How much rates vary
Facilitymedian $257 · 10th to 90th $60 to $933Professionalmedian $263 · 10th to 90th $214 to $490
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 $154.88 Median $263.03 Typical High $1,202.26 | Facility | None | $154.88 | $263.03 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $263.03 | Professional | None (both parts) | $154.88 | $154.88 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $39.81 | Professional | 26 · Professional part | $26.30 | $26.30 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $223.87 | Professional | TC · Technical part | $131.83 | $131.83 | $223.87 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $467.74 | Professional | None (both parts) | $229.09 | $269.15 | $467.74 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $38.02 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $229.09 Typical High $389.05 | Professional | TC · Technical part | $194.98 | $229.09 | $389.05 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $56.23 Median $338.84 Typical High $389.05 | Professional | None (both parts) | $56.23 | $338.84 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $724.44 Typical High $1,548.82 | Facility | None | $501.19 | $724.44 | $1,548.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $338.84 Typical High $1,174.90 | Professional | None (both parts) | $181.97 | $338.84 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $120.23 | Professional | 26 · Professional part | $27.54 | $30.90 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $309.03 Typical High $977.24 | Professional | TC · Technical part | $154.88 | $309.03 | $977.24 |
Emblem Health Setting Facility Modifier None Typical Low $162.18 Median $251.19 Typical High $724.44 | Facility | None | $162.18 | $251.19 | $724.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $263.03 | $338.84 | $537.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $51.29 Typical High $81.28 | Professional | 26 · Professional part | $39.81 | $51.29 | $81.28 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $223.87 | $281.84 | $457.09 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $316.23 | Professional | None (both parts) | $181.97 | $229.09 | $316.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $36.31 | $51.29 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $190.55 Typical High $269.15 | Professional | TC · Technical part | $162.18 | $190.55 | $269.15 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $426.58 | Facility | None | $107.15 | $257.04 | $426.58 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $691.83 | Professional | None (both parts) | $239.88 | $239.88 | $691.83 |
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 $199.53 Median $295.12 Typical High $691.83 | Professional | None (both parts) | $199.53 | $295.12 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $44.67 Typical High $97.72 | Professional | 26 · Professional part | $30.90 | $44.67 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $257.04 Typical High $588.84 | Professional | TC · Technical part | $173.78 | $257.04 | $588.84 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $467.74 | Facility | None | $60.26 | $60.26 | $467.74 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $398.11 | Facility | TC · Technical part | $36.31 | $36.31 | $398.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $323.59 | Professional | None (both parts) | $181.97 | $229.09 | $323.59 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $22.39 | $36.31 | $54.95 |
Univera Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $275.42 | Professional | TC · Technical part | $162.18 | $194.98 | $275.42 |
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 $77.62 Median $77.62 Typical High $131.83 | Professional | 52 · Reduced service | $77.62 | $77.62 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $52.48 | Professional | 53 · Discontinued | $31.62 | $31.62 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $208.93 | Professional | FX · Film X-ray | $125.89 | $125.89 | $208.93 |
Where New York sits
The same service costs 5.0 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
$263
AK $1,000KY $200
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.