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 $416.87 Median $776.25 Typical High $977.24 | Facility | None | $416.87 | $776.25 | $977.24 |
Aetna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $977.24 | Professional | None (both parts) | $776.25 | $776.25 | $977.24 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $169.82 | Professional | 26 · Professional part | $51.29 | $51.29 | $169.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $524.81 Median $724.44 Typical High $912.01 | Professional | TC · Technical part | $524.81 | $724.44 | $912.01 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $537.03 Median $645.65 Typical High $977.24 | Professional | None (both parts) | $537.03 | $645.65 | $977.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $50.12 Typical High $131.83 | Professional | 26 · Professional part | $41.69 | $50.12 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $602.56 Typical High $870.96 | Professional | TC · Technical part | $501.19 | $602.56 | $870.96 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $97.72 Median $1,288.25 Typical High $1,380.38 | Professional | None (both parts) | $97.72 | $1,288.25 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $8,128.31 Typical High $8,912.51 | Facility | None | $1,023.29 | $8,128.31 | $8,912.51 |
Cigna Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,202.26 Typical High $3,801.89 | Professional | None (both parts) | $776.25 | $1,202.26 | $3,801.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $81.28 Typical High $257.04 | Professional | 26 · Professional part | $52.48 | $81.28 | $257.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,148.15 Typical High $3,162.28 | Professional | TC · Technical part | $724.44 | $1,148.15 | $3,162.28 |
Emblem Health Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $660.69 | Facility | None | $151.36 | $234.42 | $660.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $363.08 | $407.38 | $691.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $162.18 Typical High $239.88 | Professional | 26 · Professional part | $141.25 | $162.18 | $239.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $218.78 | $234.42 | $371.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $141.25 | Facility | TC · Technical part | $141.25 | $141.25 | $141.25 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $380.19 Typical High $1,445.44 | Professional | None (both parts) | $288.40 | $380.19 | $1,445.44 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $87.10 Typical High $120.23 | Professional | 26 · Professional part | $37.15 | $87.10 | $120.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $1,348.96 | Professional | TC · Technical part | $173.78 | $229.09 | $1,348.96 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $309.03 | Facility | None | $107.15 | $257.04 | $309.03 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $144.54 | $1,230.27 | $1,230.27 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $141.25 | Professional | 26 · Professional part | $72.44 | $95.50 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $1,000.00 Typical High $2,454.71 | Professional | None (both parts) | $263.03 | $1,000.00 | $2,454.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $91.20 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $933.25 Typical High $2,290.87 | Professional | TC · Technical part | $158.49 | $933.25 | $2,290.87 |
Univera Setting Facility Modifier None Typical Low $239.88 Median $346.74 Typical High $2,187.76 | Facility | None | $239.88 | $346.74 | $2,187.76 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $64.57 Median $77.62 Typical High $213.80 | Facility | 26 · Professional part | $64.57 | $77.62 | $213.80 |
Univera Setting Facility Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $2,041.74 | Facility | TC · Technical part | $141.25 | $204.17 | $2,041.74 |
Univera Setting Professional Modifier None (both parts) Typical Low $288.40 Median $380.19 Typical High $1,445.44 | Professional | None (both parts) | $288.40 | $380.19 | $1,445.44 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $77.62 Typical High $120.23 | Professional | 26 · Professional part | $37.15 | $77.62 | $120.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $229.09 Typical High $1,348.96 | Professional | TC · Technical part | $173.78 | $229.09 | $1,348.96 |
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 $389.05 Median $389.05 Typical High $489.78 | Professional | 52 · Reduced service | $389.05 | $389.05 | $489.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $154.88 Median $154.88 Typical High $199.53 | Professional | 53 · Discontinued | $154.88 | $154.88 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $616.60 Median $616.60 Typical High $794.33 | Professional | FX · Film X-ray | $616.60 | $616.60 | $794.33 |
Where New York sits
The same service costs 20.4 times more in Alaska than in Oregon. 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· 44th of 51
$676
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.