How much rates vary
Facilitymedian $501 · 10th to 90th $229 to $1,514Professionalmedian $309 · 10th to 90th $257 to $562
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 $1,047.13 Typical High $2,238.72 | Facility | None | $371.54 | $1,047.13 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $371.54 | $371.54 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $154.88 | Professional | 26 · Professional part | $112.20 | $112.20 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $371.54 | Professional | TC · Technical part | $257.04 | $257.04 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $194.98 | Professional | None (both parts) | $194.98 | $194.98 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $489.78 | Professional | None (both parts) | $263.03 | $309.03 | $489.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $85.11 Typical High $120.23 | Professional | 26 · Professional part | $72.44 | $85.11 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $323.59 | Professional | TC · Technical part | $190.55 | $223.87 | $323.59 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $123.03 Median $309.03 Typical High $436.52 | Professional | None (both parts) | $123.03 | $309.03 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $741.31 Typical High $2,398.83 | Facility | None | $467.74 | $741.31 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $295.12 Typical High $1,659.59 | Professional | None (both parts) | $234.42 | $295.12 | $1,659.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $66.07 Typical High $234.42 | Professional | 26 · Professional part | $61.66 | $66.07 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $1,230.27 | Professional | TC · Technical part | $165.96 | $199.53 | $1,230.27 |
Emblem Health Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $758.58 | Facility | None | $151.36 | $234.42 | $758.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $467.74 | Professional | None (both parts) | $302.00 | $323.59 | $467.74 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $97.72 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $97.72 | $181.97 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $218.78 | $229.09 | $338.84 |
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 $257.04 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $257.04 | $309.03 | $478.63 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $42.66 | $81.28 | $141.25 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $177.83 | $213.80 | $331.13 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
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 $549.54 Median $549.54 Typical High $776.25 | Professional | None (both parts) | $549.54 | $549.54 | $776.25 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $158.49 Typical High $208.93 | Professional | 26 · Professional part | $93.33 | $158.49 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $229.09 | $512.86 | $676.08 |
United Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,000.00 | Facility | None | $707.95 | $812.83 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $302.00 Typical High $707.95 | Professional | None (both parts) | $223.87 | $302.00 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $169.82 | Professional | 26 · Professional part | $66.07 | $81.28 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $512.86 | Professional | TC · Technical part | $158.49 | $213.80 | $512.86 |
Univera Setting Facility Modifier None Typical Low $309.03 Median $501.19 Typical High $933.25 | Facility | None | $309.03 | $501.19 | $933.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $645.65 | Facility | TC · Technical part | $213.80 | $302.00 | $645.65 |
Univera Setting Professional Modifier None (both parts) Typical Low $257.04 Median $338.84 Typical High $457.09 | Professional | None (both parts) | $257.04 | $338.84 | $457.09 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $42.66 | $81.28 | $141.25 |
Univera Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $234.42 Typical High $323.59 | Professional | TC · Technical part | $177.83 | $234.42 | $323.59 |
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 $288.40 Median $288.40 Typical High $512.86 | Professional | GL · Free upgrade | $288.40 | $288.40 | $512.86 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $190.55 Median $676.08 Typical High $891.25 | Professional | 53 · Discontinued | $190.55 | $676.08 | $891.25 |
Where New York sits
The same service costs 5.9 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· 47th of 51
$309
WY $1,122UT $191
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.