How much rates vary
Facilitymedian $123 · 10th to 90th $59 to $389Professionalmedian $95 · 10th to 90th $72 to $219
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 $66.07 Median $151.36 Typical High $1,202.26 | Facility | None | $66.07 | $151.36 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $234.42 | Professional | None (both parts) | $66.07 | $66.07 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $53.70 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $53.70 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $12.59 Median $12.59 Typical High $151.36 | Professional | TC · Technical part | $12.59 | $12.59 | $151.36 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $165.96 | Professional | None (both parts) | $75.86 | $91.20 | $165.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $35.48 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $53.70 Typical High $102.33 | Professional | TC · Technical part | $43.65 | $53.70 | $102.33 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $56.23 Median $131.83 Typical High $186.21 | Professional | None (both parts) | $56.23 | $131.83 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $707.95 | Facility | None | $218.78 | $309.03 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $128.82 Typical High $407.38 | Professional | None (both parts) | $74.13 | $128.82 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $138.04 | Professional | 26 · Professional part | $34.67 | $45.71 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $93.33 Typical High $288.40 | Professional | TC · Technical part | $19.50 | $93.33 | $288.40 |
Emblem Health Setting Facility Modifier None Typical Low $91.20 Median $120.23 Typical High $407.38 | Facility | None | $91.20 | $120.23 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $269.15 | Professional | None (both parts) | $147.91 | $177.83 | $269.15 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $51.29 | $81.28 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $194.98 | Professional | TC · Technical part | $112.20 | $128.82 | $194.98 |
Excellus BCBS Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | TC · Technical part | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $131.83 Typical High $173.78 | Professional | None (both parts) | $48.98 | $131.83 | $173.78 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $51.29 | Professional | 26 · Professional part | $28.84 | $38.02 | $51.29 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $93.33 Typical High $120.23 | Professional | TC · Technical part | $20.89 | $93.33 | $120.23 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
MVP Health Care Setting Facility Modifier None Typical Low $97.72 Median $194.98 Typical High $512.86 | Facility | None | $97.72 | $194.98 | $512.86 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $144.54 Median $151.36 Typical High $295.12 | Professional | None (both parts) | $144.54 | $151.36 | $295.12 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $43.65 | $51.29 | $79.43 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $194.98 | Professional | TC · Technical part | $89.13 | $107.15 | $194.98 |
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 $95.50 Median $134.90 Typical High $338.84 | Professional | None (both parts) | $95.50 | $134.90 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $42.66 Typical High $112.20 | Professional | 26 · Professional part | $30.20 | $42.66 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $93.33 Typical High $239.88 | Professional | TC · Technical part | $63.10 | $93.33 | $239.88 |
Univera Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $213.80 | Facility | None | $58.88 | $58.88 | $213.80 |
Univera Setting Facility Modifier TC · Technical part Typical Low $35.48 Median $35.48 Typical High $190.55 | Facility | TC · Technical part | $35.48 | $35.48 | $190.55 |
Univera Setting Professional Modifier None (both parts) Typical Low $48.98 Median $125.89 Typical High $173.78 | Professional | None (both parts) | $48.98 | $125.89 | $173.78 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $28.84 | $38.02 | $53.70 |
Univera Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $91.20 Typical High $120.23 | Professional | TC · Technical part | $20.89 | $91.20 | $120.23 |
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 $33.11 Median $33.11 Typical High $75.86 | Professional | 52 · Reduced service | $33.11 | $33.11 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $30.90 | Professional | 53 · Discontinued | $13.18 | $13.18 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $109.65 | Professional | FX · Film X-ray | $53.70 | $53.70 | $109.65 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $66.07 Median $79.43 Typical High $138.04 | Professional | 53 · Discontinued | $66.07 | $79.43 | $138.04 |
Where New York sits
The same service costs 6.9 times more in Alaska than in Michigan. 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
$95.50
AK $525MI $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.