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 $263.03 Median $354.81 Typical High $758.58 | Facility | None | $263.03 | $354.81 | $758.58 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $104.71 | Facility | 26 · Professional part | $37.15 | $44.67 | $104.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $660.69 | Facility | TC · Technical part | $223.87 | $309.03 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $354.81 Typical High $537.03 | Professional | None (both parts) | $208.93 | $354.81 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $34.67 | $44.67 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $309.03 Typical High $489.78 | Professional | TC · Technical part | $177.83 | $309.03 | $489.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $234.42 | $281.84 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $31.62 | $37.15 | $69.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $208.93 | $245.47 | $398.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $53.70 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $53.70 | $346.74 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $812.83 Typical High $1,412.54 | Facility | None | $316.23 | $812.83 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $295.12 Typical High $933.25 | Professional | None (both parts) | $223.87 | $295.12 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $40.74 Typical High $120.23 | Professional | 26 · Professional part | $33.88 | $40.74 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $831.76 | Professional | TC · Technical part | $218.78 | $263.03 | $831.76 |
Emblem Health Setting Facility Modifier None Typical Low $218.78 Median $281.84 Typical High $954.99 | Facility | None | $218.78 | $281.84 | $954.99 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $524.81 | Professional | None (both parts) | $288.40 | $346.74 | $524.81 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $48.98 | $77.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $263.03 | $309.03 | $457.09 |
Excellus BCBS Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | TC · Technical part | $28.84 | $28.84 | $28.84 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $158.49 | $245.47 | $338.84 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $47.86 | Professional | 26 · Professional part | $23.99 | $35.48 | $47.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $213.80 Typical High $288.40 | Professional | TC · Technical part | $134.90 | $213.80 | $288.40 |
Highmark BCBS Setting Facility Modifier None Typical Low $134.90 Median $630.96 Typical High $1,023.29 | Facility | None | $134.90 | $630.96 | $1,023.29 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $309.03 Typical High $323.59 | Professional | None (both parts) | $245.47 | $309.03 | $323.59 |
MVP Health Care Setting Facility Modifier None Typical Low $102.33 Median $257.04 Typical High $1,202.26 | Facility | None | $102.33 | $257.04 | $1,202.26 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $691.83 | Professional | None (both parts) | $302.00 | $302.00 | $691.83 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $41.69 | $48.98 | $77.62 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $309.03 Typical High $467.74 | Professional | TC · Technical part | $269.15 | $309.03 | $467.74 |
United Setting Facility Modifier None Typical Low $269.15 Median $316.23 Typical High $389.05 | Facility | None | $269.15 | $316.23 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $794.33 | Professional | None (both parts) | $199.53 | $288.40 | $794.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $40.74 Typical High $107.15 | Professional | 26 · Professional part | $28.84 | $40.74 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $724.44 | Professional | TC · Technical part | $186.21 | $251.19 | $724.44 |
Univera Setting Facility Modifier None Typical Low $47.86 Median $47.86 Typical High $446.68 | Facility | None | $47.86 | $47.86 | $446.68 |
Univera Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $380.19 | Facility | TC · Technical part | $28.84 | $28.84 | $380.19 |
Univera Setting Professional Modifier None (both parts) Typical Low $158.49 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $158.49 | $245.47 | $371.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $35.48 Typical High $56.23 | Professional | 26 · Professional part | $23.99 | $35.48 | $56.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $134.90 | $213.80 | $331.13 |
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 $131.83 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $131.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $52.48 | $70.79 | $70.79 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $208.93 | $281.84 | $281.84 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $186.21 Typical High $275.42 | Professional | 53 · Discontinued | $154.88 | $186.21 | $275.42 |
Where New York sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 33rd of 51
$282
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.