How much rates vary
Facilitymedian $339 · 10th to 90th $240 to $1,148Professionalmedian $372 · 10th to 90th $309 to $832
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 $354.81 Median $501.19 Typical High $18,197.01 | Facility | None | $354.81 | $501.19 | $18,197.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $407.38 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $407.38 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $245.47 Typical High $245.47 | Professional | 26 · Professional part | $199.53 | $245.47 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $204.17 | $251.19 | $251.19 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $363.08 Typical High $776.25 | Professional | None (both parts) | $309.03 | $363.08 | $776.25 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $186.21 Typical High $363.08 | Professional | 26 · Professional part | $154.88 | $186.21 | $363.08 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $398.11 | Professional | TC · Technical part | $151.36 | $177.83 | $398.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $575.44 | Professional | None (both parts) | $288.40 | $288.40 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $741.31 Typical High $1,380.38 | Facility | None | $537.03 | $741.31 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $457.09 Typical High $1,380.38 | Professional | None (both parts) | $371.54 | $457.09 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $213.80 Typical High $660.69 | Professional | 26 · Professional part | $173.78 | $213.80 | $660.69 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $724.44 | Professional | TC · Technical part | $199.53 | $239.88 | $724.44 |
Emblem Health Setting Facility Modifier None Typical Low $208.93 Median $269.15 Typical High $912.01 | Facility | None | $208.93 | $269.15 | $912.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $549.54 Typical High $812.83 | Professional | None (both parts) | $446.68 | $549.54 | $812.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $208.93 Median $263.03 Typical High $380.19 | Professional | 26 · Professional part | $208.93 | $263.03 | $380.19 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $295.12 Typical High $436.52 | Professional | TC · Technical part | $251.19 | $295.12 | $436.52 |
Excellus BCBS Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $190.55 | Facility | TC · Technical part | $190.55 | $190.55 | $190.55 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $338.84 | $398.11 | $537.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $263.03 | Professional | 26 · Professional part | $131.83 | $194.98 | $263.03 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $275.42 | Professional | TC · Technical part | $190.55 | $208.93 | $275.42 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $691.83 | Facility | None | $107.15 | $257.04 | $691.83 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $977.24 | Professional | None (both parts) | $346.74 | $346.74 | $977.24 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $263.03 Typical High $416.87 | Professional | 26 · Professional part | $223.87 | $263.03 | $416.87 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $263.03 Typical High $436.52 | Professional | TC · Technical part | $223.87 | $263.03 | $436.52 |
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 $302.00 Median $426.58 Typical High $1,174.90 | Professional | None (both parts) | $302.00 | $426.58 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $154.88 Median $218.78 Typical High $575.44 | Professional | 26 · Professional part | $154.88 | $218.78 | $575.44 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $229.09 Typical High $602.56 | Professional | TC · Technical part | $158.49 | $229.09 | $602.56 |
Univera Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $446.68 | Facility | None | $316.23 | $316.23 | $446.68 |
Univera Setting Facility Modifier TC · Technical part Typical Low $190.55 Median $190.55 Typical High $295.12 | Facility | TC · Technical part | $190.55 | $190.55 | $295.12 |
Univera Setting Professional Modifier None (both parts) Typical Low $338.84 Median $398.11 Typical High $537.03 | Professional | None (both parts) | $338.84 | $398.11 | $537.03 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $194.98 Typical High $302.00 | Professional | 26 · Professional part | $131.83 | $194.98 | $302.00 |
Univera Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $208.93 Typical High $295.12 | Professional | TC · Technical part | $190.55 | $208.93 | $295.12 |
5 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 $204.17 Median $245.47 Typical High $245.47 | Professional | 52 · Reduced service | $204.17 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $100.00 Typical High $100.00 | Professional | 53 · Discontinued | $81.28 | $100.00 | $100.00 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $281.84 Median $346.74 Typical High $346.74 | Professional | 78 · Unplanned return to OR | $281.84 | $346.74 | $346.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $398.11 Typical High $398.11 | Professional | FX · Film X-ray | $323.59 | $398.11 | $398.11 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $218.78 Median $263.03 Typical High $426.58 | Professional | 53 · Discontinued | $218.78 | $263.03 | $426.58 |
Where New York sits
The same service costs 5.6 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· 46th of 51
$372
AK $1,698FL $302
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.