How much rates vary
Facilitymedian $200 · 10th to 90th $49 to $661Professionalmedian $195 · 10th to 90th $155 to $380
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 $112.20 Median $199.53 Typical High $1,202.26 | Facility | None | $112.20 | $199.53 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $199.53 | Professional | None (both parts) | $112.20 | $112.20 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $44.67 | Professional | 26 · Professional part | $23.44 | $23.44 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $154.88 | Professional | TC · Technical part | $89.13 | $89.13 | $154.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $354.81 | Professional | None (both parts) | $165.96 | $194.98 | $354.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $35.48 | $41.69 | $72.44 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $275.42 | Professional | TC · Technical part | $128.82 | $151.36 | $275.42 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $61.66 Median $229.09 Typical High $288.40 | Professional | None (both parts) | $61.66 | $229.09 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $549.54 Typical High $1,380.38 | Facility | None | $363.08 | $549.54 | $1,380.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $288.40 Typical High $891.25 | Professional | None (both parts) | $128.82 | $288.40 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $134.90 | Professional | 26 · Professional part | $30.20 | $33.88 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $245.47 Typical High $691.83 | Professional | TC · Technical part | $100.00 | $245.47 | $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 $204.17 Median $257.04 Typical High $407.38 | Professional | None (both parts) | $204.17 | $257.04 | $407.38 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $56.23 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $56.23 | $89.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $199.53 Typical High $316.23 | Professional | TC · Technical part | $158.49 | $199.53 | $316.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | TC · Technical part | $28.84 | $28.84 | $28.84 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $151.36 | $177.83 | $245.47 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $56.23 | Professional | 26 · Professional part | $35.48 | $39.81 | $56.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $190.55 | Professional | TC · Technical part | $114.82 | $138.04 | $190.55 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $302.00 | Facility | None | $107.15 | $257.04 | $302.00 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $512.86 | Professional | None (both parts) | $251.19 | $251.19 | $512.86 |
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 $162.18 Median $223.87 Typical High $512.86 | Professional | None (both parts) | $162.18 | $223.87 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $48.98 Typical High $107.15 | Professional | 26 · Professional part | $34.67 | $48.98 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $177.83 Typical High $407.38 | Professional | TC · Technical part | $123.03 | $177.83 | $407.38 |
Univera Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $467.74 | Facility | None | $48.98 | $48.98 | $467.74 |
Univera Setting Facility Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $416.87 | Facility | TC · Technical part | $28.84 | $28.84 | $416.87 |
Univera Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $245.47 | Professional | None (both parts) | $151.36 | $177.83 | $245.47 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $39.81 | $57.54 |
Univera Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $190.55 | Professional | TC · Technical part | $114.82 | $141.25 | $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 $56.23 Median $56.23 Typical High $109.65 | Professional | 52 · Reduced service | $56.23 | $56.23 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $43.65 | Professional | 53 · Discontinued | $22.39 | $22.39 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $158.49 | Professional | FX · Film X-ray | $89.13 | $89.13 | $158.49 |
Where New York sits
The same service costs 5.0 times more in Alaska than in Texas. 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· 46th of 51
$195
AK $776TX $155
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.