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 $134.90 Median $204.17 Typical High $67,608.30 | Facility | None | $134.90 | $204.17 | $67,608.30 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $295.12 | Facility | 26 · Professional part | $107.15 | $131.83 | $295.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $28.18 Median $63.10 Typical High $125.89 | Facility | TC · Technical part | $28.18 | $63.10 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $363.08 | Professional | None (both parts) | $134.90 | $194.98 | $363.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $131.83 Typical High $194.98 | Professional | 26 · Professional part | $104.71 | $131.83 | $194.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $63.10 Typical High $100.00 | Professional | TC · Technical part | $28.18 | $63.10 | $100.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $275.42 | Professional | None (both parts) | $107.15 | $125.89 | $275.42 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $97.72 Typical High $199.53 | Professional | 26 · Professional part | $83.18 | $97.72 | $199.53 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $28.84 Typical High $70.79 | Professional | TC · Technical part | $24.55 | $28.84 | $70.79 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $36.31 Median $151.36 Typical High $186.21 | Professional | None (both parts) | $36.31 | $151.36 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $4,168.69 | Facility | None | $77.62 | $102.33 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $165.96 Typical High $616.60 | Professional | None (both parts) | $120.23 | $165.96 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $117.49 Typical High $363.08 | Professional | 26 · Professional part | $93.33 | $117.49 | $363.08 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $43.65 Typical High $199.53 | Professional | TC · Technical part | $27.54 | $43.65 | $199.53 |
Emblem Health Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $162.18 | Facility | None | $36.31 | $47.86 | $162.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $186.21 Typical High $275.42 | Professional | None (both parts) | $151.36 | $186.21 | $275.42 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $109.65 | $141.25 | $223.87 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $51.29 Typical High $75.86 | Professional | TC · Technical part | $44.67 | $51.29 | $75.86 |
Excellus BCBS Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $77.62 | Facility | None | $77.62 | $77.62 | $77.62 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $46.77 | Facility | TC · Technical part | $46.77 | $46.77 | $46.77 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $186.21 | Professional | None (both parts) | $117.49 | $141.25 | $186.21 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $102.33 | $138.04 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $97.72 | Professional | TC · Technical part | $33.88 | $36.31 | $97.72 |
Highmark BCBS Setting Facility Modifier None Typical Low $66.07 Median $588.84 Typical High $3,981.07 | Facility | None | $66.07 | $588.84 | $3,981.07 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $138.04 | $147.91 | $147.91 |
MVP Health Care Setting Facility Modifier None Typical Low $36.31 Median $169.82 Typical High $257.04 | Facility | None | $36.31 | $169.82 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $173.78 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $173.78 | $537.03 | $537.03 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $218.78 | Professional | 26 · Professional part | $117.49 | $141.25 | $218.78 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.88 Typical High $72.44 | Professional | TC · Technical part | $28.18 | $33.88 | $72.44 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,122.02 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $151.36 Typical High $478.63 | Professional | None (both parts) | $107.15 | $151.36 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $114.82 Typical High $302.00 | Professional | 26 · Professional part | $83.18 | $114.82 | $302.00 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $35.48 Typical High $87.10 | Professional | TC · Technical part | $21.88 | $35.48 | $87.10 |
Univera Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $457.09 | Facility | None | $77.62 | $77.62 | $457.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $33.88 Median $46.77 Typical High $117.49 | Facility | TC · Technical part | $33.88 | $46.77 | $117.49 |
Univera Setting Professional Modifier None (both parts) Typical Low $128.82 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $128.82 | $141.25 | $204.17 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $102.33 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $102.33 | $158.49 |
Univera Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $36.31 Typical High $97.72 | Professional | TC · Technical part | $33.88 | $36.31 | $97.72 |
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 $67.61 Median $97.72 Typical High $131.83 | Professional | 52 · Reduced service | $67.61 | $97.72 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $38.90 Typical High $52.48 | Professional | 53 · Discontinued | $26.92 | $38.90 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $107.15 | $158.49 | $158.49 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $87.10 Typical High $144.54 | Professional | 53 · Discontinued | $72.44 | $87.10 | $144.54 |
Where New York sits
The same service costs 5.1 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· 48th of 51
$132
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.