How much rates vary
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 $416.87 Typical High $1,819.70 | Facility | None | $371.54 | $416.87 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $75.86 Median $112.20 Typical High $177.83 | Facility | 26 · Professional part | $75.86 | $112.20 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $660.69 | Facility | TC · Technical part | $257.04 | $281.84 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $371.54 | $371.54 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $91.20 | $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 $204.17 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $204.17 | $223.87 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $239.88 | $281.84 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $54.95 | $64.57 | $85.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $354.81 Median $416.87 Typical High $676.08 | Professional | 50 · Both sides | $354.81 | $416.87 | $676.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $363.08 | Professional | TC · Technical part | $181.97 | $213.80 | $363.08 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $93.33 Median $316.23 Typical High $407.38 | Professional | None (both parts) | $93.33 | $316.23 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $831.76 Typical High $3,019.95 | Facility | None | $478.63 | $831.76 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $323.59 Typical High $1,621.81 | Professional | None (both parts) | $257.04 | $323.59 | $1,621.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $177.83 | Professional | 26 · Professional part | $46.77 | $48.98 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $1,318.26 | Professional | TC · Technical part | $208.93 | $251.19 | $1,318.26 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $954.99 | Facility | None | $190.55 | $295.12 | $954.99 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $363.08 Typical High $537.03 | Professional | None (both parts) | $331.13 | $363.08 | $537.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $74.13 | $131.83 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $288.40 Typical High $426.58 | Professional | TC · Technical part | $269.15 | $288.40 | $426.58 |
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 $281.84 Median $288.40 Typical High $501.19 | Professional | None (both parts) | $281.84 | $288.40 | $501.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $61.66 Typical High $107.15 | Professional | 26 · Professional part | $30.20 | $61.66 | $107.15 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $398.11 | Professional | TC · Technical part | $223.87 | $257.04 | $398.11 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $323.59 | $323.59 | $354.81 |
Highmark BCBS Setting Facility Modifier None Typical Low $251.19 Median $549.54 Typical High $724.44 | Facility | None | $251.19 | $549.54 | $724.44 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $537.03 | Professional | None (both parts) | $288.40 | $346.74 | $537.03 |
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 $724.44 | Professional | None (both parts) | $446.68 | $446.68 | $724.44 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $69.18 | $151.36 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $501.19 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $501.19 | $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 $251.19 Median $338.84 Typical High $758.58 | Professional | None (both parts) | $251.19 | $338.84 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $125.89 | Professional | 26 · Professional part | $48.98 | $61.66 | $125.89 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $269.15 Typical High $616.60 | Professional | TC · Technical part | $199.53 | $269.15 | $616.60 |
Univera Setting Facility Modifier None Typical Low $338.84 Median $501.19 Typical High $1,023.29 | Facility | None | $338.84 | $501.19 | $1,023.29 |
Univera Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $302.00 Typical High $794.33 | Facility | TC · Technical part | $263.03 | $302.00 | $794.33 |
Univera Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $281.84 | $288.40 | $489.78 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $61.66 Typical High $104.71 | Professional | 26 · Professional part | $30.20 | $61.66 | $104.71 |
Univera Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $389.05 | Professional | TC · Technical part | $223.87 | $257.04 | $389.05 |
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 $323.59 Median $323.59 Typical High $446.68 | Professional | GL · Free upgrade | $323.59 | $323.59 | $446.68 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $524.81 Typical High $724.44 | Professional | 53 · Discontinued | $194.98 | $524.81 | $724.44 |
Where New York sits
The same service costs 5.1 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
$295
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.