How much rates vary
Facilitymedian $501 · 10th to 90th $347 to $1,585Professionalmedian $447 · 10th to 90th $363 to $794
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 $512.86 Typical High $1,819.70 | Facility | None | $371.54 | $512.86 | $1,819.70 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $281.84 | Facility | 26 · Professional part | $112.20 | $112.20 | $281.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $891.25 | Facility | TC · Technical part | $257.04 | $302.00 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $371.54 | $371.54 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $165.96 | Professional | 26 · Professional part | $112.20 | $112.20 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $467.74 | Professional | TC · Technical part | $257.04 | $257.04 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $288.40 Typical High $316.23 | Professional | None (both parts) | $275.42 | $288.40 | $316.23 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $446.68 Typical High $691.83 | Professional | None (both parts) | $380.19 | $446.68 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $134.90 | Professional | 26 · Professional part | $87.10 | $102.33 | $134.90 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $562.34 Median $660.69 Typical High $933.25 | Professional | 50 · Both sides | $562.34 | $660.69 | $933.25 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $338.84 Typical High $478.63 | Professional | TC · Technical part | $288.40 | $338.84 | $478.63 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $147.91 Median $467.74 Typical High $616.60 | Professional | None (both parts) | $147.91 | $467.74 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $1,122.02 Typical High $3,630.78 | Facility | None | $616.60 | $1,122.02 | $3,630.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $407.38 Typical High $2,089.30 | Professional | None (both parts) | $331.13 | $407.38 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $281.84 | Professional | 26 · Professional part | $74.13 | $79.43 | $281.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $1,819.70 | Professional | TC · Technical part | $251.19 | $295.12 | $1,819.70 |
Emblem Health Setting Facility Modifier None Typical Low $229.09 Median $346.74 Typical High $1,122.02 | Facility | None | $229.09 | $346.74 | $1,122.02 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $426.58 Median $457.09 Typical High $691.83 | Professional | None (both parts) | $426.58 | $457.09 | $691.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $117.49 Typical High $208.93 | Professional | 26 · Professional part | $97.72 | $117.49 | $208.93 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $323.59 | $338.84 | $501.19 |
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 $363.08 Median $426.58 Typical High $645.65 | Professional | None (both parts) | $363.08 | $426.58 | $645.65 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $97.72 Typical High $177.83 | Professional | 26 · Professional part | $47.86 | $97.72 | $177.83 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $263.03 | $316.23 | $467.74 |
Highmark BCBS Setting Facility Modifier None Typical Low $363.08 Median $478.63 Typical High $831.76 | Facility | None | $363.08 | $478.63 | $831.76 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $549.54 Typical High $977.24 | Professional | None (both parts) | $363.08 | $549.54 | $977.24 |
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 $758.58 Median $758.58 Typical High $1,122.02 | Professional | None (both parts) | $758.58 | $758.58 | $1,122.02 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $190.55 Typical High $208.93 | Professional | 26 · Professional part | $112.20 | $190.55 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $524.81 Typical High $676.08 | Professional | TC · Technical part | $338.84 | $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 $316.23 Median $436.52 Typical High $1,047.13 | Professional | None (both parts) | $316.23 | $436.52 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $97.72 Typical High $199.53 | Professional | 26 · Professional part | $79.43 | $97.72 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $316.23 Typical High $870.96 | Professional | TC · Technical part | $234.42 | $316.23 | $870.96 |
Univera Setting Facility Modifier None Typical Low $426.58 Median $501.19 Typical High $1,318.26 | Facility | None | $426.58 | $501.19 | $1,318.26 |
Univera Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $954.99 | Facility | TC · Technical part | $302.00 | $302.00 | $954.99 |
Univera Setting Professional Modifier None (both parts) Typical Low $363.08 Median $436.52 Typical High $630.96 | Professional | None (both parts) | $363.08 | $436.52 | $630.96 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $97.72 Typical High $204.17 | Professional | 26 · Professional part | $47.86 | $97.72 | $204.17 |
Univera Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $316.23 Typical High $467.74 | Professional | TC · Technical part | $263.03 | $316.23 | $467.74 |
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 $323.59 | Professional | FX · Film X-ray | $295.12 | $295.12 | $323.59 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $416.87 Median $416.87 Typical High $562.34 | Professional | GL · Free upgrade | $416.87 | $416.87 | $562.34 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $691.83 Typical High $891.25 | Professional | 53 · Discontinued | $275.42 | $691.83 | $891.25 |
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· 45th of 51
$447
WY $1,549UT $257
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.