How much rates vary
Facilitymedian $501 · 10th to 90th $324 to $1,585Professionalmedian $417 · 10th to 90th $331 to $759
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 $371.54 Median $457.09 Typical High $1,819.70 | Facility | None | $371.54 | $457.09 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $234.42 | Facility | 26 · Professional part | $97.72 | $112.20 | $234.42 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $269.15 Typical High $794.33 | Facility | TC · Technical part | $257.04 | $269.15 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $371.54 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $112.20 | $112.20 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $446.68 | Professional | TC · Technical part | $257.04 | $257.04 | $446.68 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $281.84 | Professional | None (both parts) | $245.47 | $245.47 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $416.87 Typical High $616.60 | Professional | None (both parts) | $354.81 | $416.87 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $114.82 | Professional | 26 · Professional part | $79.43 | $93.33 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $323.59 Typical High $478.63 | Professional | TC · Technical part | $275.42 | $323.59 | $478.63 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $123.03 Median $416.87 Typical High $537.03 | Professional | None (both parts) | $123.03 | $416.87 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $977.24 Typical High $4,168.69 | Facility | None | $616.60 | $977.24 | $4,168.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $478.63 Typical High $2,570.40 | Professional | None (both parts) | $288.40 | $478.63 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $239.88 | Professional | 26 · Professional part | $61.66 | $66.07 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $416.87 Typical High $2,238.72 | Professional | TC · Technical part | $223.87 | $416.87 | $2,238.72 |
Emblem Health Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $1,023.29 | Facility | None | $208.93 | $323.59 | $1,023.29 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $407.38 Typical High $616.60 | Professional | None (both parts) | $380.19 | $407.38 | $616.60 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $177.83 | Professional | 26 · Professional part | $81.28 | $95.50 | $177.83 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $295.12 | $316.23 | $467.74 |
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 $323.59 Median $426.58 Typical High $602.56 | Professional | None (both parts) | $323.59 | $426.58 | $602.56 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $39.81 | $81.28 | $147.91 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $245.47 | $323.59 | $446.68 |
Highmark BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $891.25 | Professional | None (both parts) | $354.81 | $478.63 | $891.25 |
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 $758.58 Median $758.58 Typical High $954.99 | Professional | None (both parts) | $758.58 | $758.58 | $954.99 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $158.49 Typical High $208.93 | Professional | 26 · Professional part | $93.33 | $158.49 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $524.81 Typical High $676.08 | Professional | TC · Technical part | $309.03 | $524.81 | $676.08 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $245.47 Median $338.84 Typical High $933.25 | Professional | None (both parts) | $245.47 | $338.84 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $57.54 | $75.86 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $263.03 Typical High $758.58 | Professional | TC · Technical part | $190.55 | $263.03 | $758.58 |
Univera Setting Facility Modifier None Typical Low $389.05 Median $501.19 Typical High $1,230.27 | Facility | None | $389.05 | $501.19 | $1,230.27 |
Univera Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $302.00 Typical High $1,202.26 | Facility | TC · Technical part | $288.40 | $302.00 | $1,202.26 |
Univera Setting Professional Modifier None (both parts) Typical Low $323.59 Median $426.58 Typical High $602.56 | Professional | None (both parts) | $323.59 | $426.58 | $602.56 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $39.81 | $81.28 | $147.91 |
Univera Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $446.68 | Professional | TC · Technical part | $245.47 | $323.59 | $446.68 |
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 $446.68 Median $537.03 Typical High $831.76 | Professional | GL · Free upgrade | $446.68 | $537.03 | $831.76 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $676.08 Typical High $891.25 | Professional | 53 · Discontinued | $234.42 | $676.08 | $891.25 |
Where New York sits
The same service costs 5.6 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· 45th of 51
$417
WY $1,380UT $245
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.