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 $21.88 Median $30.90 Typical High $89.13 | Facility | None | $21.88 | $30.90 | $89.13 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.13 Median $10.00 Typical High $26.92 | Facility | 26 · Professional part | $8.13 | $10.00 | $26.92 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $21.38 Typical High $97.72 | Facility | TC · Technical part | $13.49 | $21.38 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $21.88 Typical High $43.65 | Professional | None (both parts) | $21.88 | $21.88 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $13.18 | Professional | 26 · Professional part | $8.13 | $8.13 | $13.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $13.49 Typical High $28.18 | Professional | TC · Technical part | $13.49 | $13.49 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $20.89 Median $26.30 Typical High $45.71 | Professional | None (both parts) | $20.89 | $26.30 | $45.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.23 Typical High $22.39 | Professional | 26 · Professional part | $8.71 | $10.23 | $22.39 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $16.22 Typical High $28.84 | Professional | TC · Technical part | $13.80 | $16.22 | $28.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $14.13 Median $30.20 Typical High $44.67 | Professional | None (both parts) | $14.13 | $30.20 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $165.96 | Facility | None | $53.70 | $72.44 | $165.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $36.31 Typical High $107.15 | Professional | None (both parts) | $21.38 | $36.31 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $26.92 | Professional | 26 · Professional part | $6.92 | $7.94 | $26.92 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.49 Median $18.20 Typical High $107.15 | Professional | TC · Technical part | $13.49 | $18.20 | $107.15 |
Emblem Health Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $79.43 | Facility | None | $17.78 | $27.54 | $79.43 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.02 Typical High $51.29 | Professional | None (both parts) | $33.11 | $38.02 | $51.29 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $10.96 | $21.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $26.92 Typical High $39.81 | Professional | TC · Technical part | $25.70 | $26.92 | $39.81 |
Excellus BCBS Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Facility | None | $52.48 | $52.48 | $52.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $31.62 Median $31.62 Typical High $31.62 | Facility | TC · Technical part | $31.62 | $31.62 | $31.62 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $19.50 Median $30.20 Typical High $45.71 | Professional | None (both parts) | $19.50 | $30.20 | $45.71 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $9.12 Typical High $13.80 | Professional | 26 · Professional part | $5.37 | $9.12 | $13.80 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $21.38 Typical High $32.36 | Professional | TC · Technical part | $14.13 | $21.38 | $32.36 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 26 · Professional part | $14.45 | $14.45 | $14.45 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $50.12 | Professional | None (both parts) | $34.67 | $34.67 | $50.12 |
MVP Health Care Setting Facility Modifier None Typical Low $39.81 Median $107.15 Typical High $257.04 | Facility | None | $39.81 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $44.67 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $44.67 | $95.50 | $95.50 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $13.18 Typical High $16.98 | Professional | 26 · Professional part | $10.72 | $13.18 | $16.98 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $28.84 Typical High $38.90 | Professional | TC · Technical part | $22.39 | $28.84 | $38.90 |
United Setting Facility Modifier None Typical Low $173.78 Median $204.17 Typical High $251.19 | Facility | None | $173.78 | $204.17 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $61.66 | Professional | None (both parts) | $23.44 | $30.20 | $61.66 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.12 Typical High $19.50 | Professional | 26 · Professional part | $7.08 | $9.12 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.89 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $20.89 | $40.74 |
Univera Setting Facility Modifier None Typical Low $28.18 Median $52.48 Typical High $63.10 | Facility | None | $28.18 | $52.48 | $63.10 |
Univera Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $31.62 Typical High $44.67 | Facility | TC · Technical part | $19.95 | $31.62 | $44.67 |
Univera Setting Professional Modifier None (both parts) Typical Low $19.50 Median $29.51 Typical High $45.71 | Professional | None (both parts) | $19.50 | $29.51 | $45.71 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $8.91 Typical High $12.30 | Professional | 26 · Professional part | $5.37 | $8.91 | $12.30 |
Univera Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $20.89 Typical High $31.62 | Professional | TC · Technical part | $14.13 | $20.89 | $31.62 |
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 $17.38 Median $17.38 Typical High $25.12 | Professional | FX · Film X-ray | $17.38 | $17.38 | $25.12 |
Highmark BCBS Setting Facility Modifier XU · Unusual separate service Typical Low $281.84 Median $281.84 Typical High $288.40 | Facility | XU · Unusual separate service | $281.84 | $281.84 | $288.40 |
Where New York sits
The same service costs 3.8 times more in Alaska 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
$27.54
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.