How much rates vary
Facilitymedian $166 · 10th to 90th $19 to $200Professionalmedian $42 · 10th to 90th $33 to $110
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 $28.84 Median $42.66 Typical High $102.33 | Facility | None | $28.84 | $42.66 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $100.00 | Professional | None (both parts) | $28.84 | $28.84 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $25.12 | Professional | 26 · Professional part | $15.14 | $15.14 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $13.80 Typical High $48.98 | Professional | TC · Technical part | $13.80 | $13.80 | $48.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $79.43 | Professional | None (both parts) | $34.67 | $41.69 | $79.43 |
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 $16.22 Median $19.05 Typical High $36.31 | Professional | TC · Technical part | $16.22 | $19.05 | $36.31 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $60.26 | Professional | None (both parts) | $26.92 | $33.88 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $2,344.23 Typical High $2,570.40 | Facility | None | $69.18 | $2,344.23 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $83.18 Typical High $1,258.93 | Professional | None (both parts) | $33.88 | $83.18 | $1,258.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.62 Typical High $70.79 | Professional | 26 · Professional part | $16.60 | $18.62 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $39.81 Typical High $446.68 | Professional | TC · Technical part | $15.85 | $39.81 | $446.68 |
Emblem Health Setting Facility Modifier None Typical Low $15.49 Median $23.99 Typical High $69.18 | Facility | None | $15.49 | $23.99 | $69.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $46.77 Median $58.88 Typical High $89.13 | Professional | None (both parts) | $46.77 | $58.88 | $89.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $46.77 | Professional | 26 · Professional part | $23.99 | $30.90 | $46.77 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $21.38 | $26.30 | $42.66 |
Excellus BCBS Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Facility | TC · Technical part | $100.00 | $100.00 | $100.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $40.74 Typical High $60.26 | Professional | None (both parts) | $37.15 | $40.74 | $60.26 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $13.80 | $21.88 | $29.51 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $19.50 Typical High $40.74 | Professional | TC · Technical part | $16.60 | $19.50 | $40.74 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | TC · Technical part | $51.29 | $51.29 | $51.29 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | 26 · Professional part | $50.12 | $50.12 | $50.12 |
MVP Health Care Setting Facility Modifier None Typical Low $33.88 Median $107.15 Typical High $257.04 | Facility | None | $33.88 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $63.10 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $63.10 | $173.78 | $173.78 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $50.12 Typical High $162.18 | Professional | None (both parts) | $34.67 | $50.12 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $58.88 | Professional | 26 · Professional part | $18.20 | $26.30 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $22.91 Typical High $75.86 | Professional | TC · Technical part | $15.85 | $22.91 | $75.86 |
Univera Setting Facility Modifier None Typical Low $37.15 Median $165.96 Typical High $199.53 | Facility | None | $37.15 | $165.96 | $199.53 |
Univera Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $100.00 Typical High $120.23 | Facility | TC · Technical part | $16.60 | $100.00 | $120.23 |
Univera Setting Professional Modifier None (both parts) Typical Low $37.15 Median $51.29 Typical High $60.26 | Professional | None (both parts) | $37.15 | $51.29 | $60.26 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $21.38 Typical High $30.20 | Professional | 26 · Professional part | $13.80 | $21.38 | $30.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $22.91 Typical High $40.74 | Professional | TC · Technical part | $16.60 | $22.91 | $40.74 |
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 $14.45 Median $14.45 Typical High $50.12 | Professional | 52 · Reduced service | $14.45 | $14.45 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $5.89 Typical High $20.42 | Professional | 53 · Discontinued | $5.89 | $5.89 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.44 Typical High $34.67 | Professional | FX · Film X-ray | $23.44 | $23.44 | $34.67 |
Where New York sits
The same service costs 7.2 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· 48th of 51
$41.69
AL $251FL $34.67
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.