How much rates vary
Facilitymedian $501 · 10th to 90th $257 to $1,585Professionalmedian $363 · 10th to 90th $288 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 $1,047.13 Typical High $2,238.72 | Facility | None | $371.54 | $1,047.13 | $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 $141.25 | Professional | 26 · Professional part | $112.20 | $112.20 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $363.08 | Professional | TC · Technical part | $257.04 | $257.04 | $363.08 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $537.03 | Professional | None (both parts) | $309.03 | $363.08 | $537.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $109.65 | Professional | 26 · Professional part | $69.18 | $81.28 | $109.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $234.42 | $281.84 | $407.38 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $120.23 Median $363.08 Typical High $478.63 | Professional | None (both parts) | $120.23 | $363.08 | $478.63 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $3,019.95 | Facility | None | $549.54 | $870.96 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $363.08 Typical High $1,737.80 | Professional | None (both parts) | $257.04 | $363.08 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $223.87 | Professional | 26 · Professional part | $58.88 | $63.10 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $1,380.38 | Professional | TC · Technical part | $194.98 | $302.00 | $1,380.38 |
Emblem Health Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $870.96 | Facility | None | $177.83 | $275.42 | $870.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $363.08 Typical High $512.86 | Professional | None (both parts) | $338.84 | $363.08 | $512.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $173.78 | Professional | 26 · Professional part | $77.62 | $93.33 | $173.78 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $269.15 Typical High $389.05 | Professional | TC · Technical part | $257.04 | $269.15 | $389.05 |
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 $331.13 Typical High $501.19 | Professional | None (both parts) | $281.84 | $331.13 | $501.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $77.62 Typical High $138.04 | Professional | 26 · Professional part | $38.90 | $77.62 | $138.04 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $380.19 | Professional | TC · Technical part | $208.93 | $245.47 | $380.19 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $912.01 | Facility | TC · Technical part | $316.23 | $316.23 | $912.01 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $426.58 Median $426.58 Typical High $426.58 | Professional | None (both parts) | $426.58 | $426.58 | $426.58 |
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 $870.96 | Professional | None (both parts) | $549.54 | $549.54 | $870.96 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $151.36 Typical High $208.93 | Professional | 26 · Professional part | $89.13 | $151.36 | $208.93 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $512.86 Typical High $676.08 | Professional | TC · Technical part | $263.03 | $512.86 | $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 $245.47 Median $338.84 Typical High $776.25 | Professional | None (both parts) | $245.47 | $338.84 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $79.43 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $602.56 | Professional | TC · Technical part | $186.21 | $245.47 | $602.56 |
Univera Setting Facility Modifier None Typical Low $338.84 Median $501.19 Typical High $1,148.15 | Facility | None | $338.84 | $501.19 | $1,148.15 |
Univera Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $933.25 | Facility | TC · Technical part | $245.47 | $302.00 | $933.25 |
Univera Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $501.19 | Professional | None (both parts) | $281.84 | $331.13 | $501.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $77.62 Typical High $134.90 | Professional | 26 · Professional part | $38.90 | $77.62 | $134.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $275.42 Typical High $363.08 | Professional | TC · Technical part | $208.93 | $275.42 | $363.08 |
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 $407.38 Median $407.38 Typical High $537.03 | Professional | GL · Free upgrade | $407.38 | $407.38 | $537.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $676.08 Typical High $891.25 | Professional | 53 · Discontinued | $213.80 | $676.08 | $891.25 |
Where New York sits
The same service costs 5.6 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· 46th of 51
$363
WY $1,230UT $219
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.