.28 | $81.28 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $257.04 | Facility | None | $107.15 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $63.10 | Professional | None (both parts) | $37.15 | $37.15 | $63.10 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $48.98 | Professional | 26 · Professional part | $31.62 | $38.90 | $48.98 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $32.36 Typical High $43.65 | Professional | TC · Technical part | $25.70 | $32.36 | $43.65 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $123.03 Typical High $229.09 | Professional | None (both parts) | $95.50 | $123.03 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $36.31 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $87.10 Typical High $162.18 | Professional | TC · Technical part | $67.61 | $87.10 | $162.18 |
Univera Setting Facility Modifier None Typical Low $112.20 Median $128.82 Typical High $288.40 | Facility | None | $112.20 | $128.82 | $288.40 |
Univera Setting Professional Modifier None (both parts) Typical Low $100.00 Median $123.03 Typical High $181.97 | Professional | None (both parts) | $100.00 | $123.03 | $181.97 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $42.66 Typical High $56.23 | Professional | 26 · Professional part | $30.90 | $42.66 | $56.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $69.18 | $81.28 | $125.89 |
2 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 $79.43 Median $79.43 Typical High $102.33 | Professional | FX · Film X-ray | $79.43 | $79.43 | $102.33 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | GL · Free upgrade | $120.23 | $120.23 | $120.23 |
Where New York sits
The same service costs 4.2 times more in Alaska than in New York. 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· 51st of 51
$89.13
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.