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 $371.54 Median $1,096.48 Typical High $2,238.72 | Facility | None | $371.54 | $1,096.48 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $371.54 | $371.54 | $524.81 |
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 $338.84 | Professional | TC · Technical part | $257.04 | $257.04 | $338.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $302.00 Median $354.81 Typical High $512.86 | Professional | None (both parts) | $302.00 | $354.81 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $190.55 | Professional | 26 · Professional part | $120.23 | $141.25 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $213.80 Typical High $331.13 | Professional | TC · Technical part | $181.97 | $213.80 | $331.13 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $208.93 | $316.23 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $912.01 Typical High $1,096.48 | Facility | None | $616.60 | $912.01 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $371.54 Typical High $1,862.09 | Professional | None (both parts) | $346.74 | $371.54 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $109.65 Typical High $389.05 | Professional | 26 · Professional part | $102.33 | $109.65 | $389.05 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $263.03 Typical High $1,174.90 | Professional | TC · Technical part | $234.42 | $263.03 | $1,174.90 |
Emblem Health Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $870.96 | Facility | None | $194.98 | $302.00 | $870.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $389.05 Median $457.09 Typical High $645.65 | Professional | None (both parts) | $389.05 | $457.09 | $645.65 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $162.18 Typical High $288.40 | Professional | 26 · Professional part | $134.90 | $162.18 | $288.40 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $436.52 | Professional | TC · Technical part | $275.42 | $295.12 | $436.52 |
Excellus BCBS Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $87.10 | Facility | TC · Technical part | $87.10 | $87.10 | $87.10 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $338.84 | $363.08 | $660.69 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $134.90 | $245.47 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $234.42 | $416.87 |
Highmark BCBS Setting Facility Modifier None Typical Low $316.23 Median $398.11 Typical High $478.63 | Facility | None | $316.23 | $398.11 | $478.63 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $169.82 Median $169.82 Typical High $309.03 | Professional | 26 · Professional part | $169.82 | $169.82 | $309.03 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $562.34 | Facility | None | $107.15 | $257.04 | $562.34 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $933.25 | Professional | None (both parts) | $363.08 | $363.08 | $933.25 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $194.98 Typical High $239.88 | Professional | 26 · Professional part | $158.49 | $194.98 | $239.88 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $416.87 Typical High $549.54 | Professional | TC · Technical part | $331.13 | $416.87 | $549.54 |
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 $331.13 Median $446.68 Typical High $870.96 | Professional | None (both parts) | $331.13 | $446.68 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $134.90 Typical High $281.84 | Professional | 26 · Professional part | $109.65 | $134.90 | $281.84 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $223.87 | $295.12 | $602.56 |
Univera Setting Facility Modifier None Typical Low $147.91 Median $147.91 Typical High $660.69 | Facility | None | $147.91 | $147.91 | $660.69 |
Univera Setting Facility Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $416.87 | Facility | TC · Technical part | $87.10 | $87.10 | $416.87 |
Univera Setting Professional Modifier None (both parts) Typical Low $338.84 Median $371.54 Typical High $660.69 | Professional | None (both parts) | $338.84 | $371.54 | $660.69 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $134.90 Typical High $245.47 | Professional | 26 · Professional part | $104.71 | $134.90 | $245.47 |
Univera Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $234.42 Typical High $416.87 | Professional | TC · Technical part | $229.09 | $234.42 | $416.87 |
2 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 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 $426.58 Median $426.58 Typical High $562.34 | Professional | GL · Free upgrade | $426.58 | $426.58 | $562.34 |
Where New York sits
The same service costs 7.1 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
$363
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.