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 $691.83 Median $1,047.13 Typical High $2,187.76 | Facility | None | $691.83 | $1,047.13 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,047.13 Typical High $1,096.48 | Professional | None (both parts) | $977.24 | $1,047.13 | $1,096.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $100.00 | $151.36 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $891.25 Median $891.25 Typical High $1,000.00 | Professional | TC · Technical part | $891.25 | $891.25 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $588.84 Median $691.83 Typical High $1,698.24 | Professional | None (both parts) | $588.84 | $691.83 | $1,698.24 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $190.55 | Professional | 26 · Professional part | $79.43 | $93.33 | $190.55 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $602.56 Typical High $1,513.56 | Professional | TC · Technical part | $512.86 | $602.56 | $1,513.56 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $141.25 Median $1,288.25 Typical High $1,412.54 | Professional | None (both parts) | $141.25 | $1,288.25 | $1,412.54 |
Cigna Setting Facility Modifier None Typical Low $1,621.81 Median $3,019.95 Typical High $4,786.30 | Facility | None | $1,621.81 | $3,019.95 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,047.13 Typical High $3,162.28 | Professional | None (both parts) | $870.96 | $1,047.13 | $3,162.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $371.54 | Professional | 26 · Professional part | $100.00 | $117.49 | $371.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $933.25 Typical High $2,884.03 | Professional | TC · Technical part | $758.58 | $933.25 | $2,884.03 |
Emblem Health Setting Facility Modifier None Typical Low $870.96 Median $1,122.02 Typical High $3,801.89 | Facility | None | $870.96 | $1,122.02 | $3,801.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,174.90 Median $1,348.96 Typical High $2,041.74 | Professional | None (both parts) | $1,174.90 | $1,348.96 | $2,041.74 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $141.25 Typical High $223.87 | Professional | 26 · Professional part | $117.49 | $141.25 | $223.87 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,230.27 Typical High $1,819.70 | Professional | TC · Technical part | $1,047.13 | $1,230.27 | $1,819.70 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $977.24 Typical High $1,230.27 | Professional | None (both parts) | $691.83 | $977.24 | $1,230.27 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $141.25 | Professional | 26 · Professional part | $74.13 | $100.00 | $141.25 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $891.25 Typical High $1,202.26 | Professional | TC · Technical part | $616.60 | $891.25 | $1,202.26 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $1,698.24 | Facility | None | $107.15 | $257.04 | $1,698.24 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $2,137.96 | Professional | None (both parts) | $338.84 | $338.84 | $2,137.96 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $138.04 | $199.53 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $977.24 Typical High $1,698.24 | Professional | TC · Technical part | $831.76 | $977.24 | $1,698.24 |
United Setting Facility Modifier None Typical Low $1,412.54 Median $1,621.81 Typical High $1,995.26 | Facility | None | $1,412.54 | $1,621.81 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $1,000.00 Typical High $2,511.89 | Professional | None (both parts) | $660.69 | $1,000.00 | $2,511.89 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $112.20 Typical High $309.03 | Professional | 26 · Professional part | $81.28 | $112.20 | $309.03 |
United Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $891.25 Typical High $2,238.72 | Professional | TC · Technical part | $616.60 | $891.25 | $2,238.72 |
Univera Setting Facility Modifier None Typical Low $602.56 Median $831.76 Typical High $1,258.93 | Facility | None | $602.56 | $831.76 | $1,258.93 |
Univera Setting Professional Modifier None (both parts) Typical Low $691.83 Median $870.96 Typical High $1,230.27 | Professional | None (both parts) | $691.83 | $870.96 | $1,230.27 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $100.00 Typical High $257.04 | Professional | 26 · Professional part | $74.13 | $100.00 | $257.04 |
Univera Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $776.25 Typical High $1,148.15 | Professional | TC · Technical part | $616.60 | $776.25 | $1,148.15 |
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 $489.78 Median $524.81 Typical High $549.54 | Professional | 52 · Reduced service | $489.78 | $524.81 | $549.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $194.98 Median $208.93 Typical High $218.78 | Professional | 53 · Discontinued | $194.98 | $208.93 | $218.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $831.76 Typical High $831.76 | Professional | FX · Film X-ray | $794.33 | $831.76 | $831.76 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $467.74 Median $562.34 Typical High $954.99 | Professional | 53 · Discontinued | $467.74 | $562.34 | $954.99 |
Where New York sits
The same service costs 5.5 times more in Alaska than in Indiana. 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
$741
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.