How much rates vary
Facilitymedian $145 · 10th to 90th $49 to $851Professionalmedian $129 · 10th to 90th $107 to $316
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 $114.82 Median $125.89 Typical High $1,202.26 | Facility | None | $114.82 | $125.89 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $114.82 | $114.82 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | 26 · Professional part | $19.05 | $19.05 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $147.91 | Professional | TC · Technical part | $95.50 | $95.50 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $107.15 | $128.82 | $251.19 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $23.44 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $107.15 Typical High $199.53 | Professional | TC · Technical part | $91.20 | $107.15 | $199.53 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $36.31 Median $141.25 Typical High $177.83 | Professional | None (both parts) | $36.31 | $141.25 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $346.74 Typical High $1,174.90 | Facility | None | $257.04 | $346.74 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $239.88 Typical High $1,348.96 | Professional | None (both parts) | $107.15 | $239.88 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.91 Typical High $74.13 | Professional | 26 · Professional part | $16.60 | $22.91 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $213.80 Typical High $549.54 | Professional | TC · Technical part | $83.18 | $213.80 | $549.54 |
Emblem Health Setting Facility Modifier None Typical Low $83.18 Median $125.89 Typical High $371.54 | Facility | None | $83.18 | $125.89 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $177.83 Typical High $275.42 | Professional | None (both parts) | $141.25 | $177.83 | $275.42 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $31.62 | $48.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $229.09 | Professional | TC · Technical part | $114.82 | $141.25 | $229.09 |
Excellus BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
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 $97.72 Median $120.23 Typical High $208.93 | Professional | None (both parts) | $97.72 | $120.23 | $208.93 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $23.44 | $32.36 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $97.72 Typical High $186.21 | Professional | TC · Technical part | $77.62 | $97.72 | $186.21 |
MVP Health Care Setting Facility Modifier None Typical Low $100.00 Median $177.83 Typical High $257.04 | Facility | None | $100.00 | $177.83 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $190.55 Median $338.84 Typical High $371.54 | Professional | None (both parts) | $190.55 | $338.84 | $371.54 |
United Setting Facility Modifier None Typical Low $812.83 Median $933.25 Typical High $1,148.15 | Facility | None | $812.83 | $933.25 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $151.36 Typical High $371.54 | Professional | None (both parts) | $104.71 | $151.36 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $27.54 Typical High $60.26 | Professional | 26 · Professional part | $19.05 | $27.54 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $295.12 | Professional | TC · Technical part | $85.11 | $120.23 | $295.12 |
Univera Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $380.19 | Facility | None | $48.98 | $48.98 | $380.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $302.00 | Facility | TC · Technical part | $28.84 | $28.84 | $302.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $97.72 Median $151.36 Typical High $208.93 | Professional | None (both parts) | $97.72 | $151.36 | $208.93 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $23.44 | $33.11 |
Univera Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $186.21 | Professional | TC · Technical part | $77.62 | $120.23 | $186.21 |
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 $57.54 Median $57.54 Typical High $85.11 | Professional | 52 · Reduced service | $57.54 | $57.54 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $22.91 Typical High $33.88 | Professional | 53 · Discontinued | $22.91 | $22.91 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | FX · Film X-ray | $91.20 | $91.20 | $102.33 |
Where New York sits
The same service costs 5.2 times more in Alabama than in Texas. 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· 49th of 51
$129
AL $550TX $105
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.