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 $1,445.44 Typical High $2,238.72 | Facility | None | $371.54 | $1,445.44 | $2,238.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $398.11 | Professional | None (both parts) | $371.54 | $371.54 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $112.20 | $112.20 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $281.84 | Professional | TC · Technical part | $257.04 | $257.04 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $223.87 Typical High $281.84 | Professional | None (both parts) | $190.55 | $223.87 | $281.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $120.23 | Professional | 26 · Professional part | $74.13 | $89.13 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $114.82 | $134.90 | $194.98 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $128.82 Median $186.21 Typical High $316.23 | Professional | None (both parts) | $128.82 | $186.21 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $398.11 Typical High $524.81 | Facility | None | $275.42 | $398.11 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $954.99 | Professional | None (both parts) | $165.96 | $190.55 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $66.07 Typical High $245.47 | Professional | 26 · Professional part | $63.10 | $66.07 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $537.03 | Professional | TC · Technical part | $100.00 | $112.20 | $537.03 |
Emblem Health Setting Facility Modifier None Typical Low $89.13 Median $138.04 Typical High $398.11 | Facility | None | $89.13 | $138.04 | $398.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $331.13 | Professional | None (both parts) | $190.55 | $234.42 | $331.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $100.00 Typical High $177.83 | Professional | 26 · Professional part | $83.18 | $100.00 | $177.83 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $134.90 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $134.90 | $199.53 |
Excellus BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | TC · Technical part | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $162.18 | $190.55 | $346.74 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $83.18 | $151.36 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $104.71 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $104.71 | $190.55 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $208.93 Typical High $257.04 | Facility | None | $107.15 | $208.93 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $562.34 | Professional | None (both parts) | $245.47 | $245.47 | $562.34 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $120.23 Typical High $151.36 | Professional | 26 · Professional part | $97.72 | $120.23 | $151.36 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $177.83 Typical High $234.42 | Professional | TC · Technical part | $138.04 | $177.83 | $234.42 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $213.80 Typical High $426.58 | Professional | None (both parts) | $162.18 | $213.80 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $125.89 Typical High $257.04 | Professional | TC · Technical part | $93.33 | $125.89 | $257.04 |
Univera Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $363.08 | Facility | None | $70.79 | $70.79 | $363.08 |
Univera Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $218.78 | Facility | TC · Technical part | $42.66 | $42.66 | $218.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $346.74 | Professional | None (both parts) | $162.18 | $190.55 | $346.74 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $61.66 | $83.18 | $151.36 |
Univera Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $112.20 | $190.55 |
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 $204.17 Median $204.17 Typical High $275.42 | Professional | GL · Free upgrade | $204.17 | $204.17 | $275.42 |
Where New York sits
The same service costs 7.6 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· 43rd of 51
$224
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.