How much rates vary
Facilitymedian $1,096 · 10th to 90th $603 to $3,890Professionalmedian $1,148 · 10th to 90th $933 to $2,344
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 $1,000.00 Median $3,235.94 Typical High $6,456.54 | Facility | None | $1,000.00 | $3,235.94 | $6,456.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,230.27 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | 26 · Professional part | $125.89 | $125.89 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | TC · Technical part | $870.96 | $870.96 | $870.96 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $977.24 Median $1,148.15 Typical High $2,454.71 | Professional | None (both parts) | $977.24 | $1,148.15 | $2,454.71 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $120.23 | Professional | 26 · Professional part | $56.23 | $66.07 | $120.23 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $933.25 Median $1,096.48 Typical High $2,290.87 | Professional | TC · Technical part | $933.25 | $1,096.48 | $2,290.87 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $104.71 Median $1,778.28 Typical High $1,905.46 | Professional | None (both parts) | $104.71 | $1,778.28 | $1,905.46 |
Cigna Setting Facility Modifier None Typical Low $724.44 Median $1,318.26 Typical High $4,570.88 | Facility | None | $724.44 | $1,318.26 | $4,570.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $331.13 Median $691.83 Typical High $2,041.74 | Professional | None (both parts) | $331.13 | $691.83 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $245.47 | Professional | 26 · Professional part | $53.70 | $53.70 | $245.47 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $588.84 Typical High $2,041.74 | Professional | TC · Technical part | $281.84 | $588.84 | $2,041.74 |
Emblem Health Setting Facility Modifier None Typical Low $851.14 Median $1,318.26 Typical High $4,265.80 | Facility | None | $851.14 | $1,318.26 | $4,265.80 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,258.93 Median $1,584.89 Typical High $2,398.83 | Professional | None (both parts) | $1,258.93 | $1,584.89 | $2,398.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $95.50 Typical High $138.04 | Professional | 26 · Professional part | $72.44 | $95.50 | $138.04 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,479.11 Typical High $2,238.72 | Professional | TC · Technical part | $1,202.26 | $1,479.11 | $2,238.72 |
Excellus BCBS Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | None | $602.56 | $602.56 | $602.56 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $363.08 | Facility | TC · Technical part | $363.08 | $363.08 | $363.08 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $912.01 Median $1,071.52 Typical High $1,412.54 | Professional | None (both parts) | $912.01 | $1,071.52 | $1,412.54 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $63.10 | $69.18 | $91.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $831.76 Median $1,023.29 Typical High $1,348.96 | Professional | TC · Technical part | $831.76 | $1,023.29 | $1,348.96 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $3,388.44 Median $3,388.44 Typical High $3,388.44 | Facility | TC · Technical part | $3,388.44 | $3,388.44 | $3,388.44 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | 26 · Professional part | $158.49 | $158.49 | $158.49 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $776.25 | Facility | None | $107.15 | $257.04 | $776.25 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,621.81 Typical High $3,311.31 | Professional | None (both parts) | $1,548.82 | $1,621.81 | $3,311.31 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,715.35 | Facility | None | $2,630.27 | $3,019.95 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $371.54 Median $1,288.25 Typical High $3,019.95 | Professional | None (both parts) | $371.54 | $1,288.25 | $3,019.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $173.78 | Professional | 26 · Professional part | $54.95 | $74.13 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $1,230.27 Typical High $2,884.03 | Professional | TC · Technical part | $309.03 | $1,230.27 | $2,884.03 |
Univera Setting Facility Modifier None Typical Low $602.56 Median $602.56 Typical High $2,754.23 | Facility | None | $602.56 | $602.56 | $2,754.23 |
Univera Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $363.08 Typical High $2,691.53 | Facility | TC · Technical part | $363.08 | $363.08 | $2,691.53 |
Univera Setting Professional Modifier None (both parts) Typical Low $489.78 Median $1,071.52 Typical High $1,412.54 | Professional | None (both parts) | $489.78 | $1,071.52 | $1,412.54 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $63.10 | $69.18 | $91.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $1,023.29 Typical High $1,348.96 | Professional | TC · Technical part | $426.58 | $1,023.29 | $1,348.96 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | 52 · Reduced service | $501.19 | $501.19 | $501.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $199.53 | Professional | 53 · Discontinued | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | FX · Film X-ray | $794.33 | $794.33 | $794.33 |
Where New York sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 39th of 51
$1,148
NE $2,512WA $575
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.