How much rates vary
Facilitymedian $245 · 10th to 90th $60 to $832Professionalmedian $234 · 10th to 90th $182 to $468
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 $165.96 Median $239.88 Typical High $537.03 | Facility | None | $165.96 | $239.88 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $165.96 Typical High $281.84 | Professional | None (both parts) | $165.96 | $165.96 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $23.99 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $141.25 Typical High $245.47 | Professional | TC · Technical part | $141.25 | $141.25 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $234.42 Typical High $457.09 | Professional | None (both parts) | $194.98 | $234.42 | $457.09 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $35.48 Typical High $63.10 | Professional | 26 · Professional part | $30.20 | $35.48 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $199.53 Typical High $363.08 | Professional | TC · Technical part | $169.82 | $199.53 | $363.08 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $53.70 Median $295.12 Typical High $346.74 | Professional | None (both parts) | $53.70 | $295.12 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $660.69 Typical High $1,737.80 | Facility | None | $457.09 | $660.69 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $346.74 Typical High $1,071.52 | Professional | None (both parts) | $190.55 | $346.74 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $112.20 | Professional | 26 · Professional part | $26.30 | $29.51 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $316.23 Typical High $891.25 | Professional | TC · Technical part | $162.18 | $316.23 | $891.25 |
Emblem Health Setting Facility Modifier None Typical Low $147.91 Median $229.09 Typical High $660.69 | Facility | None | $147.91 | $229.09 | $660.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $478.63 | Professional | None (both parts) | $239.88 | $309.03 | $478.63 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $75.86 | Professional | 26 · Professional part | $37.15 | $48.98 | $75.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $257.04 | $407.38 |
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 $177.83 Median $208.93 Typical High $288.40 | Professional | None (both parts) | $177.83 | $208.93 | $288.40 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $21.38 | $33.88 | $47.86 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $245.47 | Professional | TC · Technical part | $147.91 | $173.78 | $245.47 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $389.05 | Facility | None | $107.15 | $257.04 | $389.05 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $630.96 | Professional | None (both parts) | $109.65 | $109.65 | $630.96 |
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 $181.97 Median $263.03 Typical High $616.60 | Professional | None (both parts) | $181.97 | $263.03 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $41.69 Typical High $93.33 | Professional | 26 · Professional part | $29.51 | $41.69 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $239.88 Typical High $537.03 | Professional | TC · Technical part | $158.49 | $239.88 | $537.03 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $501.19 | Facility | None | $60.26 | $60.26 | $501.19 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $426.58 | Facility | TC · Technical part | $36.31 | $36.31 | $426.58 |
Univera Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $177.83 | $208.93 | $295.12 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $33.88 Typical High $51.29 | Professional | 26 · Professional part | $21.38 | $33.88 | $51.29 |
Univera Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $245.47 | Professional | TC · Technical part | $147.91 | $181.97 | $245.47 |
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 $83.18 Median $83.18 Typical High $120.23 | Professional | 52 · Reduced service | $83.18 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $47.86 | Professional | 53 · Discontinued | $33.11 | $33.11 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $190.55 | Professional | FX · Film X-ray | $131.83 | $131.83 | $190.55 |
Where New York sits
The same service costs 4.6 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
$234
AK $933FL $204
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.