How much rates vary
Facilitymedian $501 · 10th to 90th $275 to $1,514Professionalmedian $302 · 10th to 90th $240 to $589
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 $851.14 Typical High $2,238.72 | Facility | None | $371.54 | $851.14 | $2,238.72 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $190.55 | Facility | 26 · Professional part | $97.72 | $112.20 | $190.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $1,023.29 | Facility | TC · Technical part | $257.04 | $309.03 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $371.54 | $371.54 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $107.15 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | TC · Technical part | $257.04 | $257.04 | $426.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $239.88 | $281.84 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $58.88 | $69.18 | $91.20 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $213.80 | $354.81 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $100.00 Median $316.23 Typical High $416.87 | Professional | None (both parts) | $100.00 | $316.23 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $912.01 Typical High $3,467.37 | Facility | None | $524.81 | $912.01 | $3,467.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $354.81 Typical High $1,819.70 | Professional | None (both parts) | $288.40 | $354.81 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $194.98 | Professional | 26 · Professional part | $50.12 | $53.70 | $194.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $1,479.11 | Professional | TC · Technical part | $239.88 | $275.42 | $1,479.11 |
Emblem Health Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $954.99 | Facility | None | $194.98 | $302.00 | $954.99 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $331.13 | $371.54 | $549.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $144.54 | Professional | 26 · Professional part | $64.57 | $77.62 | $144.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $436.52 | Professional | TC · Technical part | $275.42 | $295.12 | $436.52 |
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 $288.40 Median $295.12 Typical High $537.03 | Professional | None (both parts) | $288.40 | $295.12 | $537.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $32.36 | $64.57 | $120.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $257.04 | $416.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $251.19 Median $436.52 Typical High $676.08 | Facility | None | $251.19 | $436.52 | $676.08 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $724.44 | Professional | None (both parts) | $354.81 | $354.81 | $724.44 |
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 $446.68 Median $446.68 Typical High $741.31 | Professional | None (both parts) | $446.68 | $446.68 | $741.31 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $75.86 | $151.36 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $512.86 Typical High $562.34 | Professional | TC · Technical part | $316.23 | $512.86 | $562.34 |
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 $275.42 Median $380.19 Typical High $831.76 | Professional | None (both parts) | $275.42 | $380.19 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $66.07 Typical High $138.04 | Professional | 26 · Professional part | $52.48 | $66.07 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $295.12 Typical High $691.83 | Professional | TC · Technical part | $223.87 | $295.12 | $691.83 |
Univera Setting Facility Modifier None Typical Low $346.74 Median $501.19 Typical High $1,071.52 | Facility | None | $346.74 | $501.19 | $1,071.52 |
Univera Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $302.00 Typical High $831.76 | Facility | TC · Technical part | $269.15 | $302.00 | $831.76 |
Univera Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $288.40 | $331.13 | $537.03 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $64.57 Typical High $120.23 | Professional | 26 · Professional part | $32.36 | $64.57 | $120.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $269.15 | $416.87 |
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 $363.08 Median $363.08 Typical High $512.86 | Professional | GL · Free upgrade | $363.08 | $363.08 | $512.86 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $524.81 Typical High $724.44 | Professional | 53 · Discontinued | $218.78 | $524.81 | $724.44 |
Where New York sits
The same service costs 6.3 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· 48th of 51
$302
WY $1,349UT $214
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.