How much rates vary
Facilitymedian $115 · 10th to 90th $35 to $479Professionalmedian $100 · 10th to 90th $83 to $214
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 $89.13 Median $104.71 Typical High $245.47 | Facility | None | $89.13 | $104.71 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $147.91 | Professional | None (both parts) | $89.13 | $89.13 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $16.60 Typical High $28.18 | Professional | 26 · Professional part | $16.60 | $16.60 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $120.23 | Professional | TC · Technical part | $70.79 | $70.79 | $120.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $81.28 | $100.00 | $204.17 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.42 Typical High $37.15 | Professional | 26 · Professional part | $16.98 | $20.42 | $37.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $79.43 Typical High $162.18 | Professional | TC · Technical part | $66.07 | $79.43 | $162.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $30.90 Median $120.23 Typical High $151.36 | Professional | None (both parts) | $30.90 | $120.23 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $288.40 Typical High $870.96 | Facility | None | $213.80 | $288.40 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $181.97 Typical High $645.65 | Professional | None (both parts) | $89.13 | $181.97 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $63.10 | Professional | 26 · Professional part | $14.13 | $18.62 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $151.36 Typical High $407.38 | Professional | TC · Technical part | $69.18 | $151.36 | $407.38 |
Emblem Health Setting Facility Modifier None Typical Low $67.61 Median $104.71 Typical High $302.00 | Facility | None | $67.61 | $104.71 | $302.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $107.15 | $144.54 | $229.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $19.95 | $27.54 | $42.66 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $87.10 | $114.82 | $186.21 |
Excellus BCBS Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | TC · Technical part | $21.38 | $21.38 | $21.38 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $81.28 | $95.50 | $134.90 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $27.54 | Professional | 26 · Professional part | $13.80 | $19.95 | $27.54 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $64.57 | $77.62 | $107.15 |
MVP Health Care Setting Facility Modifier None Typical Low $83.18 Median $154.88 Typical High $257.04 | Facility | None | $83.18 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $309.03 | Professional | None (both parts) | $151.36 | $151.36 | $309.03 |
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 $87.10 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $87.10 | $125.89 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $23.44 Typical High $51.29 | Professional | 26 · Professional part | $16.22 | $23.44 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $100.00 | $218.78 |
Univera Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $316.23 | Facility | None | $35.48 | $35.48 | $316.23 |
Univera Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $21.38 Typical High $251.19 | Facility | TC · Technical part | $21.38 | $21.38 | $251.19 |
Univera Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $81.28 | $95.50 | $134.90 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $19.95 Typical High $28.18 | Professional | 26 · Professional part | $13.80 | $19.95 | $28.18 |
Univera Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $64.57 | $77.62 | $107.15 |
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 $43.65 Median $43.65 Typical High $56.23 | Professional | 52 · Reduced service | $43.65 | $43.65 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | 53 · Discontinued | $17.78 | $17.78 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $70.79 Median $70.79 Typical High $85.11 | Professional | FX · Film X-ray | $70.79 | $70.79 | $85.11 |
Where New York sits
The same service costs 5.1 times more in Alabama 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· 50th of 51
$100
AL $479FL $93.33
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.