How much rates vary
Facilitymedian $603 · 10th to 90th $339 to $1,995Professionalmedian $407 · 10th to 90th $339 to $708
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 $363.08 Median $416.87 Typical High $416.87 | Facility | None | $363.08 | $416.87 | $416.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $416.87 | Professional | None (both parts) | $363.08 | $363.08 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $30.20 | $30.20 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $331.13 Typical High $380.19 | Professional | TC · Technical part | $331.13 | $331.13 | $380.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $512.86 | Professional | None (both parts) | $331.13 | $398.11 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $30.20 | $36.31 | $64.57 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $363.08 Typical High $467.74 | Professional | TC · Technical part | $302.00 | $363.08 | $467.74 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $54.95 Median $524.81 Typical High $588.84 | Professional | None (both parts) | $54.95 | $524.81 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $3,801.89 Typical High $4,265.80 | Facility | None | $645.65 | $3,801.89 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $1,380.38 | Professional | None (both parts) | $323.59 | $371.54 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $112.20 | Professional | 26 · Professional part | $26.30 | $30.90 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $338.84 Typical High $1,258.93 | Professional | TC · Technical part | $295.12 | $338.84 | $1,258.93 |
Emblem Health Setting Facility Modifier None Typical Low $398.11 Median $645.65 Typical High $1,995.26 | Facility | None | $398.11 | $645.65 | $1,995.26 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $645.65 Median $707.95 Typical High $1,318.26 | Professional | None (both parts) | $645.65 | $707.95 | $1,318.26 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $354.81 | $501.19 | $776.25 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $35.48 | $53.70 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $467.74 Typical High $724.44 | Professional | TC · Technical part | $331.13 | $467.74 | $724.44 |
Highmark BCBS Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $660.69 | Facility | None | $107.15 | $257.04 | $660.69 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $77.62 Median $602.56 Typical High $602.56 | Professional | None (both parts) | $77.62 | $602.56 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $426.58 Median $512.86 Typical High $1,047.13 | Professional | None (both parts) | $426.58 | $512.86 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $37.15 Typical High $75.86 | Professional | 26 · Professional part | $28.84 | $37.15 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $478.63 Typical High $977.24 | Professional | TC · Technical part | $398.11 | $478.63 | $977.24 |
Univera Setting Facility Modifier None Typical Low $338.84 Median $588.84 Typical High $1,479.11 | Facility | None | $338.84 | $588.84 | $1,479.11 |
Univera Setting Facility Modifier 26 · Professional part Typical Low $33.11 Median $41.69 Typical High $141.25 | Facility | 26 · Professional part | $33.11 | $41.69 | $141.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $549.54 Typical High $1,412.54 | Facility | TC · Technical part | $309.03 | $549.54 | $1,412.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $776.25 | Professional | None (both parts) | $338.84 | $501.19 | $776.25 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $35.48 | $53.70 |
Univera Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $467.74 Typical High $724.44 | Professional | TC · Technical part | $309.03 | $467.74 | $724.44 |
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 $181.97 Median $181.97 Typical High $204.17 | Professional | 52 · Reduced service | $181.97 | $181.97 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $72.44 Typical High $83.18 | Professional | 53 · Discontinued | $72.44 | $72.44 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $288.40 Median $288.40 Typical High $331.13 | Professional | FX · Film X-ray | $288.40 | $288.40 | $331.13 |
Where New York sits
The same service costs 16.6 times more in Wisconsin 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· 45th of 51
$407
WI $1,202OR $72.44
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.