How much rates vary
Facilitymedian $1,000 · 10th to 90th $537 to $2,570Professionalmedian $457 · 10th to 90th $372 to $1,148
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 $407.38 Median $645.65 Typical High $1,584.89 | Facility | None | $407.38 | $645.65 | $1,584.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $501.19 Median $501.19 Typical High $724.44 | Professional | None (both parts) | $501.19 | $501.19 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $100.00 | Professional | 26 · Professional part | $81.28 | $100.00 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $398.11 Typical High $630.96 | Professional | TC · Technical part | $398.11 | $398.11 | $630.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $436.52 Typical High $1,047.13 | Professional | None (both parts) | $371.54 | $436.52 | $1,047.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $67.61 | $79.43 | $154.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $354.81 Typical High $912.01 | Professional | TC · Technical part | $302.00 | $354.81 | $912.01 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $117.49 Median $794.33 Typical High $912.01 | Professional | None (both parts) | $117.49 | $794.33 | $912.01 |
Cigna Setting Facility Modifier None Typical Low $1,148.15 Median $1,905.46 Typical High $2,630.27 | Facility | None | $1,148.15 | $1,905.46 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $676.08 Typical High $2,137.96 | Professional | None (both parts) | $537.03 | $676.08 | $2,137.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $302.00 | Professional | 26 · Professional part | $85.11 | $97.72 | $302.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $549.54 Typical High $1,819.70 | Professional | TC · Technical part | $436.52 | $549.54 | $1,819.70 |
Emblem Health Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $2,630.27 | Facility | None | $602.56 | $776.25 | $2,630.27 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $851.14 Median $933.25 Typical High $1,445.44 | Professional | None (both parts) | $851.14 | $933.25 | $1,445.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $100.00 | $120.23 | $190.55 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $741.31 Median $831.76 Typical High $1,230.27 | Professional | TC · Technical part | $741.31 | $831.76 | $1,230.27 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $691.83 Typical High $812.83 | Professional | None (both parts) | $467.74 | $691.83 | $812.83 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $107.15 | Professional | 26 · Professional part | $61.66 | $83.18 | $107.15 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $616.60 Typical High $707.95 | Professional | TC · Technical part | $407.38 | $616.60 | $707.95 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $1,096.48 | Facility | None | $107.15 | $257.04 | $1,096.48 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $1,548.82 | Professional | None (both parts) | $346.74 | $346.74 | $1,548.82 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $114.82 Typical High $165.96 | Professional | 26 · Professional part | $95.50 | $114.82 | $165.96 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $588.84 Median $676.08 Typical High $1,122.02 | Professional | TC · Technical part | $588.84 | $676.08 | $1,122.02 |
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 $457.09 Median $676.08 Typical High $1,778.28 | Professional | None (both parts) | $457.09 | $676.08 | $1,778.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $257.04 | Professional | 26 · Professional part | $69.18 | $93.33 | $257.04 |
United Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $602.56 Typical High $1,584.89 | Professional | TC · Technical part | $416.87 | $602.56 | $1,584.89 |
Univera Setting Facility Modifier None Typical Low $549.54 Median $562.34 Typical High $831.76 | Facility | None | $549.54 | $562.34 | $831.76 |
Univera Setting Professional Modifier None (both parts) Typical Low $467.74 Median $575.44 Typical High $831.76 | Professional | None (both parts) | $467.74 | $575.44 | $831.76 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $83.18 Typical High $173.78 | Professional | 26 · Professional part | $61.66 | $83.18 | $173.78 |
Univera Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $616.60 Typical High $724.44 | Professional | TC · Technical part | $407.38 | $616.60 | $724.44 |
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 $245.47 Median $245.47 Typical High $363.08 | Professional | 52 · Reduced service | $245.47 | $245.47 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $100.00 Median $100.00 Typical High $144.54 | Professional | 53 · Discontinued | $100.00 | $100.00 | $144.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $398.11 Median $398.11 Typical High $512.86 | Professional | FX · Film X-ray | $398.11 | $398.11 | $512.86 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $338.84 Median $407.38 Typical High $645.65 | Professional | 53 · Discontinued | $338.84 | $407.38 | $645.65 |
Where New York sits
The same service costs 6.0 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
$468
AK $2,570IN $427
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.