How much rates vary
Facilitymedian $316 · 10th to 90th $50 to $1,000Professionalmedian $525 · 10th to 90th $219 to $776
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 $165.96 Median $194.98 Typical High $549.54 | Facility | None | $165.96 | $194.98 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $549.54 | Professional | None (both parts) | $165.96 | $165.96 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $42.66 | Professional | 26 · Professional part | $35.48 | $35.48 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $537.03 | Professional | TC · Technical part | $147.91 | $147.91 | $537.03 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $562.34 Typical High $776.25 | Professional | None (both parts) | $478.63 | $562.34 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $38.90 | $57.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $524.81 Typical High $724.44 | Professional | TC · Technical part | $446.68 | $524.81 | $724.44 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $61.66 Median $741.31 Typical High $794.33 | Professional | None (both parts) | $61.66 | $741.31 | $794.33 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $758.58 Typical High $1,819.70 | Facility | None | $512.86 | $758.58 | $1,819.70 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $691.83 | Professional | None (both parts) | $190.55 | $213.80 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $117.49 | Professional | 26 · Professional part | $30.90 | $35.48 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $588.84 | Professional | TC · Technical part | $158.49 | $177.83 | $588.84 |
Emblem Health Setting Facility Modifier None Typical Low $190.55 Median $288.40 Typical High $933.25 | Facility | None | $190.55 | $288.40 | $933.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $602.56 | Professional | None (both parts) | $263.03 | $338.84 | $602.56 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $93.33 | Professional | 26 · Professional part | $41.69 | $51.29 | $93.33 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $281.84 | $281.84 | $512.86 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | TC · Technical part | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $218.78 | $263.03 | $407.38 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $41.69 | $61.66 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $186.21 | $223.87 | $346.74 |
MVP Health Care Setting Facility Modifier None Typical Low $64.57 Median $154.88 Typical High $257.04 | Facility | None | $64.57 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $1,659.59 | Professional | None (both parts) | $309.03 | $309.03 | $1,659.59 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $56.23 | $75.86 |
United Setting Facility Modifier None Typical Low $1,258.93 Median $1,479.11 Typical High $1,819.70 | Facility | None | $1,258.93 | $1,479.11 | $1,819.70 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $575.44 Typical High $1,071.52 | Professional | None (both parts) | $218.78 | $575.44 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $33.11 | $39.81 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $537.03 Typical High $1,000.00 | Professional | TC · Technical part | $181.97 | $537.03 | $1,000.00 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $691.83 | Facility | None | $50.12 | $50.12 | $691.83 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $645.65 | Facility | TC · Technical part | $30.20 | $30.20 | $645.65 |
Univera Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $407.38 | Professional | None (both parts) | $208.93 | $263.03 | $407.38 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $41.69 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $41.69 | $61.66 |
Univera Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $223.87 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $223.87 | $346.74 |
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 $81.28 Median $81.28 Typical High $275.42 | Professional | 52 · Reduced service | $81.28 | $81.28 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $109.65 | Professional | 53 · Discontinued | $33.11 | $33.11 | $109.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $436.52 | Professional | FX · Film X-ray | $131.83 | $131.83 | $436.52 |
Where New York sits
The same service costs 4.8 times more in Alaska than in New Jersey. 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· 22nd of 51
$525
AK $1,000NJ $209
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.