How much rates vary
Facilitymedian $245 · 10th to 90th $174 to $813Professionalmedian $166 · 10th to 90th $126 to $380
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 $138.04 Median $239.88 Typical High $537.03 | Facility | None | $138.04 | $239.88 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $239.88 | Professional | None (both parts) | $138.04 | $138.04 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $24.55 | Professional | 26 · Professional part | $18.20 | $18.20 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $218.78 | Professional | TC · Technical part | $120.23 | $120.23 | $218.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $363.08 | Professional | None (both parts) | $131.83 | $154.88 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.89 Typical High $38.90 | Professional | 26 · Professional part | $17.38 | $20.89 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $323.59 | Professional | TC · Technical part | $112.20 | $134.90 | $323.59 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.11 Median $302.00 Typical High $331.13 | Professional | None (both parts) | $33.11 | $302.00 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $1,258.93 Typical High $1,412.54 | Facility | None | $354.81 | $1,258.93 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $645.65 | Professional | None (both parts) | $181.97 | $208.93 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $19.05 Typical High $69.18 | Professional | 26 · Professional part | $16.60 | $19.05 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $186.21 Typical High $562.34 | Professional | TC · Technical part | $165.96 | $186.21 | $562.34 |
Emblem Health Setting Facility Modifier None Typical Low $165.96 Median $251.19 Typical High $724.44 | Facility | None | $165.96 | $251.19 | $724.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $245.47 | $281.84 | $501.19 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $114.82 | $218.78 | $316.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $13.18 | $21.88 | $32.36 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $100.00 | $194.98 | $281.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $407.38 | Facility | None | $107.15 | $257.04 | $407.38 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $478.63 | Professional | None (both parts) | $114.82 | $114.82 | $478.63 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $162.18 | $204.17 | $407.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $22.39 Typical High $43.65 | Professional | 26 · Professional part | $17.38 | $22.39 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $186.21 Typical High $363.08 | Professional | TC · Technical part | $147.91 | $186.21 | $363.08 |
Univera Setting Facility Modifier None Typical Low $218.78 Median $245.47 Typical High $354.81 | Facility | None | $218.78 | $245.47 | $354.81 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $20.42 Median $24.55 Typical High $61.66 | Facility | 26 · Professional part | $20.42 | $24.55 | $61.66 |
Univera Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $218.78 Typical High $245.47 | Facility | TC · Technical part | $199.53 | $218.78 | $245.47 |
Univera Setting Professional Modifier None (both parts) Typical Low $114.82 Median $218.78 Typical High $316.23 | Professional | None (both parts) | $114.82 | $218.78 | $316.23 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $32.36 | Professional | 26 · Professional part | $13.18 | $21.88 | $32.36 |
Univera Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $194.98 Typical High $281.84 | Professional | TC · Technical part | $100.00 | $194.98 | $281.84 |
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 $69.18 Median $69.18 Typical High $120.23 | Professional | 52 · Reduced service | $69.18 | $69.18 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $48.98 | Professional | 53 · Discontinued | $27.54 | $27.54 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $194.98 | Professional | FX · Film X-ray | $112.20 | $112.20 | $194.98 |
Where New York sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 49th of 51
$166
AK $661KY $155
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.