How much rates vary
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 $1,445.44 Typical High $2,238.72 | Facility | None | $371.54 | $1,445.44 | $2,238.72 |
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 $112.20 Median $112.20 Typical High $128.82 | Professional | 26 · Professional part | $112.20 | $112.20 | $128.82 |
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 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $363.08 | $426.58 | $645.65 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $134.90 | Professional | 26 · Professional part | $85.11 | $100.00 | $134.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $537.03 Median $630.96 Typical High $912.01 | Professional | 50 · Both sides | $537.03 | $630.96 | $912.01 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $323.59 Typical High $457.09 | Professional | TC · Technical part | $275.42 | $323.59 | $457.09 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $147.91 Median $446.68 Typical High $588.84 | Professional | None (both parts) | $147.91 | $446.68 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $1,023.29 Typical High $3,467.37 | Facility | None | $602.56 | $1,023.29 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $1,995.26 | Professional | None (both parts) | $323.59 | $371.54 | $1,995.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $77.62 Typical High $275.42 | Professional | 26 · Professional part | $72.44 | $77.62 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $275.42 Typical High $1,513.56 | Professional | TC · Technical part | $245.47 | $275.42 | $1,513.56 |
Emblem Health Setting Facility Modifier None Typical Low $223.87 Median $346.74 Typical High $1,096.48 | Facility | None | $223.87 | $346.74 | $1,096.48 |
Emblem Health 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 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $100.00 Typical High $398.11 | Professional | 26 · Professional part | $97.72 | $100.00 | $398.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $501.19 | Professional | TC · Technical part | $288.40 | $288.40 | $501.19 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $426.58 Typical High $660.69 | Professional | None (both parts) | $302.00 | $426.58 | $660.69 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $112.20 | $173.78 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $478.63 | Professional | TC · Technical part | $223.87 | $309.03 | $478.63 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $933.25 Typical High $1,258.93 | Facility | TC · Technical part | $870.96 | $933.25 | $1,258.93 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $524.81 | $524.81 | $524.81 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $588.84 | Facility | None | $107.15 | $257.04 | $588.84 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $602.56 Median $707.95 Typical High $1,071.52 | Professional | None (both parts) | $602.56 | $707.95 | $1,071.52 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $134.90 Typical High $169.82 | Professional | 26 · Professional part | $109.65 | $134.90 | $169.82 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $426.58 Typical High $575.44 | Professional | TC · Technical part | $331.13 | $426.58 | $575.44 |
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 $309.03 Median $416.87 Typical High $891.25 | Professional | None (both parts) | $309.03 | $416.87 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $194.98 | Professional | 26 · Professional part | $77.62 | $95.50 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $691.83 | Professional | TC · Technical part | $234.42 | $309.03 | $691.83 |
Univera Setting Facility Modifier None Typical Low $426.58 Median $436.52 Typical High $1,548.82 | Facility | None | $426.58 | $436.52 | $1,548.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $302.00 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $302.00 | $363.08 | $660.69 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $95.50 Typical High $173.78 | Professional | 26 · Professional part | $81.28 | $95.50 | $173.78 |
Univera Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $478.63 | Professional | TC · Technical part | $223.87 | $263.03 | $478.63 |
2 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 FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $316.23 | Professional | FX · Film X-ray | $295.12 | $295.12 | $316.23 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $371.54 Median $398.11 Typical High $676.08 | Professional | GL · Free upgrade | $371.54 | $398.11 | $676.08 |
Where New York sits
The same service costs 6.2 times more in Wyoming 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· 44th of 51
$427
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.