How much rates vary
Facilitymedian $501 · 10th to 90th $224 to $1,349Professionalmedian $275 · 10th to 90th $224 to $479
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 $288.40 Median $371.54 Typical High $1,737.80 | Facility | None | $288.40 | $371.54 | $1,737.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $169.82 | Facility | 26 · Professional part | $75.86 | $112.20 | $169.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $501.19 | Facility | TC · Technical part | $204.17 | $263.03 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $371.54 Typical High $537.03 | Professional | None (both parts) | $354.81 | $371.54 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $97.72 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $245.47 | $257.04 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $169.82 | $169.82 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $407.38 | Professional | None (both parts) | $234.42 | $275.42 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $93.33 | Professional | 26 · Professional part | $64.57 | $75.86 | $93.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $199.53 | $302.00 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $100.00 Median $263.03 Typical High $363.08 | Professional | None (both parts) | $100.00 | $263.03 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $630.96 Typical High $2,454.71 | Facility | None | $389.05 | $630.96 | $2,454.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $295.12 Typical High $1,380.38 | Professional | None (both parts) | $194.98 | $295.12 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $190.55 | Professional | 26 · Professional part | $50.12 | $53.70 | $190.55 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $1,122.02 | Professional | TC · Technical part | $141.25 | $239.88 | $1,122.02 |
Emblem Health Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $630.96 | Facility | None | $128.82 | $199.53 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $251.19 Median $269.15 Typical High $407.38 | Professional | None (both parts) | $251.19 | $269.15 | $407.38 |
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 $181.97 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $194.98 | $281.84 |
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 $213.80 Median $257.04 Typical High $398.11 | Professional | None (both parts) | $213.80 | $257.04 | $398.11 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $33.11 | $64.57 | $114.82 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $275.42 | Professional | TC · Technical part | $151.36 | $177.83 | $275.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $257.04 Median $407.38 Typical High $870.96 | Facility | None | $257.04 | $407.38 | $870.96 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $234.42 | $316.23 | $588.84 |
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 $660.69 | Professional | None (both parts) | $446.68 | $446.68 | $660.69 |
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 $190.55 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $190.55 | $371.54 | $512.86 |
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 $186.21 Median $257.04 Typical High $588.84 | Professional | None (both parts) | $186.21 | $257.04 | $588.84 |
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 $134.90 Median $177.83 Typical High $436.52 | Professional | TC · Technical part | $134.90 | $177.83 | $436.52 |
Univera Setting Facility Modifier None Typical Low $257.04 Median $501.19 Typical High $912.01 | Facility | None | $257.04 | $501.19 | $912.01 |
Univera Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $724.44 | Facility | TC · Technical part | $177.83 | $302.00 | $724.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $213.80 Median $281.84 Typical High $380.19 | Professional | None (both parts) | $213.80 | $281.84 | $380.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $64.57 Typical High $114.82 | Professional | 26 · Professional part | $33.11 | $64.57 | $114.82 |
Univera Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $151.36 | $199.53 | $275.42 |
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 $331.13 Median $331.13 Typical High $501.19 | Professional | GL · Free upgrade | $331.13 | $331.13 | $501.19 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $524.81 Typical High $724.44 | Professional | 53 · Discontinued | $144.54 | $524.81 | $724.44 |
Where New York sits
The same service costs 6.0 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· 46th of 51
$275
WY $912UT $151
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.