How much rates vary
Facilitymedian $195 · 10th to 90th $60 to $676Professionalmedian $186 · 10th to 90th $141 to $363
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 $131.83 Median $186.21 Typical High $537.03 | Facility | None | $131.83 | $186.21 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $295.12 | Professional | None (both parts) | $131.83 | $131.83 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $15.49 Typical High $38.90 | Professional | 26 · Professional part | $15.49 | $15.49 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $117.49 | $257.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $346.74 | Professional | None (both parts) | $158.49 | $186.21 | $346.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $22.39 Typical High $39.81 | Professional | 26 · Professional part | $19.05 | $22.39 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $302.00 | Professional | TC · Technical part | $138.04 | $162.18 | $302.00 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.11 Median $239.88 Typical High $275.42 | Professional | None (both parts) | $33.11 | $239.88 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $575.44 Typical High $1,348.96 | Facility | None | $407.38 | $575.44 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $263.03 Typical High $851.14 | Professional | None (both parts) | $151.36 | $263.03 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $70.79 | Professional | 26 · Professional part | $16.22 | $18.20 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $263.03 Typical High $758.58 | Professional | TC · Technical part | $131.83 | $263.03 | $758.58 |
Emblem Health Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $549.54 | Facility | None | $125.89 | $190.55 | $549.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $245.47 Typical High $389.05 | Professional | None (both parts) | $194.98 | $245.47 | $389.05 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $30.90 | $47.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $169.82 | $213.80 | $346.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $131.83 | $165.96 | $234.42 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $13.18 | $21.38 | $30.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $144.54 | $204.17 |
Highmark BCBS Setting Facility Modifier None Typical Low $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $316.23 | Facility | None | $107.15 | $257.04 | $316.23 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $489.78 | Professional | None (both parts) | $141.25 | $141.25 | $489.78 |
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 $147.91 Median $213.80 Typical High $489.78 | Professional | None (both parts) | $147.91 | $213.80 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $57.54 | Professional | 26 · Professional part | $18.20 | $25.70 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $190.55 Typical High $446.68 | Professional | TC · Technical part | $128.82 | $190.55 | $446.68 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $371.54 | Facility | None | $60.26 | $60.26 | $371.54 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $302.00 | Facility | TC · Technical part | $36.31 | $36.31 | $302.00 |
Univera Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $234.42 | Professional | None (both parts) | $131.83 | $169.82 | $234.42 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.38 Typical High $32.36 | Professional | 26 · Professional part | $13.18 | $21.38 | $32.36 |
Univera Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $147.91 Typical High $204.17 | Professional | TC · Technical part | $117.49 | $147.91 | $204.17 |
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 $66.07 Median $66.07 Typical High $93.33 | Professional | 52 · Reduced service | $66.07 | $66.07 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $38.02 | Professional | 53 · Discontinued | $26.30 | $26.30 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $151.36 | Professional | FX · Film X-ray | $104.71 | $104.71 | $151.36 |
Where New York sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 47th of 51
$186
AK $741KY $162
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.