How much rates vary
Facilitymedian $501 · 10th to 90th $200 to $1,445Professionalmedian $263 · 10th to 90th $214 to $479
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 $288.40 Median $676.08 Typical High $2,041.74 | Facility | None | $288.40 | $676.08 | $2,041.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $63.10 Median $112.20 Typical High $177.83 | Facility | 26 · Professional part | $63.10 | $112.20 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $501.19 | Facility | TC · Technical part | $190.55 | $263.03 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $371.54 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $102.33 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $338.84 | Professional | TC · Technical part | $257.04 | $257.04 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $162.18 Median $165.96 Typical High $181.97 | Professional | None (both parts) | $162.18 | $165.96 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $218.78 | $257.04 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $53.70 | $64.57 | $85.11 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $288.40 | Professional | TC · Technical part | $162.18 | $190.55 | $288.40 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $93.33 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $93.33 | $263.03 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $630.96 Typical High $2,041.74 | Facility | None | $389.05 | $630.96 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $1,412.54 | Professional | None (both parts) | $190.55 | $281.84 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $177.83 | Professional | 26 · Professional part | $46.77 | $48.98 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $234.42 Typical High $1,096.48 | Professional | TC · Technical part | $141.25 | $234.42 | $1,096.48 |
Emblem Health Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $645.65 | Facility | None | $128.82 | $199.53 | $645.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $380.19 | Professional | None (both parts) | $229.09 | $229.09 | $380.19 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $61.66 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $61.66 | $128.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $288.40 | Professional | TC · Technical part | $165.96 | $165.96 | $288.40 |
Excellus BCBS Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Facility | None | $501.19 | $501.19 | $501.19 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | TC · Technical part | $302.00 | $302.00 | $302.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $251.19 Typical High $389.05 | Professional | None (both parts) | $213.80 | $251.19 | $389.05 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $107.15 | Professional | 26 · Professional part | $30.20 | $60.26 | $107.15 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $281.84 | Professional | TC · Technical part | $151.36 | $181.97 | $281.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $257.04 Median $316.23 Typical High $398.11 | Facility | None | $257.04 | $316.23 | $398.11 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $707.95 | Professional | None (both parts) | $316.23 | $316.23 | $707.95 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $645.65 | Facility | None | $107.15 | $257.04 | $645.65 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $645.65 | Professional | None (both parts) | $380.19 | $380.19 | $645.65 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $69.18 | $151.36 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $190.55 | $371.54 | $512.86 |
United Setting Facility Modifier None Typical Low $478.63 Median $562.34 Typical High $691.83 | Facility | None | $478.63 | $562.34 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $251.19 Typical High $575.44 | Professional | None (both parts) | $186.21 | $251.19 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $61.66 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $181.97 Typical High $436.52 | Professional | TC · Technical part | $134.90 | $181.97 | $436.52 |
Univera Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $891.25 | Facility | None | $251.19 | $501.19 | $891.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $302.00 Typical High $724.44 | Facility | TC · Technical part | $181.97 | $302.00 | $724.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $213.80 | $281.84 | $380.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $104.71 | Professional | 26 · Professional part | $30.20 | $60.26 | $104.71 |
Univera Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $151.36 | $199.53 | $275.42 |
5 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 $186.21 Median $186.21 Typical High $199.53 | Professional | 52 · Reduced service | $186.21 | $186.21 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $81.28 | Professional | 53 · Discontinued | $74.13 | $74.13 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | FX · Film X-ray | $295.12 | $295.12 | $302.00 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $316.23 Median $316.23 Typical High $436.52 | Professional | GL · Free upgrade | $316.23 | $316.23 | $436.52 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $524.81 Typical High $724.44 | Professional | 53 · Discontinued | $144.54 | $524.81 | $724.44 |
Where New York sits
The same service costs 5.8 times more in Wyoming than in Utah. 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
$263
WY $912UT $158
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.