How much rates vary
Facilitymedian $501 · 10th to 90th $214 to $4,074Professionalmedian $389 · 10th to 90th $309 to $1,122
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 $141.25 | Professional | 26 · Professional part | $112.20 | $112.20 | $141.25 |
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 $323.59 Median $380.19 Typical High $426.58 | Professional | None (both parts) | $323.59 | $380.19 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $154.88 Typical High $213.80 | Professional | 26 · Professional part | $131.83 | $154.88 | $213.80 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $281.84 | Professional | TC · Technical part | $199.53 | $234.42 | $281.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $229.09 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $229.09 | $245.47 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $3,981.07 Typical High $5,754.40 | Facility | None | $549.54 | $3,981.07 | $5,754.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,096.48 Median $1,202.26 Typical High $3,981.07 | Professional | None (both parts) | $1,096.48 | $1,202.26 | $3,981.07 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $123.03 Typical High $416.87 | Professional | 26 · Professional part | $112.20 | $123.03 | $416.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,071.52 Typical High $3,548.13 | Professional | TC · Technical part | $1,000.00 | $1,071.52 | $3,548.13 |
Emblem Health Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $707.95 | Facility | None | $144.54 | $223.87 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $371.54 | $398.11 | $575.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $186.21 Typical High $263.03 | Professional | 26 · Professional part | $151.36 | $186.21 | $263.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $213.80 Typical High $316.23 | Professional | TC · Technical part | $204.17 | $213.80 | $316.23 |
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 $316.23 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $316.23 | $416.87 | $575.44 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $269.15 | Professional | 26 · Professional part | $104.71 | $151.36 | $269.15 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $223.87 | $363.08 |
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 $181.97 Median $181.97 Typical High $831.76 | Professional | None (both parts) | $181.97 | $181.97 | $831.76 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $208.93 Typical High $316.23 | Professional | 26 · Professional part | $151.36 | $208.93 | $316.23 |
United Setting Facility Modifier None Typical Low $354.81 Median $407.38 Typical High $501.19 | Facility | None | $354.81 | $407.38 | $501.19 |
United Setting Professional Modifier None (both parts) Typical Low $288.40 Median $389.05 Typical High $1,412.54 | Professional | None (both parts) | $288.40 | $389.05 | $1,412.54 |
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 $151.36 Median $208.93 Typical High $1,258.93 | Professional | TC · Technical part | $151.36 | $208.93 | $1,258.93 |
Univera Setting Facility Modifier None Typical Low $380.19 Median $501.19 Typical High $602.56 | Facility | None | $380.19 | $501.19 | $602.56 |
Univera Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $302.00 Typical High $389.05 | Facility | TC · Technical part | $199.53 | $302.00 | $389.05 |
Univera Setting Professional Modifier None (both parts) Typical Low $316.23 Median $416.87 Typical High $575.44 | Professional | None (both parts) | $316.23 | $416.87 | $575.44 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $151.36 Typical High $269.15 | Professional | 26 · Professional part | $104.71 | $151.36 | $269.15 |
Univera Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $223.87 Typical High $407.38 | Professional | TC · Technical part | $169.82 | $223.87 | $407.38 |
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 $186.21 | Professional | 52 · Reduced service | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | 53 · Discontinued | $74.13 | $74.13 | $75.86 |
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 13.5 times more in Wyoming 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· 43rd of 51
$389
WY $3,715WA $275
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.