How much rates vary
Facilitymedian $794 · 10th to 90th $479 to $4,074Professionalmedian $380 · 10th to 90th $309 to $1,202
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 $125.89 | Professional | 26 · Professional part | $112.20 | $112.20 | $125.89 |
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 $309.03 Median $363.08 Typical High $512.86 | Professional | None (both parts) | $309.03 | $363.08 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $147.91 Typical High $229.09 | Professional | 26 · Professional part | $125.89 | $147.91 | $229.09 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $426.58 | Professional | TC · Technical part | $181.97 | $213.80 | $426.58 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $223.87 Median $660.69 Typical High $891.25 | Professional | None (both parts) | $223.87 | $660.69 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $1,412.54 Median $3,981.07 Typical High $5,248.07 | Facility | None | $1,412.54 | $3,981.07 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,148.15 Typical High $3,801.89 | Professional | None (both parts) | $1,096.48 | $1,148.15 | $3,801.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $131.83 Typical High $446.68 | Professional | 26 · Professional part | $120.23 | $131.83 | $446.68 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,023.29 Typical High $3,467.37 | Professional | TC · Technical part | $1,000.00 | $1,023.29 | $3,467.37 |
Emblem Health Setting Facility Modifier None Typical Low $316.23 Median $660.69 Typical High $1,949.84 | Facility | None | $316.23 | $660.69 | $1,949.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $676.08 Median $724.44 Typical High $1,202.26 | Professional | None (both parts) | $676.08 | $724.44 | $1,202.26 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $154.88 Typical High $251.19 | Professional | 26 · Professional part | $151.36 | $154.88 | $251.19 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $954.99 | Professional | TC · Technical part | $575.44 | $575.44 | $954.99 |
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 $331.13 Median $676.08 Typical High $1,174.90 | Professional | None (both parts) | $331.13 | $676.08 | $1,174.90 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $251.19 | Professional | 26 · Professional part | $95.50 | $151.36 | $251.19 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $524.81 Typical High $933.25 | Professional | TC · Technical part | $239.88 | $524.81 | $933.25 |
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 $165.96 Median $165.96 Typical High $1,584.89 | Professional | None (both parts) | $165.96 | $165.96 | $1,584.89 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $208.93 Typical High $309.03 | Professional | 26 · Professional part | $151.36 | $208.93 | $309.03 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $741.31 Typical High $1,584.89 | Professional | None (both parts) | $489.78 | $741.31 | $1,584.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $151.36 Typical High $309.03 | Professional | 26 · Professional part | $120.23 | $151.36 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $549.54 Typical High $1,412.54 | Professional | TC · Technical part | $363.08 | $549.54 | $1,412.54 |
Univera Setting Facility Modifier None Typical Low $501.19 Median $501.19 Typical High $794.33 | Facility | None | $501.19 | $501.19 | $794.33 |
Univera Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $630.96 | Facility | TC · Technical part | $302.00 | $302.00 | $630.96 |
Univera Setting Professional Modifier None (both parts) Typical Low $331.13 Median $676.08 Typical High $1,148.15 | Professional | None (both parts) | $331.13 | $676.08 | $1,148.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $151.36 Typical High $245.47 | Professional | 26 · Professional part | $95.50 | $151.36 | $245.47 |
Univera Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $524.81 Typical High $912.01 | Professional | TC · Technical part | $239.88 | $524.81 | $912.01 |
3 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 |
Where New York sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 50th of 51
$380
WY $3,467HI $282
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.