How much rates vary
Facilitymedian $331 · 10th to 90th $81 to $1,072Professionalmedian $331 · 10th to 90th $263 to $631
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 $933.25 | Facility | None | $234.42 | $331.13 | $933.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $48.98 Typical High $128.82 | Facility | 26 · Professional part | $31.62 | $48.98 | $128.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $812.83 | Facility | TC · Technical part | $204.17 | $281.84 | $812.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $724.44 | Professional | None (both parts) | $234.42 | $234.42 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $104.71 | Professional | 26 · Professional part | $31.62 | $31.62 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $630.96 | Professional | TC · Technical part | $204.17 | $204.17 | $630.96 |
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 $46.77 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $46.77 | $81.28 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $239.88 | $281.84 | $512.86 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $69.18 Median $416.87 Typical High $489.78 | Professional | None (both parts) | $69.18 | $416.87 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $933.25 Typical High $2,344.23 | Facility | None | $537.03 | $933.25 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $478.63 Typical High $1,445.44 | Professional | None (both parts) | $269.15 | $478.63 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $37.15 Typical High $147.91 | Professional | 26 · Professional part | $33.11 | $37.15 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $446.68 Typical High $1,230.27 | Professional | TC · Technical part | $223.87 | $446.68 | $1,230.27 |
Emblem Health Setting Facility Modifier None Typical Low $204.17 Median $316.23 Typical High $912.01 | Facility | None | $204.17 | $316.23 | $912.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $416.87 Typical High $660.69 | Professional | None (both parts) | $331.13 | $416.87 | $660.69 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $100.00 | Professional | 26 · Professional part | $47.86 | $63.10 | $100.00 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $354.81 | $562.34 |
Excellus BCBS Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | TC · Technical part | $48.98 | $48.98 | $48.98 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $245.47 | $288.40 | $398.11 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $44.67 | $63.10 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $245.47 | $338.84 |
Highmark BCBS Setting Facility Modifier None Typical Low $416.87 Median $416.87 Typical High $524.81 | Facility | None | $416.87 | $416.87 | $524.81 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | None (both parts) | $398.11 | $398.11 | $549.54 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $537.03 | Facility | None | $107.15 | $257.04 | $537.03 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $870.96 | Professional | None (both parts) | $302.00 | $302.00 | $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 $851.14 | Professional | None (both parts) | $251.19 | $371.54 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $120.23 | Professional | 26 · Professional part | $38.02 | $53.70 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $758.58 | Professional | TC · Technical part | $218.78 | $331.13 | $758.58 |
Univera Setting Facility Modifier None Typical Low $81.28 Median $81.28 Typical High $478.63 | Facility | None | $81.28 | $81.28 | $478.63 |
Univera Setting Facility Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $478.63 | Facility | TC · Technical part | $48.98 | $48.98 | $478.63 |
Univera Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $398.11 | Professional | None (both parts) | $245.47 | $288.40 | $398.11 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $44.67 Typical High $63.10 | Professional | 26 · Professional part | $27.54 | $44.67 | $63.10 |
Univera Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $204.17 | $245.47 | $338.84 |
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 $46.77 Median $46.77 Typical High $66.07 | Professional | 53 · Discontinued | $46.77 | $46.77 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $263.03 | Professional | FX · Film X-ray | $190.55 | $190.55 | $263.03 |
Where New York sits
The same service costs 4.7 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· 42nd of 51
$331
AK $1,288KY $275
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.