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 $1,288.25 Typical High $2,187.76 | Facility | None | $371.54 | $1,288.25 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $501.19 | Professional | None (both parts) | $371.54 | $371.54 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $112.20 Typical High $144.54 | Professional | 26 · Professional part | $112.20 | $112.20 | $144.54 |
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 $416.87 Median $489.78 Typical High $691.83 | Professional | None (both parts) | $416.87 | $489.78 | $691.83 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $138.04 Typical High $186.21 | Professional | 26 · Professional part | $117.49 | $138.04 | $186.21 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $295.12 | $346.74 | $478.63 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $204.17 Median $478.63 Typical High $691.83 | Professional | None (both parts) | $204.17 | $478.63 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $1,148.15 Typical High $3,715.35 | Facility | None | $831.76 | $1,148.15 | $3,715.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $436.52 Typical High $2,238.72 | Professional | None (both parts) | $363.08 | $436.52 | $2,238.72 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $107.15 Typical High $380.19 | Professional | 26 · Professional part | $102.33 | $107.15 | $380.19 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $295.12 Typical High $1,548.82 | Professional | TC · Technical part | $257.04 | $295.12 | $1,548.82 |
Emblem Health Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $1,023.29 | Facility | None | $234.42 | $363.08 | $1,023.29 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $512.86 Typical High $724.44 | Professional | None (both parts) | $478.63 | $512.86 | $724.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $162.18 Typical High $269.15 | Professional | 26 · Professional part | $134.90 | $162.18 | $269.15 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $354.81 Typical High $512.86 | Professional | TC · Technical part | $331.13 | $354.81 | $512.86 |
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 $398.11 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $398.11 | $478.63 | $724.44 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $134.90 | $239.88 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $263.03 | $346.74 | $478.63 |
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 $478.63 Median $478.63 Typical High $1,202.26 | Professional | None (both parts) | $478.63 | $478.63 | $1,202.26 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $190.55 Typical High $234.42 | Professional | 26 · Professional part | $154.88 | $190.55 | $234.42 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $602.56 | Professional | TC · Technical part | $354.81 | $457.09 | $602.56 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,819.70 Typical High $2,238.72 | Facility | None | $1,584.89 | $1,819.70 | $2,238.72 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $478.63 Typical High $1,096.48 | Professional | None (both parts) | $354.81 | $478.63 | $1,096.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $269.15 | Professional | 26 · Professional part | $107.15 | $134.90 | $269.15 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $245.47 | $323.59 | $741.31 |
Univera Setting Facility Modifier None Typical Low $467.74 Median $501.19 Typical High $1,071.52 | Facility | None | $467.74 | $501.19 | $1,071.52 |
Univera Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $758.58 | Facility | TC · Technical part | $302.00 | $302.00 | $758.58 |
Univera Setting Professional Modifier None (both parts) Typical Low $398.11 Median $478.63 Typical High $724.44 | Professional | None (both parts) | $398.11 | $478.63 | $724.44 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $134.90 Typical High $239.88 | Professional | 26 · Professional part | $107.15 | $134.90 | $239.88 |
Univera Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $346.74 Typical High $478.63 | Professional | TC · Technical part | $263.03 | $346.74 | $478.63 |
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 $323.59 | Professional | FX · Film X-ray | $295.12 | $295.12 | $323.59 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $407.38 Median $446.68 Typical High $602.56 | Professional | GL · Free upgrade | $407.38 | $446.68 | $602.56 |
Where New York sits
The same service costs 5.8 times more in Wyoming than in Texas. 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
$479
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.