How much rates vary
Facilitymedian $115 · 10th to 90th $25 to $501Professionalmedian $102 · 10th to 90th $81 to $204
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 $74.13 Median $112.20 Typical High $549.54 | Facility | None | $74.13 | $112.20 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $165.96 | Professional | None (both parts) | $74.13 | $74.13 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $11.48 Typical High $26.92 | Professional | 26 · Professional part | $11.48 | $11.48 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $138.04 | Professional | TC · Technical part | $61.66 | $61.66 | $138.04 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $87.10 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $87.10 | $102.33 | $199.53 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $31.62 | Professional | 26 · Professional part | $14.45 | $16.98 | $31.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $72.44 | $85.11 | $162.18 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $25.70 Median $131.83 Typical High $158.49 | Professional | None (both parts) | $25.70 | $131.83 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $323.59 Typical High $676.08 | Facility | None | $234.42 | $323.59 | $676.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $141.25 Typical High $478.63 | Professional | None (both parts) | $85.11 | $141.25 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $53.70 | Professional | 26 · Professional part | $12.02 | $13.80 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $131.83 Typical High $398.11 | Professional | TC · Technical part | $70.79 | $131.83 | $398.11 |
Emblem Health Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $295.12 | Facility | None | $66.07 | $102.33 | $295.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $138.04 Typical High $218.78 | Professional | None (both parts) | $109.65 | $138.04 | $218.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $22.91 Typical High $35.48 | Professional | 26 · Professional part | $17.78 | $22.91 | $35.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $112.20 Typical High $181.97 | Professional | TC · Technical part | $91.20 | $112.20 | $181.97 |
Excellus BCBS Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Facility | TC · Technical part | $15.14 | $15.14 | $15.14 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $75.86 | $95.50 | $125.89 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $16.60 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $16.60 | $22.39 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $77.62 | $104.71 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | 26 · Professional part | $36.31 | $36.31 | $36.31 |
MVP Health Care Setting Facility Modifier None Typical Low $79.43 Median $151.36 Typical High $257.04 | Facility | None | $79.43 | $151.36 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $162.18 Median $169.82 Typical High $275.42 | Professional | None (both parts) | $162.18 | $169.82 | $275.42 |
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 $83.18 Median $117.49 Typical High $269.15 | Professional | None (both parts) | $83.18 | $117.49 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $19.50 Typical High $42.66 | Professional | 26 · Professional part | $13.49 | $19.50 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $102.33 Typical High $234.42 | Professional | TC · Technical part | $69.18 | $102.33 | $234.42 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $229.09 | Facility | None | $25.12 | $25.12 | $229.09 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $186.21 | Facility | TC · Technical part | $15.14 | $15.14 | $186.21 |
Univera Setting Professional Modifier None (both parts) Typical Low $75.86 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $75.86 | $95.50 | $125.89 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $15.85 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $15.85 | $22.39 |
Univera Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $104.71 | Professional | TC · Technical part | $63.10 | $77.62 | $104.71 |
4 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 $37.15 Median $37.15 Typical High $56.23 | Professional | 52 · Reduced service | $37.15 | $37.15 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $22.39 | Professional | 53 · Discontinued | $14.79 | $14.79 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $89.13 | Professional | FX · Film X-ray | $58.88 | $58.88 | $89.13 |
Highmark BCBS Setting Facility Modifier Q1 · Research study, routine Typical Low $346.74 Median $346.74 Typical High $346.74 | Facility | Q1 · Research study, routine | $346.74 | $346.74 | $346.74 |
Where New York sits
The same service costs 5.5 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· 46th of 51
$102
AL $479FL $87.10
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.