How much rates vary
Facilitymedian $78 · 10th to 90th $25 to $245Professionalmedian $74 · 10th to 90th $60 to $138
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 $51.29 Median $72.44 Typical High $158.49 | Facility | None | $51.29 | $72.44 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $75.86 | Professional | None (both parts) | $51.29 | $51.29 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $4.90 Typical High $7.76 | Professional | 26 · Professional part | $4.90 | $4.90 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $46.77 Typical High $64.57 | Professional | TC · Technical part | $46.77 | $46.77 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $63.10 Median $74.13 Typical High $131.83 | Professional | None (both parts) | $63.10 | $74.13 | $131.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.41 Typical High $13.18 | Professional | 26 · Professional part | $6.31 | $7.41 | $13.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $57.54 | $67.61 | $114.82 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $10.96 Median $97.72 Typical High $107.15 | Professional | None (both parts) | $10.96 | $97.72 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $208.93 Typical High $575.44 | Facility | None | $131.83 | $208.93 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $107.15 Typical High $354.81 | Professional | None (both parts) | $60.26 | $107.15 | $354.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.75 Typical High $23.99 | Professional | 26 · Professional part | $5.01 | $5.75 | $23.99 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $100.00 Typical High $316.23 | Professional | TC · Technical part | $51.29 | $100.00 | $316.23 |
Emblem Health Setting Facility Modifier None Typical Low $52.48 Median $81.28 Typical High $229.09 | Facility | None | $52.48 | $81.28 | $229.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $147.91 | Professional | None (both parts) | $79.43 | $100.00 | $147.91 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $10.23 Typical High $15.85 | Professional | 26 · Professional part | $7.76 | $10.23 | $15.85 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $72.44 | $89.13 | $131.83 |
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 $51.29 Median $64.57 Typical High $85.11 | Professional | None (both parts) | $51.29 | $64.57 | $85.11 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $7.08 Typical High $9.77 | Professional | 26 · Professional part | $4.47 | $7.08 | $9.77 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $45.71 | $60.26 | $75.86 |
MVP Health Care Setting Facility Modifier None Typical Low $60.26 Median $114.82 Typical High $257.04 | Facility | None | $60.26 | $114.82 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $190.55 | Professional | None (both parts) | $104.71 | $104.71 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $85.11 Typical High $186.21 | Professional | None (both parts) | $60.26 | $85.11 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $8.51 Typical High $18.20 | Professional | 26 · Professional part | $6.03 | $8.51 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $77.62 Typical High $173.78 | Professional | TC · Technical part | $53.70 | $77.62 | $173.78 |
Univera Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $158.49 | Facility | None | $25.12 | $25.12 | $158.49 |
Univera Setting Facility Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $141.25 | Facility | TC · Technical part | $15.14 | $15.14 | $141.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $51.29 Median $64.57 Typical High $87.10 | Professional | None (both parts) | $51.29 | $64.57 | $87.10 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $4.47 Median $7.08 Typical High $10.47 | Professional | 26 · Professional part | $4.47 | $7.08 | $10.47 |
Univera Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $60.26 Typical High $75.86 | Professional | TC · Technical part | $45.71 | $60.26 | $75.86 |
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 $25.70 Median $25.70 Typical High $36.31 | Professional | 52 · Reduced service | $25.70 | $25.70 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $10.47 Typical High $14.45 | Professional | 53 · Discontinued | $10.47 | $10.47 | $14.45 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $41.69 Typical High $57.54 | Professional | FX · Film X-ray | $41.69 | $41.69 | $57.54 |
Where New York sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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
$74.13
AK $275KY $60.26
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.