How much rates vary
Facilitymedian $229 · 10th to 90th $41 to $851Professionalmedian $214 · 10th to 90th $166 to $398
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 $151.36 Median $204.17 Typical High $1,202.26 | Facility | None | $151.36 | $204.17 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $257.04 | Professional | None (both parts) | $151.36 | $151.36 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $22.91 Typical High $36.31 | Professional | 26 · Professional part | $22.91 | $22.91 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $125.89 | $125.89 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $389.05 | Professional | None (both parts) | $181.97 | $213.80 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $58.88 | Professional | 26 · Professional part | $28.84 | $33.88 | $58.88 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $331.13 | Professional | TC · Technical part | $154.88 | $181.97 | $331.13 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $47.86 Median $251.19 Typical High $302.00 | Professional | None (both parts) | $47.86 | $251.19 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $602.56 Typical High $1,513.56 | Facility | None | $398.11 | $602.56 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $295.12 Typical High $1,000.00 | Professional | None (both parts) | $169.82 | $295.12 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $104.71 | Professional | 26 · Professional part | $22.91 | $26.30 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $288.40 Typical High $831.76 | Professional | TC · Technical part | $134.90 | $288.40 | $831.76 |
Emblem Health Setting Facility Modifier None Typical Low $138.04 Median $213.80 Typical High $602.56 | Facility | None | $138.04 | $213.80 | $602.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $416.87 | Professional | None (both parts) | $223.87 | $281.84 | $416.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $45.71 Typical High $69.18 | Professional | 26 · Professional part | $34.67 | $45.71 | $69.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $190.55 | $234.42 | $354.81 |
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 $154.88 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $154.88 | $186.21 | $257.04 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $32.36 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $32.36 | $43.65 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $128.82 | $154.88 | $208.93 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,621.81 Typical High $1,621.81 | Facility | TC · Technical part | $1,621.81 | $1,621.81 | $1,621.81 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $331.13 | Facility | None | $107.15 | $257.04 | $331.13 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $549.54 | Professional | None (both parts) | $158.49 | $158.49 | $549.54 |
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 $165.96 Median $239.88 Typical High $537.03 | Professional | None (both parts) | $165.96 | $239.88 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $38.02 Typical High $83.18 | Professional | 26 · Professional part | $26.30 | $38.02 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $204.17 Typical High $467.74 | Professional | TC · Technical part | $144.54 | $204.17 | $467.74 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $389.05 | Facility | None | $40.74 | $40.74 | $389.05 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $338.84 | Facility | TC · Technical part | $23.99 | $23.99 | $338.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $257.04 | Professional | None (both parts) | $154.88 | $186.21 | $257.04 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $19.95 | $31.62 | $44.67 |
Univera Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $128.82 | $154.88 | $208.93 |
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 $75.86 Median $75.86 Typical High $102.33 | Professional | 52 · Reduced service | $75.86 | $75.86 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $40.74 | Professional | 53 · Discontinued | $30.20 | $30.20 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | FX · Film X-ray | $120.23 | $120.23 | $162.18 |
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· 41st of 51
$214
AK $794TX $174
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.