How much rates vary
Facilitymedian $245 · 10th to 90th $41 to $832Professionalmedian $229 · 10th to 90th $186 to $457
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 $234.42 Typical High $524.81 | Facility | None | $165.96 | $234.42 | $524.81 |
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 $20.89 Median $20.89 Typical High $38.02 | Professional | 26 · Professional part | $20.89 | $20.89 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $245.47 | Professional | TC · Technical part | $144.54 | $144.54 | $245.47 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $436.52 | Professional | None (both parts) | $194.98 | $229.09 | $436.52 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $30.90 | $54.95 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $371.54 | Professional | TC · Technical part | $165.96 | $199.53 | $371.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $46.77 Median $295.12 Typical High $338.84 | Professional | None (both parts) | $46.77 | $295.12 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $630.96 Typical High $1,737.80 | Facility | None | $467.74 | $630.96 | $1,737.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $338.84 Typical High $1,047.13 | Professional | None (both parts) | $190.55 | $338.84 | $1,047.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $100.00 | Professional | 26 · Professional part | $23.44 | $26.30 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $323.59 Typical High $891.25 | Professional | TC · Technical part | $162.18 | $323.59 | $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 $245.47 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $245.47 | $302.00 | $478.63 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $33.88 | $42.66 | $67.61 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $208.93 | $257.04 | $407.38 |
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 $165.96 Median $204.17 Typical High $288.40 | Professional | None (both parts) | $165.96 | $204.17 | $288.40 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $30.20 Typical High $42.66 | Professional | 26 · Professional part | $17.78 | $30.20 | $42.66 |
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 $120.23 Median $120.23 Typical High $602.56 | Professional | None (both parts) | $120.23 | $120.23 | $602.56 |
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 $257.04 Typical High $588.84 | Professional | None (both parts) | $181.97 | $257.04 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $79.43 | Professional | 26 · Professional part | $25.12 | $36.31 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $234.42 Typical High $537.03 | Professional | TC · Technical part | $154.88 | $234.42 | $537.03 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $512.86 | Facility | None | $40.74 | $40.74 | $512.86 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $436.52 | Facility | TC · Technical part | $23.99 | $23.99 | $436.52 |
Univera Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $165.96 | $208.93 | $295.12 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $30.20 Typical High $45.71 | Professional | 26 · Professional part | $17.78 | $30.20 | $45.71 |
Univera Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $251.19 | Professional | TC · Technical part | $147.91 | $177.83 | $251.19 |
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 $117.49 | Professional | 52 · Reduced service | $83.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $46.77 | Professional | 53 · Discontinued | $33.11 | $33.11 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $186.21 | Professional | FX · Film X-ray | $131.83 | $131.83 | $186.21 |
Where New York sits
The same service costs 4.2 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· 47th of 51
$229
AK $851FL $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.