How much rates vary
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 $239.88 Median $346.74 Typical High $954.99 | Facility | None | $239.88 | $346.74 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $151.36 | Facility | 26 · Professional part | $37.15 | $57.54 | $151.36 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $288.40 Typical High $1,258.93 | Facility | TC · Technical part | $204.17 | $288.40 | $1,258.93 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $602.56 | Professional | None (both parts) | $239.88 | $275.42 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $102.33 | Professional | 26 · Professional part | $37.15 | $47.86 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $229.09 Typical High $512.86 | Professional | TC · Technical part | $204.17 | $229.09 | $512.86 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $338.84 Typical High $630.96 | Professional | None (both parts) | $288.40 | $338.84 | $630.96 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $54.95 | $95.50 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $245.47 | $288.40 | $512.86 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $416.87 Typical High $501.19 | Professional | None (both parts) | $81.28 | $416.87 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $933.25 Typical High $2,290.87 | Facility | None | $630.96 | $933.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $478.63 Typical High $1,513.56 | Professional | None (both parts) | $263.03 | $478.63 | $1,513.56 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $173.78 | Professional | 26 · Professional part | $38.90 | $43.65 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $446.68 Typical High $1,230.27 | Professional | TC · Technical part | $218.78 | $446.68 | $1,230.27 |
Emblem Health Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $912.01 | Facility | None | $204.17 | $316.23 | $912.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $426.58 Typical High $676.08 | Professional | None (both parts) | $338.84 | $426.58 | $676.08 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $72.44 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $72.44 | $114.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $575.44 | Professional | TC · Technical part | $281.84 | $354.81 | $575.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | TC · Technical part | $23.99 | $23.99 | $23.99 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $251.19 | $295.12 | $407.38 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $52.48 | $72.44 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $245.47 | $338.84 |
Fidelis Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $83.18 | Professional | 26 · Professional part | $46.77 | $46.77 | $83.18 |
Highmark BCBS Setting Facility Modifier None Typical Low $758.58 Median $1,202.26 Typical High $1,288.25 | Facility | None | $758.58 | $1,202.26 | $1,288.25 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $114.82 Typical High $134.90 | Professional | 26 · Professional part | $67.61 | $114.82 | $134.90 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $537.03 | Facility | None | $107.15 | $257.04 | $537.03 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $891.25 | Professional | None (both parts) | $120.23 | $120.23 | $891.25 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $251.19 Median $380.19 Typical High $870.96 | Professional | None (both parts) | $251.19 | $380.19 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $63.10 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $758.58 | Professional | TC · Technical part | $218.78 | $331.13 | $758.58 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $602.56 | Facility | None | $40.74 | $40.74 | $602.56 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $489.78 | Facility | TC · Technical part | $23.99 | $23.99 | $489.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $251.19 Median $295.12 Typical High $407.38 | Professional | None (both parts) | $251.19 | $295.12 | $407.38 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $52.48 Typical High $74.13 | Professional | 26 · Professional part | $32.36 | $52.48 | $74.13 |
Univera Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $245.47 | $338.84 |
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 $120.23 Median $120.23 Typical High $169.82 | Professional | 52 · Reduced service | $120.23 | $120.23 | $169.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $67.61 | Professional | 53 · Discontinued | $47.86 | $47.86 | $67.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | FX · Film X-ray | $194.98 | $194.98 | $269.15 |
Where New York sits
The same service costs 4.0 times more in Alaska than in Kentucky. 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· 41st of 51
$339
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.