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 $398.11 | Professional | None (both parts) | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | TC · Technical part | $257.04 | $257.04 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $691.83 Typical High $776.25 | Professional | None (both parts) | $588.84 | $691.83 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $100.00 | $117.49 | $162.18 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $891.25 Median $1,047.13 Typical High $1,148.15 | Professional | 50 · Both sides | $891.25 | $1,047.13 | $1,148.15 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $575.44 Typical High $645.65 | Professional | TC · Technical part | $489.78 | $575.44 | $645.65 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $173.78 Median $812.83 Typical High $977.24 | Professional | None (both parts) | $173.78 | $812.83 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,071.52 Median $1,778.28 Typical High $2,290.87 | Facility | None | $1,071.52 | $1,778.28 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $616.60 Typical High $3,235.94 | Professional | None (both parts) | $549.54 | $616.60 | $3,235.94 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $331.13 | Professional | 26 · Professional part | $85.11 | $97.72 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $524.81 Typical High $2,691.53 | Professional | TC · Technical part | $489.78 | $524.81 | $2,691.53 |
Emblem Health Setting Facility Modifier None Typical Low $426.58 Median $691.83 Typical High $2,137.96 | Facility | None | $426.58 | $691.83 | $2,137.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $776.25 Typical High $1,148.15 | Professional | None (both parts) | $676.08 | $776.25 | $1,148.15 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $128.82 Median $134.90 Typical High $588.84 | Professional | 26 · Professional part | $128.82 | $134.90 | $588.84 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $645.65 Typical High $1,023.29 | Professional | TC · Technical part | $562.34 | $645.65 | $1,023.29 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $489.78 | $602.56 | $1,071.52 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $199.53 | Professional | 26 · Professional part | $87.10 | $112.20 | $199.53 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $912.01 | Professional | TC · Technical part | $398.11 | $501.19 | $912.01 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $154.88 Typical High $257.04 | Facility | None | $107.15 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $295.12 | Professional | None (both parts) | $37.15 | $37.15 | $295.12 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $162.18 Typical High $204.17 | Professional | 26 · Professional part | $131.83 | $162.18 | $204.17 |
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 $489.78 Median $660.69 Typical High $1,258.93 | Professional | None (both parts) | $489.78 | $660.69 | $1,258.93 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $114.82 Typical High $234.42 | Professional | 26 · Professional part | $89.13 | $114.82 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $549.54 Typical High $1,047.13 | Professional | TC · Technical part | $398.11 | $549.54 | $1,047.13 |
Univera Setting Facility Modifier None Typical Low $724.44 Median $741.31 Typical High $1,548.82 | Facility | None | $724.44 | $741.31 | $1,548.82 |
Univera Setting Professional Modifier None (both parts) Typical Low $489.78 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $489.78 | $602.56 | $1,071.52 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $194.98 | Professional | 26 · Professional part | $87.10 | $112.20 | $194.98 |
Univera Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $501.19 Typical High $870.96 | Professional | TC · Technical part | $398.11 | $501.19 | $870.96 |
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 $302.00 | Professional | FX · Film X-ray | $295.12 | $295.12 | $302.00 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $389.05 Median $616.60 Typical High $691.83 | Professional | GL · Free upgrade | $389.05 | $616.60 | $691.83 |
Where New York sits
The same service costs 7.4 times more in Alaska than in Washington. 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· 34th of 51
$661
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.