How much rates vary
Facilitymedian $219 · 10th to 90th $50 to $813Professionalmedian $191 · 10th to 90th $151 to $389
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 $138.04 Median $204.17 Typical High $1,202.26 | Facility | None | $138.04 | $204.17 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $138.04 Typical High $204.17 | Professional | None (both parts) | $138.04 | $138.04 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $15.14 | $15.14 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $177.83 | Professional | TC · Technical part | $123.03 | $123.03 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $162.18 | $190.55 | $363.08 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $21.88 Typical High $39.81 | Professional | 26 · Professional part | $18.62 | $21.88 | $39.81 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $169.82 Typical High $323.59 | Professional | TC · Technical part | $144.54 | $169.82 | $323.59 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.88 Median $263.03 Typical High $295.12 | Professional | None (both parts) | $33.88 | $263.03 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $630.96 Typical High $1,445.44 | Facility | None | $416.87 | $630.96 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $281.84 Typical High $933.25 | Professional | None (both parts) | $158.49 | $281.84 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.62 Typical High $74.13 | Professional | 26 · Professional part | $16.22 | $18.62 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $281.84 Typical High $812.83 | Professional | TC · Technical part | $141.25 | $281.84 | $812.83 |
Emblem Health Setting Facility Modifier None Typical Low $134.90 Median $208.93 Typical High $602.56 | Facility | None | $134.90 | $208.93 | $602.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $208.93 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $208.93 | $263.03 | $416.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $31.62 | $50.12 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $186.21 | $234.42 | $371.54 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | TC · Technical part | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $151.36 | $181.97 | $251.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $31.62 | Professional | 26 · Professional part | $19.95 | $22.39 | $31.62 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $131.83 | $158.49 | $218.78 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $338.84 | Facility | None | $107.15 | $257.04 | $338.84 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $524.81 | Professional | None (both parts) | $199.53 | $199.53 | $524.81 |
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 $158.49 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $158.49 | $223.87 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $25.70 Typical High $56.23 | Professional | 26 · Professional part | $18.20 | $25.70 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $467.74 | Professional | TC · Technical part | $141.25 | $204.17 | $467.74 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $363.08 | Facility | None | $50.12 | $50.12 | $363.08 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $338.84 | Facility | TC · Technical part | $30.20 | $30.20 | $338.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $151.36 Median $181.97 Typical High $251.19 | Professional | None (both parts) | $151.36 | $181.97 | $251.19 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $31.62 | Professional | 26 · Professional part | $19.95 | $22.39 | $31.62 |
Univera Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $218.78 | Professional | TC · Technical part | $131.83 | $158.49 | $218.78 |
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 $69.18 Median $69.18 Typical High $100.00 | Professional | 52 · Reduced service | $69.18 | $69.18 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $40.74 | Professional | 53 · Discontinued | $27.54 | $27.54 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | FX · Film X-ray | $109.65 | $109.65 | $162.18 |
Where New York sits
The same service costs 4.6 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· 47th of 51
$191
AK $776KY $170
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.