How much rates vary
Facilitymedian $182 · 10th to 90th $126 to $776Professionalmedian $166 · 10th to 90th $135 to $331
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 $117.49 Median $173.78 Typical High $1,202.26 | Facility | None | $117.49 | $173.78 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $194.98 | Professional | None (both parts) | $117.49 | $117.49 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $29.51 | $29.51 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $154.88 | Professional | TC · Technical part | $87.10 | $87.10 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $323.59 | Professional | None (both parts) | $141.25 | $165.96 | $323.59 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $38.02 | $44.67 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $123.03 Typical High $234.42 | Professional | TC · Technical part | $104.71 | $123.03 | $234.42 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $66.07 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $66.07 | $181.97 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $1,348.96 | Facility | None | $331.13 | $436.52 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $257.04 Typical High $851.14 | Professional | None (both parts) | $134.90 | $257.04 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $141.25 | Professional | 26 · Professional part | $32.36 | $36.31 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $234.42 Typical High $562.34 | Professional | TC · Technical part | $100.00 | $234.42 | $562.34 |
Emblem Health Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $416.87 | Facility | None | $93.33 | $144.54 | $416.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $223.87 Typical High $354.81 | Professional | None (both parts) | $181.97 | $223.87 | $354.81 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $60.26 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $60.26 | $93.33 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $162.18 | $263.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | TC · Technical part | $91.20 | $91.20 | $91.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $141.25 | $154.88 | $208.93 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $42.66 | $58.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $112.20 | $151.36 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $218.78 Typical High $257.04 | Facility | None | $107.15 | $218.78 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $512.86 | Professional | None (both parts) | $151.36 | $151.36 | $512.86 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $204.17 Typical High $436.52 | Professional | None (both parts) | $138.04 | $204.17 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $52.48 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $147.91 | $331.13 |
Univera Setting Facility Modifier None Typical Low $144.54 Median $151.36 Typical High $489.78 | Facility | None | $144.54 | $151.36 | $489.78 |
Univera Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $354.81 | Facility | TC · Technical part | $91.20 | $91.20 | $354.81 |
Univera Setting Professional Modifier None (both parts) Typical Low $141.25 Median $154.88 Typical High $208.93 | Professional | None (both parts) | $141.25 | $154.88 | $208.93 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $42.66 | $60.26 |
Univera Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $114.82 Typical High $151.36 | Professional | TC · Technical part | $91.20 | $114.82 | $151.36 |
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 $58.88 Median $58.88 Typical High $100.00 | Professional | 52 · Reduced service | $58.88 | $58.88 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $39.81 | Professional | 53 · Discontinued | $23.44 | $23.44 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $154.88 | Professional | FX · Film X-ray | $93.33 | $93.33 | $154.88 |
Where New York sits
The same service costs 4.8 times more in Alaska 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· 48th of 51
$166
AK $676TX $141
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.