How much rates vary
Facilitymedian $162 · 10th to 90th $126 to $1,905Professionalmedian $2,455 · 10th to 90th $158 to $3,162
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 $104.71 Median $630.96 Typical High $2,884.03 | Facility | None | $104.71 | $630.96 | $2,884.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $537.03 Typical High $2,884.03 | Professional | None (both parts) | $346.74 | $537.03 | $2,884.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $134.90 | Professional | 26 · Professional part | $64.57 | $64.57 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $524.81 Typical High $2,818.38 | Professional | TC · Technical part | $208.93 | $524.81 | $2,818.38 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,754.23 Typical High $3,162.28 | Professional | None (both parts) | $2,290.87 | $2,754.23 | $3,162.28 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $77.62 | $91.20 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $2,238.72 Median $2,630.27 Typical High $3,090.30 | Professional | TC · Technical part | $2,238.72 | $2,630.27 | $3,090.30 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $123.03 Median $3,890.45 Typical High $4,073.80 | Professional | None (both parts) | $123.03 | $3,890.45 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $151.36 Typical High $407.38 | Facility | None | $112.20 | $151.36 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $104.71 Typical High $363.08 | Professional | None (both parts) | $97.72 | $104.71 | $363.08 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $69.18 Typical High $239.88 | Professional | 26 · Professional part | $64.57 | $69.18 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.90 Typical High $234.42 | Professional | TC · Technical part | $33.11 | $38.90 | $234.42 |
Emblem Health Setting Facility Modifier None Typical Low $131.83 Median $204.17 Typical High $588.84 | Facility | None | $131.83 | $204.17 | $588.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $323.59 Typical High $478.63 | Professional | None (both parts) | $239.88 | $323.59 | $478.63 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $109.65 Median $125.89 Typical High $186.21 | Professional | 26 · Professional part | $109.65 | $125.89 | $186.21 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $288.40 | Professional | TC · Technical part | $173.78 | $199.53 | $288.40 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $173.78 Typical High $257.04 | Professional | None (both parts) | $85.11 | $173.78 | $257.04 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $46.77 | $100.00 | $128.82 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $64.57 Typical High $158.49 | Professional | TC · Technical part | $37.15 | $64.57 | $158.49 |
Highmark BCBS Setting Facility Modifier None Typical Low $11,748.98 Median $11,748.98 Typical High $11,748.98 | Facility | None | $11,748.98 | $11,748.98 | $11,748.98 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $151.36 | $151.36 | $151.36 |
MVP Health Care Setting Facility Modifier None Typical Low $87.10 Median $154.88 Typical High $257.04 | Facility | None | $87.10 | $154.88 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $4,265.80 | Professional | None (both parts) | $162.18 | $162.18 | $4,265.80 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $95.50 | $120.23 | $158.49 |
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 $194.98 Median $1,479.11 Typical High $3,162.28 | Professional | None (both parts) | $194.98 | $1,479.11 | $3,162.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $91.20 Typical High $158.49 | Professional | 26 · Professional part | $70.79 | $91.20 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $1,380.38 Typical High $3,019.95 | Professional | TC · Technical part | $138.04 | $1,380.38 | $3,019.95 |
Univera Setting Facility Modifier None Typical Low $158.49 Median $162.18 Typical High $588.84 | Facility | None | $158.49 | $162.18 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $85.11 Median $158.49 Typical High $257.04 | Professional | None (both parts) | $85.11 | $158.49 | $257.04 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $100.00 Typical High $120.23 | Professional | 26 · Professional part | $46.77 | $100.00 | $120.23 |
Univera Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $58.88 Typical High $158.49 | Professional | TC · Technical part | $37.15 | $58.88 | $158.49 |
4 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 $269.15 Median $269.15 Typical High $1,445.44 | Professional | 52 · Reduced service | $269.15 | $269.15 | $1,445.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $575.44 | Professional | 53 · Discontinued | $109.65 | $109.65 | $575.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $436.52 Median $436.52 Typical High $2,290.87 | Professional | FX · Film X-ray | $436.52 | $436.52 | $2,290.87 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $114.82 Median $131.83 Typical High $131.83 | Professional | GL · Free upgrade | $114.82 | $131.83 | $131.83 |
Where New York sits
The same service costs 26.3 times more in Colorado than in New Mexico. 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· 2nd of 51
$2,455
CO $3,467NM $132
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.