How much rates vary
Facilitymedian $479 · 10th to 90th $105 to $1,479Professionalmedian $479 · 10th to 90th $398 to $1,000
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 $446.68 Median $630.96 Typical High $1,288.25 | Facility | None | $446.68 | $630.96 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $223.87 | Facility | 26 · Professional part | $81.28 | $100.00 | $223.87 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $562.34 Typical High $1,122.02 | Facility | TC · Technical part | $371.54 | $562.34 | $1,122.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $660.69 Typical High $1,047.13 | Professional | None (both parts) | $446.68 | $660.69 | $1,047.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $100.00 Typical High $173.78 | Professional | 26 · Professional part | $79.43 | $100.00 | $173.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $562.34 Typical High $891.25 | Professional | TC · Technical part | $371.54 | $562.34 | $891.25 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $933.25 | Professional | None (both parts) | $407.38 | $478.63 | $933.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $151.36 | Professional | 26 · Professional part | $69.18 | $81.28 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $758.58 | Professional | TC · Technical part | $338.84 | $398.11 | $758.58 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $114.82 Median $575.44 Typical High $691.83 | Professional | None (both parts) | $114.82 | $575.44 | $691.83 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $1,348.96 Typical High $3,801.89 | Facility | None | $691.83 | $1,348.96 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $426.58 Median $524.81 Typical High $1,819.70 | Professional | None (both parts) | $426.58 | $524.81 | $1,819.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $87.10 Typical High $269.15 | Professional | 26 · Professional part | $72.44 | $87.10 | $269.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $457.09 Typical High $1,548.82 | Professional | TC · Technical part | $354.81 | $457.09 | $1,548.82 |
Emblem Health Setting Facility Modifier None Typical Low $331.13 Median $446.68 Typical High $1,513.56 | Facility | None | $331.13 | $446.68 | $1,513.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $478.63 Median $562.34 Typical High $851.14 | Professional | None (both parts) | $478.63 | $562.34 | $851.14 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $169.82 | Professional | 26 · Professional part | $85.11 | $107.15 | $169.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $467.74 Typical High $707.95 | Professional | TC · Technical part | $416.87 | $467.74 | $707.95 |
Excellus BCBS Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $63.10 | Facility | TC · Technical part | $63.10 | $63.10 | $63.10 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $416.87 Typical High $549.54 | Professional | None (both parts) | $346.74 | $416.87 | $549.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $107.15 | Professional | 26 · Professional part | $52.48 | $77.62 | $107.15 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $338.84 Typical High $446.68 | Professional | TC · Technical part | $281.84 | $338.84 | $446.68 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $87.10 Typical High $93.33 | Professional | 26 · Professional part | $87.10 | $87.10 | $93.33 |
Highmark BCBS Setting Facility Modifier None Typical Low $371.54 Median $1,230.27 Typical High $1,584.89 | Facility | None | $371.54 | $1,230.27 | $1,584.89 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $562.34 Typical High $794.33 | Professional | None (both parts) | $407.38 | $562.34 | $794.33 |
MVP Health Care Setting Facility Modifier None Typical Low $223.87 Median $363.08 Typical High $1,905.46 | Facility | None | $223.87 | $363.08 | $1,905.46 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,230.27 | Professional | None (both parts) | $478.63 | $478.63 | $1,230.27 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $107.15 Typical High $169.82 | Professional | 26 · Professional part | $91.20 | $107.15 | $169.82 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $537.03 Typical High $741.31 | Professional | TC · Technical part | $446.68 | $537.03 | $741.31 |
United Setting Facility Modifier None Typical Low $758.58 Median $870.96 Typical High $1,071.52 | Facility | None | $758.58 | $870.96 | $1,071.52 |
United Setting Professional Modifier None (both parts) Typical Low $354.81 Median $512.86 Typical High $1,479.11 | Professional | None (both parts) | $354.81 | $512.86 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $87.10 Typical High $234.42 | Professional | 26 · Professional part | $63.10 | $87.10 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $436.52 Typical High $1,258.93 | Professional | TC · Technical part | $302.00 | $436.52 | $1,258.93 |
Univera Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $891.25 | Facility | None | $104.71 | $104.71 | $891.25 |
Univera Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $794.33 | Facility | TC · Technical part | $63.10 | $63.10 | $794.33 |
Univera Setting Professional Modifier None (both parts) Typical Low $389.05 Median $416.87 Typical High $630.96 | Professional | None (both parts) | $389.05 | $416.87 | $630.96 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $123.03 | Professional | 26 · Professional part | $52.48 | $77.62 | $123.03 |
Univera Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $338.84 Typical High $512.86 | Professional | TC · Technical part | $316.23 | $338.84 | $512.86 |
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 $223.87 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $223.87 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $89.13 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $89.13 | $131.83 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $363.08 Median $537.03 Typical High $537.03 | Professional | FX · Film X-ray | $363.08 | $537.03 | $537.03 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $275.42 Median $331.13 Typical High $457.09 | Professional | 53 · Discontinued | $275.42 | $331.13 | $457.09 |
Where New York sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 43rd of 51
$479
AK $1,698TX $372
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.