How much rates vary
Facilitymedian $398 · 10th to 90th $263 to $1,288Professionalmedian $501 · 10th to 90th $407 to $1,096
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 $478.63 Median $660.69 Typical High $18,197.01 | Facility | None | $478.63 | $660.69 | $18,197.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $537.03 Median $660.69 Typical High $660.69 | Professional | None (both parts) | $537.03 | $660.69 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $302.00 Median $371.54 Typical High $371.54 | Professional | 26 · Professional part | $302.00 | $371.54 | $371.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $234.42 | $288.40 | $288.40 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $1,023.29 | Professional | None (both parts) | $407.38 | $478.63 | $1,023.29 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $275.42 Typical High $549.54 | Professional | 26 · Professional part | $234.42 | $275.42 | $549.54 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $204.17 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $204.17 | $457.09 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $758.58 | Professional | None (both parts) | $331.13 | $426.58 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $851.14 Typical High $1,659.59 | Facility | None | $616.60 | $851.14 | $1,659.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $602.56 Typical High $1,778.28 | Professional | None (both parts) | $489.78 | $602.56 | $1,778.28 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $263.03 Median $331.13 Typical High $1,000.00 | Professional | 26 · Professional part | $263.03 | $331.13 | $1,000.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $831.76 | Professional | TC · Technical part | $229.09 | $275.42 | $831.76 |
Emblem Health Setting Facility Modifier None Typical Low $239.88 Median $309.03 Typical High $1,047.13 | Facility | None | $239.88 | $309.03 | $1,047.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $602.56 Median $724.44 Typical High $1,071.52 | Professional | None (both parts) | $602.56 | $724.44 | $1,071.52 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $316.23 Median $398.11 Typical High $562.34 | Professional | 26 · Professional part | $316.23 | $398.11 | $562.34 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $338.84 Typical High $501.19 | Professional | TC · Technical part | $295.12 | $338.84 | $501.19 |
Excellus BCBS Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $371.54 | Facility | None | $371.54 | $371.54 | $371.54 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $223.87 | Facility | TC · Technical part | $223.87 | $223.87 | $223.87 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $537.03 Typical High $707.95 | Professional | None (both parts) | $446.68 | $537.03 | $707.95 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $295.12 Typical High $389.05 | Professional | 26 · Professional part | $194.98 | $295.12 | $389.05 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $316.23 | Professional | TC · Technical part | $218.78 | $245.47 | $316.23 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $812.83 | Facility | None | $107.15 | $257.04 | $812.83 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $457.09 Median $457.09 Typical High $1,288.25 | Professional | None (both parts) | $457.09 | $457.09 | $1,288.25 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $338.84 Median $398.11 Typical High $616.60 | Professional | 26 · Professional part | $338.84 | $398.11 | $616.60 |
MVP Health Care Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $501.19 | Professional | TC · Technical part | $257.04 | $302.00 | $501.19 |
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 $416.87 Median $575.44 Typical High $1,513.56 | Professional | None (both parts) | $416.87 | $575.44 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $234.42 Median $323.59 Typical High $851.14 | Professional | 26 · Professional part | $234.42 | $323.59 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $263.03 Typical High $691.83 | Professional | TC · Technical part | $181.97 | $263.03 | $691.83 |
Univera Setting Facility Modifier None Typical Low $371.54 Median $371.54 Typical High $588.84 | Facility | None | $371.54 | $371.54 | $588.84 |
Univera Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $223.87 Typical High $389.05 | Facility | TC · Technical part | $223.87 | $223.87 | $389.05 |
Univera Setting Professional Modifier None (both parts) Typical Low $457.09 Median $524.81 Typical High $707.95 | Professional | None (both parts) | $457.09 | $524.81 | $707.95 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $288.40 Typical High $416.87 | Professional | 26 · Professional part | $194.98 | $288.40 | $416.87 |
Univera Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $245.47 Typical High $316.23 | Professional | TC · Technical part | $218.78 | $245.47 | $316.23 |
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 $269.15 Median $331.13 Typical High $331.13 | Professional | 52 · Reduced service | $269.15 | $331.13 | $331.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $107.15 Median $131.83 Typical High $131.83 | Professional | 53 · Discontinued | $107.15 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $371.54 Median $457.09 Typical High $457.09 | Professional | 78 · Unplanned return to OR | $371.54 | $457.09 | $457.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $426.58 Median $524.81 Typical High $524.81 | Professional | FX · Film X-ray | $426.58 | $524.81 | $524.81 |
MVP Health Care Setting Professional Modifier 53 · Discontinued Typical Low $295.12 Median $354.81 Typical High $562.34 | Professional | 53 · Discontinued | $295.12 | $354.81 | $562.34 |
Where New York sits
The same service costs 5.6 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· 47th of 51
$501
AK $2,239TX $398
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.