How much rates vary
Facilitymedian $501 · 10th to 90th $295 to $1,738Professionalmedian $355 · 10th to 90th $295 to $617
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 $478.63 Typical High $2,041.74 | Facility | None | $371.54 | $478.63 | $2,041.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $213.80 | Facility | 26 · Professional part | $95.50 | $112.20 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $741.31 | Facility | TC · Technical part | $257.04 | $281.84 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $371.54 | $371.54 | $588.84 |
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 $398.11 | Professional | TC · Technical part | $257.04 | $257.04 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $229.09 Median $239.88 Typical High $467.74 | Professional | None (both parts) | $229.09 | $239.88 | $467.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $549.54 | Professional | None (both parts) | $302.00 | $354.81 | $549.54 |
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 $457.09 Median $537.03 Typical High $758.58 | Professional | 50 · Both sides | $457.09 | $537.03 | $758.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $398.11 | Professional | TC · Technical part | $239.88 | $281.84 | $398.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $112.20 Median $389.05 Typical High $501.19 | Professional | None (both parts) | $112.20 | $389.05 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $3,019.95 | Facility | None | $676.08 | $933.25 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $331.13 Typical High $1,659.59 | Professional | None (both parts) | $269.15 | $331.13 | $1,659.59 |
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 $208.93 Median $251.19 Typical High $1,288.25 | Professional | TC · Technical part | $208.93 | $251.19 | $1,288.25 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $295.12 Typical High $933.25 | Facility | None | $190.55 | $295.12 | $933.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $346.74 | $371.54 | $562.34 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $87.10 | $154.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $269.15 Median $288.40 Typical High $416.87 | Professional | TC · Technical part | $269.15 | $288.40 | $416.87 |
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 $295.12 Median $331.13 Typical High $524.81 | Professional | None (both parts) | $295.12 | $331.13 | $524.81 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $74.13 Typical High $128.82 | Professional | 26 · Professional part | $36.31 | $74.13 | $128.82 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $263.03 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $263.03 | $389.05 |
Highmark BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,318.26 Typical High $2,187.76 | Facility | None | $831.76 | $1,318.26 | $2,187.76 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $436.52 Median $446.68 Typical High $794.33 | Professional | None (both parts) | $436.52 | $446.68 | $794.33 |
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 $891.25 | Professional | None (both parts) | $549.54 | $549.54 | $891.25 |
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 $281.84 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $281.84 | $512.86 | $676.08 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,238.72 | Facility | None | $1,584.89 | $1,819.70 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $346.74 Typical High $776.25 | Professional | None (both parts) | $257.04 | $346.74 | $776.25 |
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 $199.53 Median $263.03 Typical High $602.56 | Professional | TC · Technical part | $199.53 | $263.03 | $602.56 |
Univera Setting Facility Modifier None Typical Low $346.74 Median $501.19 Typical High $1,047.13 | Facility | None | $346.74 | $501.19 | $1,047.13 |
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 $295.12 Median $331.13 Typical High $512.86 | Professional | None (both parts) | $295.12 | $331.13 | $512.86 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $74.13 Typical High $125.89 | Professional | 26 · Professional part | $36.31 | $74.13 | $125.89 |
Univera Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $288.40 Typical High $380.19 | Professional | TC · Technical part | $218.78 | $288.40 | $380.19 |
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 $338.84 Median $338.84 Typical High $489.78 | Professional | GL · Free upgrade | $338.84 | $338.84 | $489.78 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $676.08 Typical High $891.25 | Professional | 53 · Discontinued | $218.78 | $676.08 | $891.25 |
Where New York sits
The same service costs 5.4 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· 45th of 51
$355
WY $1,259TX $234
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.