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 $234.42 Median $331.13 Typical High $1,202.26 | Facility | None | $234.42 | $331.13 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $588.84 | Professional | None (both parts) | $234.42 | $234.42 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $74.13 | Professional | 26 · Professional part | $30.90 | $30.90 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $457.09 | Professional | TC · Technical part | $204.17 | $204.17 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $281.84 Median $331.13 Typical High $616.60 | Professional | None (both parts) | $281.84 | $331.13 | $616.60 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $77.62 | Professional | 26 · Professional part | $38.90 | $45.71 | $77.62 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $245.47 | $288.40 | $524.81 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $67.61 Median $426.58 Typical High $489.78 | Professional | None (both parts) | $67.61 | $426.58 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $2,344.23 | Facility | None | $549.54 | $912.01 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $478.63 Typical High $1,479.11 | Professional | None (both parts) | $275.42 | $478.63 | $1,479.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $144.54 | Professional | 26 · Professional part | $32.36 | $36.31 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $446.68 Typical High $1,258.93 | Professional | TC · Technical part | $229.09 | $446.68 | $1,258.93 |
Emblem Health Setting Facility Modifier None Typical Low $208.93 Median $323.59 Typical High $912.01 | Facility | None | $208.93 | $323.59 | $912.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $426.58 Typical High $630.96 | Professional | None (both parts) | $331.13 | $426.58 | $630.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $95.50 | Professional | 26 · Professional part | $46.77 | $61.66 | $95.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $354.81 Typical High $537.03 | Professional | TC · Technical part | $288.40 | $354.81 | $537.03 |
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 $245.47 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $245.47 | $288.40 | $407.38 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $43.65 | $60.26 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $346.74 | Professional | TC · Technical part | $208.93 | $245.47 | $346.74 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $562.34 Typical High $562.34 | Facility | TC · Technical part | $562.34 | $562.34 | $562.34 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $549.54 | Facility | None | $107.15 | $257.04 | $549.54 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $870.96 | Professional | None (both parts) | $151.36 | $151.36 | $870.96 |
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 $251.19 Median $371.54 Typical High $870.96 | Professional | None (both parts) | $251.19 | $371.54 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $117.49 | Professional | 26 · Professional part | $37.15 | $52.48 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $338.84 Typical High $776.25 | Professional | TC · Technical part | $223.87 | $338.84 | $776.25 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $630.96 | Facility | None | $40.74 | $40.74 | $630.96 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $588.84 | Facility | TC · Technical part | $23.99 | $23.99 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $407.38 | Professional | None (both parts) | $245.47 | $288.40 | $407.38 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $26.92 | $43.65 | $61.66 |
Univera Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $346.74 | Professional | TC · Technical part | $208.93 | $245.47 | $346.74 |
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 $117.49 Median $117.49 Typical High $165.96 | Professional | 52 · Reduced service | $117.49 | $117.49 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $66.07 | Professional | 53 · Discontinued | $47.86 | $47.86 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | FX · Film X-ray | $190.55 | $190.55 | $269.15 |
Where New York sits
The same service costs 3.8 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· 43rd of 51
$331
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.