How much rates vary
Facilitymedian $1,479 · 10th to 90th $776 to $3,981Professionalmedian $977 · 10th to 90th $776 to $2,138
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 $912.01 Median $1,380.38 Typical High $2,511.89 | Facility | None | $912.01 | $1,380.38 | $2,511.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $1,071.52 | $1,380.38 | $1,380.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $131.83 Typical High $131.83 | Professional | 26 · Professional part | $95.50 | $131.83 | $131.83 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $977.24 | $1,258.93 | $1,258.93 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $812.83 Median $954.99 Typical High $1,995.26 | Professional | None (both parts) | $812.83 | $954.99 | $1,995.26 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $74.13 | $87.10 | $173.78 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $870.96 Typical High $1,778.28 | Professional | TC · Technical part | $741.31 | $870.96 | $1,778.28 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $138.04 Median $1,412.54 Typical High $1,548.82 | Professional | None (both parts) | $138.04 | $1,412.54 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $3,388.44 Typical High $6,606.93 | Facility | None | $1,513.56 | $3,388.44 | $6,606.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,230.27 Typical High $3,630.78 | Professional | None (both parts) | $1,023.29 | $1,230.27 | $3,630.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $112.20 Typical High $331.13 | Professional | 26 · Professional part | $85.11 | $112.20 | $331.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,148.15 Typical High $3,311.31 | Professional | TC · Technical part | $933.25 | $1,148.15 | $3,311.31 |
Emblem Health Setting Facility Modifier None Typical Low $891.25 Median $1,174.90 Typical High $3,981.07 | Facility | None | $891.25 | $1,174.90 | $3,981.07 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,380.38 Typical High $2,089.30 | Professional | None (both parts) | $1,202.26 | $1,380.38 | $2,089.30 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $128.82 Typical High $199.53 | Professional | 26 · Professional part | $102.33 | $128.82 | $199.53 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $1,096.48 Median $1,258.93 Typical High $1,905.46 | Professional | TC · Technical part | $1,096.48 | $1,258.93 | $1,905.46 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $776.25 Median $1,000.00 Typical High $1,380.38 | Professional | None (both parts) | $776.25 | $1,000.00 | $1,380.38 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $128.82 | Professional | 26 · Professional part | $74.13 | $93.33 | $128.82 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $912.01 Typical High $1,230.27 | Professional | TC · Technical part | $707.95 | $912.01 | $1,230.27 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $1,949.84 | Facility | None | $107.15 | $257.04 | $1,949.84 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $2,691.53 | Professional | None (both parts) | $338.84 | $338.84 | $2,691.53 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $125.89 Typical High $199.53 | Professional | 26 · Professional part | $107.15 | $125.89 | $199.53 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,258.93 Typical High $1,949.84 | Professional | TC · Technical part | $1,071.52 | $1,258.93 | $1,949.84 |
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 $758.58 Median $1,122.02 Typical High $3,090.30 | Professional | None (both parts) | $758.58 | $1,122.02 | $3,090.30 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $104.71 Typical High $275.42 | Professional | 26 · Professional part | $75.86 | $104.71 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,047.13 Typical High $2,884.03 | Professional | TC · Technical part | $758.58 | $1,047.13 | $2,884.03 |
Univera Setting Facility Modifier None Typical Low $602.56 Median $933.25 Typical High $1,737.80 | Facility | None | $602.56 | $933.25 | $1,737.80 |
Univera Setting Professional Modifier None (both parts) Typical Low $776.25 Median $977.24 Typical High $1,380.38 | Professional | None (both parts) | $776.25 | $977.24 | $1,380.38 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $93.33 Typical High $208.93 | Professional | 26 · Professional part | $74.13 | $93.33 | $208.93 |
Univera Setting Professional Modifier TC · Technical part Typical Low $707.95 Median $912.01 Typical High $1,230.27 | Professional | TC · Technical part | $707.95 | $912.01 | $1,230.27 |
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 $537.03 Median $691.83 Typical High $691.83 | Professional | 52 · Reduced service | $537.03 | $691.83 | $691.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $213.80 Median $275.42 Typical High $275.42 | Professional | 53 · Discontinued | $213.80 | $275.42 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $851.14 Median $1,096.48 Typical High $1,096.48 | Professional | FX · Film X-ray | $851.14 | $1,096.48 | $1,096.48 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $707.95 Typical High $1,096.48 | Professional | 53 · Discontinued | $588.84 | $707.95 | $1,096.48 |
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· 43rd of 51
$1,000
AK $4,365IN $794
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.