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 $120.23 Median $199.53 Typical High $1,202.26 | Facility | None | $120.23 | $199.53 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $199.53 | Professional | None (both parts) | $120.23 | $120.23 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $25.12 | Professional | 26 · Professional part | $14.45 | $14.45 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $104.71 | $104.71 | $177.83 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $338.84 | Professional | None (both parts) | $147.91 | $177.83 | $338.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $41.69 | Professional | 26 · Professional part | $19.50 | $22.91 | $41.69 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $295.12 | Professional | TC · Technical part | $131.83 | $154.88 | $295.12 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $34.67 Median $251.19 Typical High $288.40 | Professional | None (both parts) | $34.67 | $251.19 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $602.56 Typical High $1,174.90 | Facility | None | $363.08 | $602.56 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $239.88 Typical High $812.83 | Professional | None (both parts) | $138.04 | $239.88 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $20.89 Typical High $75.86 | Professional | 26 · Professional part | $16.98 | $20.89 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $234.42 Typical High $691.83 | Professional | TC · Technical part | $120.23 | $234.42 | $691.83 |
Emblem Health Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $512.86 | Facility | None | $114.82 | $177.83 | $512.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $186.21 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $186.21 | $229.09 | $363.08 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $24.55 | $30.90 | $50.12 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $162.18 | $199.53 | $316.23 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $123.03 | $158.49 | $223.87 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $12.88 | $21.88 | $30.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $109.65 | $138.04 | $190.55 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $331.13 | Facility | None | $107.15 | $257.04 | $331.13 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $489.78 | Professional | None (both parts) | $100.00 | $100.00 | $489.78 |
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 $138.04 Median $208.93 Typical High $489.78 | Professional | None (both parts) | $138.04 | $208.93 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $27.54 Typical High $61.66 | Professional | 26 · Professional part | $19.50 | $27.54 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $186.21 Typical High $426.58 | Professional | TC · Technical part | $123.03 | $186.21 | $426.58 |
Univera Setting Facility Modifier None Typical Low $151.36 Median $173.78 Typical High $354.81 | Facility | None | $151.36 | $173.78 | $354.81 |
Univera Setting Professional Modifier None (both parts) Typical Low $123.03 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $123.03 | $158.49 | $223.87 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $21.88 Typical High $31.62 | Professional | 26 · Professional part | $12.88 | $21.88 | $31.62 |
Univera Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $138.04 Typical High $194.98 | Professional | TC · Technical part | $109.65 | $138.04 | $194.98 |
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 $58.88 Median $58.88 Typical High $100.00 | Professional | 52 · Reduced service | $58.88 | $58.88 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $40.74 | Professional | 53 · Discontinued | $23.99 | $23.99 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $162.18 | Professional | FX · Film X-ray | $95.50 | $95.50 | $162.18 |
Where New York sits
The same service costs 5.5 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· 45th of 51
$178
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.