How much rates vary
Facilitymedian $525 · 10th to 90th $282 to $1,585Professionalmedian $380 · 10th to 90th $309 to $646
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 $1,096.48 Typical High $2,238.72 | Facility | None | $371.54 | $1,096.48 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $371.54 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $125.89 | Professional | 26 · Professional part | $112.20 | $112.20 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $323.59 | Professional | TC · Technical part | $257.04 | $257.04 | $323.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $575.44 | Professional | None (both parts) | $323.59 | $380.19 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $77.62 Typical High $102.33 | Professional | 26 · Professional part | $66.07 | $77.62 | $102.33 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $489.78 Median $575.44 Typical High $794.33 | Professional | 50 · Both sides | $489.78 | $575.44 | $794.33 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $426.58 | Professional | TC · Technical part | $257.04 | $302.00 | $426.58 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $112.20 Median $416.87 Typical High $537.03 | Professional | None (both parts) | $112.20 | $416.87 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,000.00 Typical High $3,235.94 | Facility | None | $616.60 | $1,000.00 | $3,235.94 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $354.81 Typical High $1,778.28 | Professional | None (both parts) | $281.84 | $354.81 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $60.26 Typical High $213.80 | Professional | 26 · Professional part | $56.23 | $60.26 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $269.15 Typical High $1,479.11 | Professional | TC · Technical part | $223.87 | $269.15 | $1,479.11 |
Emblem Health Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $1,000.00 | Facility | None | $204.17 | $316.23 | $1,000.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $371.54 | $398.11 | $562.34 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $87.10 | $154.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $309.03 Typical High $457.09 | Professional | TC · Technical part | $288.40 | $309.03 | $457.09 |
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 $309.03 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $309.03 | $331.13 | $549.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $72.44 Typical High $128.82 | Professional | 26 · Professional part | $36.31 | $72.44 | $128.82 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $426.58 | Professional | TC · Technical part | $239.88 | $281.84 | $426.58 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $97.72 | $97.72 | $97.72 |
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 $954.99 | Professional | None (both parts) | $549.54 | $549.54 | $954.99 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $83.18 | $151.36 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $524.81 Typical High $676.08 | Professional | TC · Technical part | $302.00 | $524.81 | $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 $269.15 Median $371.54 Typical High $831.76 | Professional | None (both parts) | $269.15 | $371.54 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $58.88 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $660.69 | Professional | TC · Technical part | $213.80 | $281.84 | $660.69 |
Univera Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $1,122.02 | Facility | None | $371.54 | $501.19 | $1,122.02 |
Univera Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $851.14 | Facility | TC · Technical part | $281.84 | $302.00 | $851.14 |
Univera Setting Professional Modifier None (both parts) Typical Low $309.03 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $309.03 | $331.13 | $537.03 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $36.31 | $72.44 | $125.89 |
Univera Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $295.12 Typical High $416.87 | Professional | TC · Technical part | $239.88 | $295.12 | $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 $489.78 | Professional | GL · Free upgrade | $363.08 | $363.08 | $489.78 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $234.42 Median $676.08 Typical High $891.25 | Professional | 53 · Discontinued | $234.42 | $676.08 | $891.25 |
Where New York sits
The same service costs 5.4 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· 45th of 51
$380
WY $1,318UT $245
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.