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 $123.03 Median $181.97 Typical High $1,202.26 | Facility | None | $123.03 | $181.97 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $123.03 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $39.81 | Professional | 26 · Professional part | $23.44 | $23.44 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $97.72 Typical High $173.78 | Professional | TC · Technical part | $97.72 | $97.72 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $147.91 | $173.78 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $34.67 | $63.10 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $138.04 Typical High $257.04 | Professional | TC · Technical part | $117.49 | $138.04 | $257.04 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $52.48 Median $208.93 Typical High $263.03 | Professional | None (both parts) | $52.48 | $208.93 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $1,288.25 | Facility | None | $371.54 | $501.19 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $257.04 Typical High $831.76 | Professional | None (both parts) | $141.25 | $257.04 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $109.65 | Professional | 26 · Professional part | $25.70 | $29.51 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $234.42 Typical High $660.69 | Professional | TC · Technical part | $112.20 | $234.42 | $660.69 |
Emblem Health Setting Facility Modifier None Typical Low $109.65 Median $165.96 Typical High $478.63 | Facility | None | $109.65 | $165.96 | $478.63 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $190.55 | $234.42 | $371.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $38.90 | $47.86 | $75.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $302.00 | Professional | TC · Technical part | $154.88 | $186.21 | $302.00 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $134.90 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $134.90 | $162.18 | $245.47 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $28.84 | $34.67 | $52.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $104.71 | $128.82 | $190.55 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $275.42 | Facility | None | $107.15 | $257.04 | $275.42 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $467.74 | Professional | None (both parts) | $199.53 | $199.53 | $467.74 |
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 $141.25 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $141.25 | $199.53 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $91.20 | Professional | 26 · Professional part | $28.18 | $40.74 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $165.96 Typical High $380.19 | Professional | TC · Technical part | $114.82 | $165.96 | $380.19 |
Univera Setting Facility Modifier None Typical Low $151.36 Median $173.78 Typical High $407.38 | Facility | None | $151.36 | $173.78 | $407.38 |
Univera Setting Professional Modifier None (both parts) Typical Low $95.50 Median $162.18 Typical High $245.47 | Professional | None (both parts) | $95.50 | $162.18 | $245.47 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $34.67 Typical High $52.48 | Professional | 26 · Professional part | $20.42 | $34.67 | $52.48 |
Univera Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $128.82 | $190.55 |
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 $60.26 Median $60.26 Typical High $91.20 | Professional | 52 · Reduced service | $60.26 | $60.26 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $36.31 | Professional | 53 · Discontinued | $24.55 | $24.55 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $144.54 | Professional | FX · Film X-ray | $97.72 | $97.72 | $144.54 |
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· 44th of 51
$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.