How much rates vary
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 $64.57 Median $281.84 Typical High $489.78 | Facility | None | $64.57 | $281.84 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $281.84 | $281.84 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $19.95 Typical High $25.70 | Professional | 26 · Professional part | $19.95 | $19.95 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $275.42 Typical High $478.63 | Professional | TC · Technical part | $275.42 | $275.42 | $478.63 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $194.98 | $229.09 | $426.58 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.99 Typical High $33.88 | Professional | 26 · Professional part | $20.42 | $23.99 | $33.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $416.87 | Professional | TC · Technical part | $173.78 | $204.17 | $416.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $36.31 Median $660.69 Typical High $691.83 | Professional | None (both parts) | $36.31 | $660.69 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $467.74 | Facility | None | $109.65 | $165.96 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $194.98 | Professional | None (both parts) | $52.48 | $58.88 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.95 Typical High $69.18 | Professional | 26 · Professional part | $17.78 | $19.95 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $38.90 Typical High $128.82 | Professional | TC · Technical part | $34.67 | $38.90 | $128.82 |
Emblem Health Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $213.80 | Facility | None | $44.67 | $69.18 | $213.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $77.62 Median $95.50 Typical High $162.18 | Professional | None (both parts) | $77.62 | $95.50 | $162.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $23.99 | $28.84 | $51.29 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $120.23 | Professional | TC · Technical part | $66.07 | $66.07 | $120.23 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $64.57 | $77.62 | $117.49 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $36.31 | Professional | 26 · Professional part | $21.38 | $23.99 | $36.31 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $43.65 | $52.48 | $81.28 |
MVP Health Care Setting Facility Modifier None Typical Low $85.11 Median $154.88 Typical High $257.04 | Facility | None | $85.11 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $1,258.93 | Professional | None (both parts) | $50.12 | $50.12 | $1,258.93 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $43.65 | Professional | 26 · Professional part | $27.54 | $34.67 | $43.65 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $436.52 Typical High $812.83 | Professional | None (both parts) | $58.88 | $436.52 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $44.67 | Professional | 26 · Professional part | $19.50 | $22.91 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $407.38 Typical High $794.33 | Professional | TC · Technical part | $38.02 | $407.38 | $794.33 |
Univera Setting Facility Modifier None Typical Low $91.20 Median $93.33 Typical High $416.87 | Facility | None | $91.20 | $93.33 | $416.87 |
Univera Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $117.49 | Professional | None (both parts) | $64.57 | $77.62 | $117.49 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $36.31 | Professional | 26 · Professional part | $21.38 | $23.99 | $36.31 |
Univera Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $52.48 Typical High $81.28 | Professional | TC · Technical part | $38.90 | $52.48 | $81.28 |
3 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 $141.25 Median $141.25 Typical High $245.47 | Professional | 52 · Reduced service | $141.25 | $141.25 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $97.72 | Professional | 53 · Discontinued | $56.23 | $56.23 | $97.72 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $389.05 | Professional | FX · Film X-ray | $223.87 | $223.87 | $389.05 |
Where New York sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 25th of 51
$214
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.