How much rates vary
Facilitymedian $363 · 10th to 90th $50 to $2,042Professionalmedian $832 · 10th to 90th $245 to $1,862
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 $245.47 Median $524.81 Typical High $2,884.03 | Facility | None | $245.47 | $524.81 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $524.81 Typical High $2,884.03 | Professional | None (both parts) | $524.81 | $524.81 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $39.81 | Professional | 26 · Professional part | $30.90 | $30.90 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $524.81 Typical High $2,818.38 | Professional | TC · Technical part | $524.81 | $524.81 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $741.31 Median $870.96 Typical High $1,513.56 | Professional | None (both parts) | $741.31 | $870.96 | $1,513.56 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $34.67 | $52.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $851.14 Typical High $1,258.93 | Professional | TC · Technical part | $724.44 | $851.14 | $1,258.93 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $56.23 Median $3,890.45 Typical High $3,981.07 | Professional | None (both parts) | $56.23 | $3,890.45 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $812.83 Typical High $2,238.72 | Facility | None | $537.03 | $812.83 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $707.95 | Professional | None (both parts) | $194.98 | $223.87 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $107.15 | Professional | 26 · Professional part | $26.92 | $30.90 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $616.60 | Professional | TC · Technical part | $169.82 | $194.98 | $616.60 |
Emblem Health Setting Facility Modifier None Typical Low $213.80 Median $323.59 Typical High $1,047.13 | Facility | None | $213.80 | $323.59 | $1,047.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $363.08 Typical High $645.65 | Professional | None (both parts) | $288.40 | $363.08 | $645.65 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $44.67 | $79.43 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $323.59 Typical High $588.84 | Professional | TC · Technical part | $323.59 | $323.59 | $588.84 |
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 $239.88 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $239.88 | $288.40 | $436.52 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $37.15 | $56.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $251.19 | $389.05 |
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 $338.84 Median $338.84 Typical High $4,073.80 | Professional | None (both parts) | $338.84 | $338.84 | $4,073.80 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $53.70 Typical High $67.61 | Professional | 26 · Professional part | $42.66 | $53.70 | $67.61 |
United Setting Facility Modifier None Typical Low $6,309.57 Median $7,413.10 Typical High $9,120.11 | Facility | None | $6,309.57 | $7,413.10 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $218.78 Median $1,412.54 Typical High $3,090.30 | Professional | None (both parts) | $218.78 | $1,412.54 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $36.31 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $1,380.38 Typical High $3,019.95 | Professional | TC · Technical part | $186.21 | $1,380.38 | $3,019.95 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $741.31 | Facility | None | $50.12 | $50.12 | $741.31 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $724.44 | Facility | TC · Technical part | $30.20 | $30.20 | $724.44 |
Univera Setting Professional Modifier None (both parts) Typical Low $234.42 Median $288.40 Typical High $436.52 | Professional | None (both parts) | $234.42 | $288.40 | $436.52 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $22.39 | $37.15 | $56.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $251.19 Typical High $389.05 | Professional | TC · Technical part | $199.53 | $251.19 | $389.05 |
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 $263.03 Median $263.03 Typical High $1,445.44 | Professional | 52 · Reduced service | $263.03 | $263.03 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $104.71 Median $104.71 Typical High $575.44 | Professional | 53 · Discontinued | $104.71 | $104.71 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $426.58 Typical High $2,290.87 | Professional | FX · Film X-ray | $426.58 | $426.58 | $2,290.87 |
Where New York sits
The same service costs 15.1 times more in Colorado 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· 23rd of 51
$832
CO $3,715NJ $245
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.