How much rates vary
Facilitymedian $501 · 10th to 90th $224 to $1,514Professionalmedian $324 · 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 $933.25 Typical High $2,187.76 | Facility | None | $371.54 | $933.25 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $371.54 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $147.91 | Professional | 26 · Professional part | $112.20 | $112.20 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $354.81 | Professional | TC · Technical part | $257.04 | $257.04 | $354.81 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $275.42 | $323.59 | $478.63 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $75.86 | $89.13 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $346.74 | Professional | TC · Technical part | $199.53 | $234.42 | $346.74 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $120.23 Median $309.03 Typical High $426.58 | Professional | None (both parts) | $120.23 | $309.03 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $724.44 Typical High $2,630.27 | Facility | None | $467.74 | $724.44 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $331.13 Typical High $1,584.89 | Professional | None (both parts) | $229.09 | $331.13 | $1,584.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $229.09 | Professional | 26 · Professional part | $58.88 | $64.57 | $229.09 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $269.15 Typical High $1,202.26 | Professional | TC · Technical part | $165.96 | $269.15 | $1,202.26 |
Emblem Health Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $741.31 | Facility | None | $151.36 | $234.42 | $741.31 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $302.00 | $323.59 | $457.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $165.96 | Professional | 26 · Professional part | $77.62 | $93.33 | $165.96 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $229.09 Typical High $331.13 | Professional | TC · Technical part | $218.78 | $229.09 | $331.13 |
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 $251.19 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $251.19 | $331.13 | $467.74 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $38.90 | $77.62 | $141.25 |
Excellus BCBS 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 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $269.15 Typical High $269.15 | Facility | TC · Technical part | $269.15 | $269.15 | $269.15 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
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 $758.58 | Professional | None (both parts) | $549.54 | $549.54 | $758.58 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $154.88 Typical High $208.93 | Professional | 26 · Professional part | $89.13 | $154.88 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $223.87 | $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 $218.78 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $218.78 | $295.12 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $63.10 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $208.93 Typical High $512.86 | Professional | TC · Technical part | $158.49 | $208.93 | $512.86 |
Univera Setting Facility Modifier None Typical Low $302.00 Median $501.19 Typical High $1,047.13 | Facility | None | $302.00 | $501.19 | $1,047.13 |
Univera Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $302.00 Typical High $831.76 | Facility | TC · Technical part | $208.93 | $302.00 | $831.76 |
Univera Setting Professional Modifier None (both parts) Typical Low $251.19 Median $331.13 Typical High $467.74 | Professional | None (both parts) | $251.19 | $331.13 | $467.74 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $38.90 | $77.62 | $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 $371.54 Median $371.54 Typical High $512.86 | Professional | GL · Free upgrade | $371.54 | $371.54 | $512.86 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $186.21 Median $676.08 Typical High $891.25 | Professional | 53 · Discontinued | $186.21 | $676.08 | $891.25 |
Where New York sits
The same service costs 5.6 times more in Wyoming than in Texas. 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
$324
WY $1,072TX $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.