How much rates vary
Facilitymedian $91 · 10th to 90th $20 to $347Professionalmedian $76 · 10th to 90th $62 to $148
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 $64.57 Median $69.18 Typical High $162.18 | Facility | None | $64.57 | $69.18 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $72.44 | Professional | None (both parts) | $64.57 | $64.57 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.03 Typical High $7.94 | Professional | 26 · Professional part | $6.03 | $6.03 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $61.66 | Professional | TC · Technical part | $57.54 | $57.54 | $61.66 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $138.04 | Professional | None (both parts) | $64.57 | $77.62 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.41 Typical High $14.13 | Professional | 26 · Professional part | $6.31 | $7.41 | $14.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $69.18 Typical High $123.03 | Professional | TC · Technical part | $58.88 | $69.18 | $123.03 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $11.22 Median $87.10 Typical High $97.72 | Professional | None (both parts) | $11.22 | $87.10 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $213.80 Typical High $630.96 | Facility | None | $154.88 | $213.80 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $117.49 Typical High $346.74 | Professional | None (both parts) | $57.54 | $117.49 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.24 Typical High $23.99 | Professional | 26 · Professional part | $5.50 | $7.24 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $107.15 Typical High $309.03 | Professional | TC · Technical part | $48.98 | $107.15 | $309.03 |
Emblem Health Setting Facility Modifier None Typical Low $51.29 Median $77.62 Typical High $223.87 | Facility | None | $51.29 | $77.62 | $223.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $97.72 Typical High $158.49 | Professional | None (both parts) | $77.62 | $97.72 | $158.49 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.23 Typical High $16.22 | Professional | 26 · Professional part | $7.94 | $10.23 | $16.22 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $87.10 | $141.25 |
Excellus BCBS Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Facility | None | $20.42 | $20.42 | $20.42 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $12.02 | Facility | TC · Technical part | $12.02 | $12.02 | $12.02 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $54.95 Median $64.57 Typical High $89.13 | Professional | None (both parts) | $54.95 | $64.57 | $89.13 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $7.24 Typical High $10.23 | Professional | 26 · Professional part | $5.13 | $7.24 | $10.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $79.43 | Professional | TC · Technical part | $47.86 | $56.23 | $79.43 |
MVP Health Care Setting Facility Modifier None Typical Low $61.66 Median $114.82 Typical High $257.04 | Facility | None | $61.66 | $114.82 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $181.97 | Professional | None (both parts) | $39.81 | $39.81 | $181.97 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,715.35 | Facility | None | $2,630.27 | $3,019.95 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $54.95 Median $81.28 Typical High $177.83 | Professional | None (both parts) | $54.95 | $81.28 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.71 Typical High $19.50 | Professional | 26 · Professional part | $6.17 | $8.71 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $74.13 Typical High $162.18 | Professional | TC · Technical part | $50.12 | $74.13 | $162.18 |
Univera Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $125.89 | Facility | None | $20.42 | $20.42 | $125.89 |
Univera Setting Facility Modifier TC · Technical part Typical Low $12.02 Median $12.02 Typical High $114.82 | Facility | TC · Technical part | $12.02 | $12.02 | $114.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $54.95 Median $64.57 Typical High $91.20 | Professional | None (both parts) | $54.95 | $64.57 | $91.20 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $7.24 Typical High $10.96 | Professional | 26 · Professional part | $5.13 | $7.24 | $10.96 |
Univera Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $56.23 Typical High $81.28 | Professional | TC · Technical part | $47.86 | $56.23 | $81.28 |
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 $32.36 Median $32.36 Typical High $36.31 | Professional | 52 · Reduced service | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | 53 · Discontinued | $12.88 | $12.88 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | FX · Film X-ray | $51.29 | $51.29 | $56.23 |
Where New York sits
The same service costs 8.1 times more in Alabama than in Indiana. 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· 43rd of 51
$75.86
AL $513IN $63.10
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.