How much rates vary
Facilitymedian $115 · 10th to 90th $35 to $513Professionalmedian $95 · 10th to 90th $76 to $200
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 $66.07 Median $104.71 Typical High $239.88 | Facility | None | $66.07 | $104.71 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $134.90 | Professional | None (both parts) | $66.07 | $66.07 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $12.02 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $54.95 | $109.65 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $81.28 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $81.28 | $95.50 | $194.98 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $18.20 Typical High $33.88 | Professional | 26 · Professional part | $15.49 | $18.20 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $154.88 | Professional | TC · Technical part | $66.07 | $77.62 | $154.88 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $27.54 Median $120.23 Typical High $147.91 | Professional | None (both parts) | $27.54 | $120.23 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $288.40 Typical High $851.14 | Facility | None | $213.80 | $288.40 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $177.83 Typical High $691.83 | Professional | None (both parts) | $77.62 | $177.83 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $56.23 | Professional | 26 · Professional part | $12.88 | $15.14 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $151.36 Typical High $407.38 | Professional | TC · Technical part | $64.57 | $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 $112.20 Median $141.25 Typical High $223.87 | Professional | None (both parts) | $112.20 | $141.25 | $223.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $38.90 | Professional | 26 · Professional part | $18.62 | $24.55 | $38.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $117.49 Typical High $186.21 | Professional | TC · Technical part | $93.33 | $117.49 | $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 $79.43 Median $95.50 Typical High $131.83 | Professional | None (both parts) | $79.43 | $95.50 | $131.83 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.78 Typical High $25.12 | Professional | 26 · Professional part | $12.02 | $17.78 | $25.12 |
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 $85.11 Median $123.03 Typical High $257.04 | Professional | None (both parts) | $85.11 | $123.03 | $257.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.89 Typical High $45.71 | Professional | 26 · Professional part | $14.79 | $20.89 | $45.71 |
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 $257.04 | Facility | TC · Technical part | $21.38 | $21.38 | $257.04 |
Univera Setting Professional Modifier None (both parts) Typical Low $79.43 Median $95.50 Typical High $134.90 | Professional | None (both parts) | $79.43 | $95.50 | $134.90 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $17.78 Typical High $26.92 | Professional | 26 · Professional part | $12.02 | $17.78 | $26.92 |
Univera Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $77.62 Typical High $109.65 | Professional | TC · Technical part | $64.57 | $77.62 | $109.65 |
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 $33.11 Median $33.11 Typical High $57.54 | Professional | 52 · Reduced service | $33.11 | $33.11 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $23.44 | Professional | 53 · Discontinued | $13.18 | $13.18 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $53.70 Median $53.70 Typical High $85.11 | Professional | FX · Film X-ray | $53.70 | $53.70 | $85.11 |
Where New York sits
The same service costs 5.0 times more in Alabama than in New York. 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· 51st of 51
$95.50
AL $479NY $95.50
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.