How much rates vary
Facilitymedian $269 · 10th to 90th $60 to $933Professionalmedian $269 · 10th to 90th $209 to $513
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 $190.55 Median $269.15 Typical High $1,202.26 | Facility | None | $190.55 | $269.15 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $190.55 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $33.88 | Professional | 26 · Professional part | $20.89 | $20.89 | $33.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $234.42 | Professional | TC · Technical part | $169.82 | $169.82 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $229.09 | $269.15 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $31.62 | $56.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $239.88 Typical High $436.52 | Professional | TC · Technical part | $199.53 | $239.88 | $436.52 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $47.86 Median $354.81 Typical High $398.11 | Professional | None (both parts) | $47.86 | $354.81 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $758.58 Typical High $2,238.72 | Facility | None | $524.81 | $758.58 | $2,238.72 |
Cigna Setting Professional Modifier None (both parts) Typical Low $213.80 Median $436.52 Typical High $1,202.26 | Professional | None (both parts) | $213.80 | $436.52 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $97.72 | Professional | 26 · Professional part | $21.88 | $25.12 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $398.11 Typical High $1,047.13 | Professional | TC · Technical part | $181.97 | $398.11 | $1,047.13 |
Emblem Health Setting Facility Modifier None Typical Low $173.78 Median $269.15 Typical High $776.25 | Facility | None | $173.78 | $269.15 | $776.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $275.42 | $346.74 | $549.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $32.36 | $43.65 | $66.07 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $239.88 | $302.00 | $489.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $194.98 | $229.09 | $323.59 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $43.65 | Professional | 26 · Professional part | $28.18 | $31.62 | $43.65 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $275.42 | Professional | TC · Technical part | $169.82 | $199.53 | $275.42 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $436.52 | Facility | None | $107.15 | $257.04 | $436.52 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $707.95 | Professional | None (both parts) | $151.36 | $151.36 | $707.95 |
United Setting Facility Modifier None Typical Low $812.83 Median $933.25 Typical High $1,148.15 | Facility | None | $812.83 | $933.25 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $302.00 Typical High $691.83 | Professional | None (both parts) | $208.93 | $302.00 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $79.43 | Professional | 26 · Professional part | $25.12 | $36.31 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $275.42 Typical High $645.65 | Professional | TC · Technical part | $181.97 | $275.42 | $645.65 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $467.74 | Facility | None | $60.26 | $60.26 | $467.74 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $398.11 | Facility | TC · Technical part | $36.31 | $36.31 | $398.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $194.98 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $194.98 | $239.88 | $323.59 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $31.62 | $46.77 |
Univera Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $281.84 | Professional | TC · Technical part | $169.82 | $208.93 | $281.84 |
3 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 $95.50 Median $95.50 Typical High $134.90 | Professional | 52 · Reduced service | $95.50 | $95.50 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $53.70 | Professional | 53 · Discontinued | $38.02 | $38.02 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $218.78 | Professional | FX · Film X-ray | $151.36 | $151.36 | $218.78 |
Where New York sits
The same service costs 4.6 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· 45th of 51
$269
AK $1,023TX $224
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.