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 $1,778.28 Median $2,511.89 Typical High $5,128.61 | Facility | None | $1,778.28 | $2,511.89 | $5,128.61 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $416.87 Median $512.86 Typical High $1,148.15 | Facility | 26 · Professional part | $416.87 | $512.86 | $1,148.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,380.38 Median $1,995.26 Typical High $3,981.07 | Facility | TC · Technical part | $1,380.38 | $1,995.26 | $3,981.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,819.70 Median $2,511.89 Typical High $4,168.69 | Professional | None (both parts) | $1,819.70 | $2,511.89 | $4,168.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $398.11 Median $512.86 Typical High $794.33 | Professional | 26 · Professional part | $398.11 | $512.86 | $794.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,412.54 Median $1,995.26 Typical High $3,235.94 | Professional | TC · Technical part | $1,412.54 | $1,995.26 | $3,235.94 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,445.44 Median $1,445.44 Typical High $1,445.44 | Professional | None (both parts) | $1,445.44 | $1,445.44 | $1,445.44 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,905.46 Typical High $3,630.78 | Professional | None (both parts) | $1,621.81 | $1,905.46 | $3,630.78 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $346.74 Median $407.38 Typical High $758.58 | Professional | 26 · Professional part | $346.74 | $407.38 | $758.58 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,479.11 Typical High $2,884.03 | Professional | TC · Technical part | $1,258.93 | $1,479.11 | $2,884.03 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $588.84 Median $2,089.30 Typical High $2,630.27 | Professional | None (both parts) | $588.84 | $2,089.30 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $3,090.30 Median $4,897.79 Typical High $16,218.10 | Facility | None | $3,090.30 | $4,897.79 | $16,218.10 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,041.74 Typical High $6,918.31 | Professional | None (both parts) | $1,698.24 | $2,041.74 | $6,918.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $457.09 Typical High $1,380.38 | Professional | 26 · Professional part | $363.08 | $457.09 | $1,380.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,737.80 Typical High $5,495.41 | Professional | TC · Technical part | $1,318.26 | $1,737.80 | $5,495.41 |
Emblem Health Setting Facility Modifier None Typical Low $1,445.44 Median $1,862.09 Typical High $6,309.57 | Facility | None | $1,445.44 | $1,862.09 | $6,309.57 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $2,089.30 Median $2,511.89 Typical High $3,801.89 | Professional | None (both parts) | $2,089.30 | $2,511.89 | $3,801.89 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $426.58 Median $549.54 Typical High $870.96 | Professional | 26 · Professional part | $426.58 | $549.54 | $870.96 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $1,737.80 Median $2,041.74 Typical High $3,019.95 | Professional | TC · Technical part | $1,737.80 | $2,041.74 | $3,019.95 |
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 $1,445.44 Median $1,778.28 Typical High $2,344.23 | Professional | None (both parts) | $1,445.44 | $1,778.28 | $2,344.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $398.11 Typical High $537.03 | Professional | 26 · Professional part | $275.42 | $398.11 | $537.03 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $1,122.02 Median $1,445.44 Typical High $1,778.28 | Professional | TC · Technical part | $1,122.02 | $1,445.44 | $1,778.28 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $512.86 Median $645.65 Typical High $645.65 | Professional | 26 · Professional part | $512.86 | $645.65 | $645.65 |
Highmark BCBS Setting Facility Modifier None Typical Low $3,801.89 Median $4,365.16 Typical High $8,709.64 | Facility | None | $3,801.89 | $4,365.16 | $8,709.64 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $1,698.24 Median $2,041.74 Typical High $3,548.13 | Professional | None (both parts) | $1,698.24 | $2,041.74 | $3,548.13 |
MVP Health Care Setting Facility Modifier None Typical Low $223.87 Median $1,412.54 Typical High $7,413.10 | Facility | None | $223.87 | $1,412.54 | $7,413.10 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,412.54 Typical High $4,677.35 | Professional | None (both parts) | $1,412.54 | $1,412.54 | $4,677.35 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $467.74 Median $549.54 Typical High $851.14 | Professional | 26 · Professional part | $467.74 | $549.54 | $851.14 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $1,659.59 Median $1,949.84 Typical High $2,884.03 | Professional | TC · Technical part | $1,659.59 | $1,949.84 | $2,884.03 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $3,981.07 | Facility | None | $2,754.23 | $3,235.94 | $3,981.07 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,041.74 Typical High $5,623.41 | Professional | None (both parts) | $1,479.11 | $2,041.74 | $5,623.41 |
United Setting Professional Modifier 26 · Professional part Typical Low $323.59 Median $457.09 Typical High $1,202.26 | Professional | 26 · Professional part | $323.59 | $457.09 | $1,202.26 |
United Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,659.59 Typical High $4,466.84 | Professional | TC · Technical part | $1,174.90 | $1,659.59 | $4,466.84 |
Univera Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $3,981.07 | Facility | None | $104.71 | $104.71 | $3,981.07 |
Univera Setting Facility Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $3,162.28 | Facility | TC · Technical part | $63.10 | $63.10 | $3,162.28 |
Univera Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,778.28 Typical High $2,691.53 | Professional | None (both parts) | $1,621.81 | $1,778.28 | $2,691.53 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $398.11 Typical High $630.96 | Professional | 26 · Professional part | $275.42 | $398.11 | $630.96 |
Univera Setting Professional Modifier TC · Technical part Typical Low $1,258.93 Median $1,445.44 Typical High $2,041.74 | Professional | TC · Technical part | $1,258.93 | $1,445.44 | $2,041.74 |
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 $891.25 Median $1,258.93 Typical High $1,258.93 | Professional | 52 · Reduced service | $891.25 | $1,258.93 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $354.81 Median $501.19 Typical High $501.19 | Professional | 53 · Discontinued | $354.81 | $501.19 | $501.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,445.44 Median $2,041.74 Typical High $2,041.74 | Professional | FX · Film X-ray | $1,445.44 | $2,041.74 | $2,041.74 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $1,047.13 Median $1,258.93 Typical High $1,862.09 | Professional | 53 · Discontinued | $1,047.13 | $1,258.93 | $1,862.09 |
Where New York sits
The same service costs 4.4 times more in Alaska than in Florida. 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
$1,905
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.