How much rates vary
Facilitymedian $257 · 10th to 90th $60 to $871Professionalmedian $191 · 10th to 90th $151 to $437
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 $128.82 Median $245.47 Typical High $691.83 | Facility | None | $128.82 | $245.47 | $691.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $107.15 Median $213.80 Typical High $602.56 | Facility | TC · Technical part | $107.15 | $213.80 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $478.63 | Professional | None (both parts) | $128.82 | $128.82 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $57.54 | Professional | 26 · Professional part | $21.88 | $21.88 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $354.81 | Professional | TC · Technical part | $107.15 | $107.15 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $416.87 | Professional | None (both parts) | $154.88 | $181.97 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $53.70 | Professional | 26 · Professional part | $26.30 | $30.90 | $53.70 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $338.84 | Professional | TC · Technical part | $128.82 | $151.36 | $338.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $44.67 Median $316.23 Typical High $363.08 | Professional | None (both parts) | $44.67 | $316.23 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $676.08 Typical High $1,258.93 | Facility | None | $478.63 | $676.08 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $275.42 Typical High $1,122.02 | Professional | None (both parts) | $151.36 | $275.42 | $1,122.02 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $102.33 | Professional | 26 · Professional part | $22.39 | $25.12 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $275.42 Typical High $977.24 | Professional | TC · Technical part | $125.89 | $275.42 | $977.24 |
Emblem Health Setting Facility Modifier None Typical Low $162.18 Median $245.47 Typical High $707.95 | Facility | None | $162.18 | $245.47 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $316.23 Typical High $512.86 | Professional | None (both parts) | $251.19 | $316.23 | $512.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $41.69 | $66.07 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $218.78 | $275.42 | $446.68 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $154.88 | $218.78 | $295.12 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $29.51 Typical High $39.81 | Professional | 26 · Professional part | $17.78 | $29.51 | $39.81 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $190.55 | $257.04 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | 26 · Professional part | $38.02 | $38.02 | $38.02 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $407.38 | Facility | None | $107.15 | $257.04 | $407.38 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $616.60 | Professional | None (both parts) | $181.97 | $181.97 | $616.60 |
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 $186.21 Median $269.15 Typical High $645.65 | Professional | None (both parts) | $186.21 | $269.15 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $34.67 Typical High $79.43 | Professional | 26 · Professional part | $25.12 | $34.67 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $239.88 Typical High $562.34 | Professional | TC · Technical part | $165.96 | $239.88 | $562.34 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $398.11 | Facility | None | $60.26 | $60.26 | $398.11 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $354.81 | Facility | TC · Technical part | $36.31 | $36.31 | $354.81 |
Univera Setting Professional Modifier None (both parts) Typical Low $154.88 Median $218.78 Typical High $295.12 | Professional | None (both parts) | $154.88 | $218.78 | $295.12 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $28.84 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $28.84 | $40.74 |
Univera Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $138.04 | $190.55 | $257.04 |
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 $64.57 Median $64.57 Typical High $120.23 | Professional | 52 · Reduced service | $64.57 | $64.57 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $48.98 | Professional | 53 · Discontinued | $25.70 | $25.70 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $194.98 | Professional | FX · Film X-ray | $104.71 | $104.71 | $194.98 |
Where New York sits
The same service costs 5.2 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· 50th of 51
$191
AK $933KY $178
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.