How much rates vary
Facilitymedian $110 · 10th to 90th $46 to $407Professionalmedian $126 · 10th to 90th $102 to $269
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 $102.33 Median $134.90 Typical High $309.03 | Facility | None | $102.33 | $134.90 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | None (both parts) | $102.33 | $102.33 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $83.18 | Professional | 26 · Professional part | $64.57 | $64.57 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $64.57 | Professional | TC · Technical part | $38.90 | $38.90 | $64.57 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $245.47 | Professional | None (both parts) | $102.33 | $123.03 | $245.47 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $141.25 | Professional | 26 · Professional part | $64.57 | $75.86 | $141.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $46.77 Typical High $104.71 | Professional | TC · Technical part | $39.81 | $46.77 | $104.71 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $75.86 Median $117.49 Typical High $190.55 | Professional | None (both parts) | $75.86 | $117.49 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $190.55 Typical High $512.86 | Facility | None | $144.54 | $190.55 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $120.23 Typical High $478.63 | Professional | None (both parts) | $95.50 | $120.23 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $275.42 | Professional | 26 · Professional part | $53.70 | $75.86 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $213.80 | Professional | TC · Technical part | $40.74 | $46.77 | $213.80 |
Emblem Health Setting Facility Modifier None Typical Low $48.98 Median $66.07 Typical High $208.93 | Facility | None | $48.98 | $66.07 | $208.93 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $169.82 Typical High $245.47 | Professional | None (both parts) | $131.83 | $169.82 | $245.47 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $100.00 Typical High $158.49 | Professional | 26 · Professional part | $75.86 | $100.00 | $158.49 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $54.95 | $69.18 | $104.71 |
Excellus BCBS Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $27.54 | Facility | TC · Technical part | $27.54 | $27.54 | $27.54 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $117.49 | $144.54 | $173.78 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $104.71 | Professional | 26 · Professional part | $72.44 | $75.86 | $104.71 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $63.10 | $72.44 |
MVP Health Care Setting Facility Modifier None Typical Low $58.88 Median $107.15 Typical High $257.04 | Facility | None | $58.88 | $107.15 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $177.83 Median $239.88 Typical High $346.74 | Professional | None (both parts) | $177.83 | $239.88 | $346.74 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $104.71 Typical High $162.18 | Professional | 26 · Professional part | $89.13 | $104.71 | $162.18 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $70.79 Typical High $102.33 | Professional | TC · Technical part | $58.88 | $70.79 | $102.33 |
United Setting Facility Modifier None Typical Low $467.74 Median $549.54 Typical High $676.08 | Facility | None | $467.74 | $549.54 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $154.88 Typical High $416.87 | Professional | None (both parts) | $104.71 | $154.88 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $239.88 | Professional | 26 · Professional part | $61.66 | $89.13 | $239.88 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $63.10 Typical High $173.78 | Professional | TC · Technical part | $44.67 | $63.10 | $173.78 |
Univera Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $281.84 | Facility | None | $45.71 | $45.71 | $281.84 |
Univera Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $27.54 Typical High $158.49 | Facility | TC · Technical part | $27.54 | $27.54 | $158.49 |
Univera Setting Professional Modifier None (both parts) Typical Low $117.49 Median $144.54 Typical High $173.78 | Professional | None (both parts) | $117.49 | $144.54 | $173.78 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $75.86 Typical High $112.20 | Professional | 26 · Professional part | $72.44 | $75.86 | $112.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $63.10 Typical High $72.44 | Professional | TC · Technical part | $45.71 | $63.10 | $72.44 |
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 $51.29 Median $51.29 Typical High $72.44 | Professional | 52 · Reduced service | $51.29 | $51.29 | $72.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $28.84 | Professional | 53 · Discontinued | $20.42 | $20.42 | $28.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $109.65 | Professional | FX · Film X-ray | $83.18 | $83.18 | $109.65 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $89.13 Typical High $131.83 | Professional | 53 · Discontinued | $74.13 | $89.13 | $131.83 |
Where New York sits
The same service costs 5.6 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· 49th of 51
$126
AK $525TX $93.33
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.