How much rates vary
Facilitymedian $56 · 10th to 90th $41 to $245Professionalmedian $79 · 10th to 90th $65 to $155
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 $56.23 Median $81.28 Typical High $346.74 | Facility | None | $56.23 | $81.28 | $346.74 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.90 Median $53.70 Typical High $239.88 | Facility | TC · Technical part | $38.90 | $53.70 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $181.97 | Professional | None (both parts) | $56.23 | $56.23 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $58.88 | Professional | 26 · Professional part | $17.38 | $17.38 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $120.23 | Professional | TC · Technical part | $38.90 | $38.90 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $79.43 Typical High $151.36 | Professional | None (both parts) | $64.57 | $79.43 | $151.36 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $21.88 | $25.70 | $44.67 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $54.95 Typical High $89.13 | Professional | TC · Technical part | $45.71 | $54.95 | $89.13 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $38.90 Median $77.62 Typical High $114.82 | Professional | None (both parts) | $38.90 | $77.62 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $512.86 Typical High $575.44 | Facility | None | $125.89 | $512.86 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $123.03 Typical High $380.19 | Professional | None (both parts) | $64.57 | $123.03 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.89 Typical High $79.43 | Professional | 26 · Professional part | $18.62 | $20.89 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $87.10 Typical High $257.04 | Professional | TC · Technical part | $43.65 | $87.10 | $257.04 |
Emblem Health Setting Facility Modifier None Typical Low $42.66 Median $66.07 Typical High $190.55 | Facility | None | $42.66 | $66.07 | $190.55 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $85.11 Median $109.65 Typical High $169.82 | Professional | None (both parts) | $85.11 | $109.65 | $169.82 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $35.48 Typical High $54.95 | Professional | 26 · Professional part | $26.92 | $35.48 | $54.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $58.88 | $72.44 | $117.49 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | TC · Technical part | $23.99 | $23.99 | $23.99 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $102.33 | Professional | None (both parts) | $57.54 | $74.13 | $102.33 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $24.55 Typical High $34.67 | Professional | 26 · Professional part | $15.85 | $24.55 | $34.67 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $41.69 | $48.98 | $67.61 |
Highmark BCBS Setting Facility Modifier None Typical Low $117.49 Median $194.98 Typical High $218.78 | Facility | None | $117.49 | $194.98 | $218.78 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $95.50 | $95.50 | $95.50 |
MVP Health Care Setting Facility Modifier None Typical Low $52.48 Median $107.15 Typical High $257.04 | Facility | None | $52.48 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $204.17 | Professional | None (both parts) | $109.65 | $109.65 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $204.17 | Professional | None (both parts) | $64.57 | $91.20 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $30.20 Typical High $66.07 | Professional | 26 · Professional part | $20.89 | $30.20 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $141.25 | Professional | TC · Technical part | $44.67 | $63.10 | $141.25 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $81.28 | Facility | None | $40.74 | $40.74 | $81.28 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $70.79 | Facility | TC · Technical part | $23.99 | $23.99 | $70.79 |
Univera Setting Professional Modifier None (both parts) Typical Low $57.54 Median $74.13 Typical High $102.33 | Professional | None (both parts) | $57.54 | $74.13 | $102.33 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $24.55 Typical High $35.48 | Professional | 26 · Professional part | $15.85 | $24.55 | $35.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $48.98 Typical High $67.61 | Professional | TC · Technical part | $41.69 | $48.98 | $67.61 |
3 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 $28.18 Median $28.18 Typical High $40.74 | Professional | 52 · Reduced service | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $16.22 | Professional | 53 · Discontinued | $11.22 | $11.22 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | FX · Film X-ray | $44.67 | $44.67 | $64.57 |
Where New York sits
The same service costs 4.6 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· 46th of 51
$79.43
AK $302FL $66.07
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.