How much rates vary
Facilitymedian $347 · 10th to 90th $50 to $2,042Professionalmedian $2,042 · 10th to 90th $257 to $3,020
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 $257.04 Median $2,137.96 Typical High $2,884.03 | Facility | None | $257.04 | $2,137.96 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $2,137.96 Median $2,137.96 Typical High $2,884.03 | Professional | None (both parts) | $2,137.96 | $2,137.96 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | 26 · Professional part | $44.67 | $44.67 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $2,089.30 Median $2,089.30 Typical High $2,818.38 | Professional | TC · Technical part | $2,089.30 | $2,089.30 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $2,187.76 Typical High $3,162.28 | Professional | None (both parts) | $1,862.09 | $2,187.76 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $42.66 | $50.12 | $75.86 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $2,137.96 Typical High $2,511.89 | Professional | TC · Technical part | $1,778.28 | $2,137.96 | $2,511.89 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $75.86 Median $3,890.45 Typical High $3,981.07 | Professional | None (both parts) | $75.86 | $3,890.45 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $741.31 Typical High $2,238.72 | Facility | None | $512.86 | $741.31 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $724.44 | Professional | None (both parts) | $199.53 | $234.42 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $44.67 Typical High $147.91 | Professional | 26 · Professional part | $37.15 | $44.67 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $616.60 | Professional | TC · Technical part | $162.18 | $190.55 | $616.60 |
Emblem Health Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $870.96 | Facility | None | $199.53 | $309.03 | $870.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $346.74 Typical High $575.44 | Professional | None (both parts) | $288.40 | $346.74 | $575.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $97.72 | Professional | 26 · Professional part | $50.12 | $60.26 | $97.72 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $288.40 Typical High $489.78 | Professional | TC · Technical part | $275.42 | $288.40 | $489.78 |
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 $245.47 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $245.47 | $288.40 | $446.68 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $50.12 | $75.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $204.17 | $239.88 | $371.54 |
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 $363.08 Median $363.08 Typical High $6,918.31 | Professional | None (both parts) | $363.08 | $363.08 | $6,918.31 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $58.88 | $72.44 | $93.33 |
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 $2,398.83 Typical High $4,570.88 | Professional | None (both parts) | $218.78 | $2,398.83 | $4,570.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $40.74 | $48.98 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $2,398.83 Typical High $4,677.35 | Professional | TC · Technical part | $177.83 | $2,398.83 | $4,677.35 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $794.33 | Facility | None | $50.12 | $50.12 | $794.33 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $741.31 | Facility | TC · Technical part | $30.20 | $30.20 | $741.31 |
Univera Setting Professional Modifier None (both parts) Typical Low $239.88 Median $288.40 Typical High $446.68 | Professional | None (both parts) | $239.88 | $288.40 | $446.68 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $75.86 | Professional | 26 · Professional part | $45.71 | $50.12 | $75.86 |
Univera Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $239.88 | $371.54 |
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 $1,071.52 Median $1,071.52 Typical High $1,445.44 | Professional | 52 · Reduced service | $1,071.52 | $1,071.52 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $426.58 Median $426.58 Typical High $575.44 | Professional | 53 · Discontinued | $426.58 | $426.58 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,698.24 Median $1,698.24 Typical High $2,290.87 | Professional | FX · Film X-ray | $1,698.24 | $1,698.24 | $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· 17th of 51
$2,042
CO $3,890NJ $257
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.