How much rates vary
Facilitymedian $182 · 10th to 90th $71 to $631Professionalmedian $162 · 10th to 90th $132 to $324
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 $144.54 Median $165.96 Typical High $1,202.26 | Facility | None | $144.54 | $165.96 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $165.96 | Professional | None (both parts) | $144.54 | $144.54 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $16.98 | Professional | 26 · Professional part | $12.59 | $12.59 | $16.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $147.91 | Professional | TC · Technical part | $131.83 | $131.83 | $147.91 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $162.18 Typical High $316.23 | Professional | None (both parts) | $138.04 | $162.18 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $15.49 | $28.84 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $281.84 | Professional | TC · Technical part | $125.89 | $147.91 | $281.84 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $23.99 Median $218.78 Typical High $239.88 | Professional | None (both parts) | $23.99 | $218.78 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $524.81 Typical High $1,412.54 | Facility | None | $389.05 | $524.81 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $269.15 Typical High $741.31 | Professional | None (both parts) | $134.90 | $269.15 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.79 Typical High $48.98 | Professional | 26 · Professional part | $10.96 | $14.79 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $263.03 Typical High $660.69 | Professional | TC · Technical part | $114.82 | $263.03 | $660.69 |
Emblem Health Setting Facility Modifier None Typical Low $112.20 Median $169.82 Typical High $489.78 | Facility | None | $112.20 | $169.82 | $489.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $169.82 | $213.80 | $338.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $21.38 Typical High $33.11 | Professional | 26 · Professional part | $15.85 | $21.38 | $33.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $309.03 | Professional | TC · Technical part | $151.36 | $190.55 | $309.03 |
Excellus BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | TC · Technical part | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $120.23 | $147.91 | $199.53 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.49 Typical High $21.38 | Professional | 26 · Professional part | $10.72 | $15.49 | $21.38 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $107.15 | $131.83 | $177.83 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $251.19 Typical High $275.42 | Facility | None | $107.15 | $251.19 | $275.42 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $426.58 | Professional | None (both parts) | $120.23 | $120.23 | $426.58 |
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 $125.89 Median $186.21 Typical High $426.58 | Professional | None (both parts) | $125.89 | $186.21 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $18.20 Typical High $39.81 | Professional | 26 · Professional part | $12.59 | $18.20 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $173.78 Typical High $398.11 | Professional | TC · Technical part | $114.82 | $173.78 | $398.11 |
Univera Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $302.00 | Facility | None | $70.79 | $70.79 | $302.00 |
Univera Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $288.40 | Facility | TC · Technical part | $42.66 | $42.66 | $288.40 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $199.53 | Professional | None (both parts) | $120.23 | $147.91 | $199.53 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $15.49 Typical High $21.88 | Professional | 26 · Professional part | $10.72 | $15.49 | $21.88 |
Univera Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $131.83 Typical High $177.83 | Professional | TC · Technical part | $107.15 | $131.83 | $177.83 |
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 $72.44 Median $72.44 Typical High $83.18 | Professional | 52 · Reduced service | $72.44 | $72.44 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $33.11 | Professional | 53 · Discontinued | $28.84 | $28.84 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $131.83 | Professional | FX · Film X-ray | $114.82 | $114.82 | $131.83 |
Where New York sits
The same service costs 4.5 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· 45th of 51
$162
AK $631FL $141
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.