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 $645.65 Median $1,288.25 Typical High $1,584.89 | Facility | None | $645.65 | $1,288.25 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $691.83 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $691.83 | $1,288.25 | $1,288.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $112.20 Typical High $112.20 | Professional | 26 · Professional part | $67.61 | $112.20 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $616.60 Median $1,174.90 Typical High $1,174.90 | Professional | TC · Technical part | $616.60 | $1,174.90 | $1,174.90 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $602.56 Median $707.95 Typical High $1,445.44 | Professional | None (both parts) | $602.56 | $707.95 | $1,445.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $60.26 Typical High $125.89 | Professional | 26 · Professional part | $51.29 | $60.26 | $125.89 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $549.54 Median $645.65 Typical High $1,288.25 | Professional | TC · Technical part | $549.54 | $645.65 | $1,288.25 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $97.72 Median $891.25 Typical High $1,000.00 | Professional | None (both parts) | $97.72 | $891.25 | $1,000.00 |
Cigna Setting Facility Modifier None Typical Low $1,047.13 Median $2,137.96 Typical High $4,677.35 | Facility | None | $1,047.13 | $2,137.96 | $4,677.35 |
Cigna Setting Professional Modifier None (both parts) Typical Low $660.69 Median $851.14 Typical High $2,398.83 | Professional | None (both parts) | $660.69 | $851.14 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $79.43 Typical High $239.88 | Professional | 26 · Professional part | $60.26 | $79.43 | $239.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $776.25 Typical High $2,137.96 | Professional | TC · Technical part | $588.84 | $776.25 | $2,137.96 |
Emblem Health Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $2,511.89 | Facility | None | $562.34 | $724.44 | $2,511.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $758.58 Median $891.25 Typical High $1,318.26 | Professional | None (both parts) | $758.58 | $891.25 | $1,318.26 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $144.54 | Professional | 26 · Professional part | $74.13 | $93.33 | $144.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $794.33 Typical High $1,202.26 | Professional | TC · Technical part | $691.83 | $794.33 | $1,202.26 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $501.19 Median $645.65 Typical High $954.99 | Professional | None (both parts) | $501.19 | $645.65 | $954.99 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $67.61 | $91.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $575.44 Typical High $851.14 | Professional | TC · Technical part | $446.68 | $575.44 | $851.14 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $1,230.27 | Facility | None | $107.15 | $257.04 | $1,230.27 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $1,698.24 | Professional | None (both parts) | $251.19 | $251.19 | $1,698.24 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $89.13 Typical High $141.25 | Professional | 26 · Professional part | $75.86 | $89.13 | $141.25 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $794.33 Typical High $1,230.27 | Professional | TC · Technical part | $676.08 | $794.33 | $1,230.27 |
United Setting Facility Modifier None Typical Low $1,122.02 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,122.02 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $478.63 Median $724.44 Typical High $2,041.74 | Professional | None (both parts) | $478.63 | $724.44 | $2,041.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $194.98 | Professional | 26 · Professional part | $53.70 | $75.86 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $478.63 Median $676.08 Typical High $1,819.70 | Professional | TC · Technical part | $478.63 | $676.08 | $1,819.70 |
Univera Setting Facility Modifier None Typical Low $446.68 Median $588.84 Typical High $1,737.80 | Facility | None | $446.68 | $588.84 | $1,737.80 |
Univera Setting Professional Modifier None (both parts) Typical Low $501.19 Median $645.65 Typical High $954.99 | Professional | None (both parts) | $501.19 | $645.65 | $954.99 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $67.61 Typical High $151.36 | Professional | 26 · Professional part | $52.48 | $67.61 | $151.36 |
Univera Setting Professional Modifier TC · Technical part Typical Low $446.68 Median $575.44 Typical High $831.76 | Professional | TC · Technical part | $446.68 | $575.44 | $831.76 |
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 $338.84 Median $645.65 Typical High $645.65 | Professional | 52 · Reduced service | $338.84 | $645.65 | $645.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $138.04 Median $257.04 Typical High $257.04 | Professional | 53 · Discontinued | $138.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $549.54 Median $1,047.13 Typical High $1,047.13 | Professional | FX · Film X-ray | $549.54 | $1,047.13 | $1,047.13 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $380.19 Median $457.09 Typical High $776.25 | Professional | 53 · Discontinued | $380.19 | $457.09 | $776.25 |
Where New York sits
The same service costs 5.1 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· 40th of 51
$708
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.