How much rates vary
Facilitymedian $501 · 10th to 90th $224 to $1,349Professionalmedian $269 · 10th to 90th $214 to $479
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 $281.84 Median $371.54 Typical High $1,698.24 | Facility | None | $281.84 | $371.54 | $1,698.24 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $112.20 Typical High $147.91 | Facility | 26 · Professional part | $74.13 | $112.20 | $147.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $263.03 Typical High $501.19 | Facility | TC · Technical part | $204.17 | $263.03 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $549.54 | Professional | None (both parts) | $323.59 | $371.54 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $112.20 Typical High $141.25 | Professional | 26 · Professional part | $89.13 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $257.04 Typical High $338.84 | Professional | TC · Technical part | $245.47 | $257.04 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $158.49 | $181.97 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $398.11 | Professional | None (both parts) | $229.09 | $269.15 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $85.11 | Professional | 26 · Professional part | $58.88 | $69.18 | $85.11 |
Anthem BCBS Setting Professional Modifier 50 · Both sides Typical Low $346.74 Median $407.38 Typical High $575.44 | Professional | 50 · Both sides | $346.74 | $407.38 | $575.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $169.82 | $199.53 | $288.40 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $93.33 Median $263.03 Typical High $354.81 | Professional | None (both parts) | $93.33 | $263.03 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $2,398.83 | Facility | None | $389.05 | $616.60 | $2,398.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $288.40 Typical High $1,348.96 | Professional | None (both parts) | $190.55 | $288.40 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $173.78 | Professional | 26 · Professional part | $46.77 | $48.98 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $1,122.02 | Professional | TC · Technical part | $141.25 | $239.88 | $1,122.02 |
Emblem Health Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $630.96 | Facility | None | $128.82 | $199.53 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $263.03 Typical High $398.11 | Professional | None (both parts) | $245.47 | $263.03 | $398.11 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $60.26 | $72.44 | $134.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $181.97 | $194.98 | $281.84 |
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 $208.93 Median $275.42 Typical High $380.19 | Professional | None (both parts) | $208.93 | $275.42 | $380.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $30.20 | $60.26 | $109.65 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $194.98 | $275.42 |
Fidelis Setting Professional Modifier None (both parts) Typical Low $239.88 Median $257.04 Typical High $275.42 | Professional | None (both parts) | $239.88 | $257.04 | $275.42 |
Highmark BCBS Setting Facility Modifier None Typical Low $245.47 Median $457.09 Typical High $1,348.96 | Facility | None | $245.47 | $457.09 | $1,348.96 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $478.63 Typical High $1,584.89 | Facility | TC · Technical part | $229.09 | $478.63 | $1,584.89 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $316.23 Typical High $707.95 | Professional | None (both parts) | $309.03 | $316.23 | $707.95 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $138.04 | Professional | 26 · Professional part | $81.28 | $81.28 | $138.04 |
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 $645.65 | Professional | None (both parts) | $446.68 | $446.68 | $645.65 |
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 $186.21 Median $371.54 Typical High $512.86 | Professional | TC · Technical part | $186.21 | $371.54 | $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 $181.97 Median $245.47 Typical High $575.44 | Professional | None (both parts) | $181.97 | $245.47 | $575.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $61.66 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $61.66 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $177.83 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $177.83 | $426.58 |
Univera Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $891.25 | Facility | None | $251.19 | $501.19 | $891.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $177.83 Median $302.00 Typical High $724.44 | Facility | TC · Technical part | $177.83 | $302.00 | $724.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $208.93 Median $275.42 Typical High $380.19 | Professional | None (both parts) | $208.93 | $275.42 | $380.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $60.26 Typical High $109.65 | Professional | 26 · Professional part | $30.20 | $60.26 | $109.65 |
Univera Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $194.98 | $275.42 |
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 $141.25 Median $524.81 Typical High $724.44 | Professional | 53 · Discontinued | $141.25 | $524.81 | $724.44 |
Where New York sits
The same service costs 5.5 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
$269
WY $891UT $162
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.