How much rates vary
Facilitymedian $219 · 10th to 90th $117 to $813Professionalmedian $219 · 10th to 90th $174 to $417
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 $151.36 Median $213.80 Typical High $478.63 | Facility | None | $151.36 | $213.80 | $478.63 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $234.42 | Professional | None (both parts) | $151.36 | $151.36 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $28.84 | $28.84 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $181.97 | Professional | TC · Technical part | $125.89 | $125.89 | $181.97 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $407.38 | Professional | None (both parts) | $186.21 | $218.78 | $407.38 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $35.48 | $41.69 | $74.13 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $177.83 Typical High $323.59 | Professional | TC · Technical part | $151.36 | $177.83 | $323.59 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $63.10 Median $245.47 Typical High $309.03 | Professional | None (both parts) | $63.10 | $245.47 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $1,778.28 | Facility | None | $446.68 | $616.60 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $354.81 Typical High $1,071.52 | Professional | None (both parts) | $177.83 | $354.81 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $134.90 | Professional | 26 · Professional part | $30.20 | $34.67 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $316.23 Typical High $776.25 | Professional | TC · Technical part | $134.90 | $316.23 | $776.25 |
Emblem Health Setting Facility Modifier None Typical Low $128.82 Median $199.53 Typical High $575.44 | Facility | None | $128.82 | $199.53 | $575.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $218.78 | $281.84 | $446.68 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $57.54 | $91.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $354.81 | Professional | TC · Technical part | $177.83 | $223.87 | $354.81 |
Excellus BCBS Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | TC · Technical part | $69.18 | $69.18 | $69.18 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $162.18 | $190.55 | $263.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $56.23 | Professional | 26 · Professional part | $25.70 | $40.74 | $56.23 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $151.36 | $208.93 |
Highmark BCBS Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $446.68 Typical High $446.68 | Facility | TC · Technical part | $446.68 | $446.68 | $446.68 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $323.59 | Facility | None | $107.15 | $257.04 | $323.59 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $562.34 | Professional | None (both parts) | $269.15 | $269.15 | $562.34 |
United Setting Facility Modifier None Typical Low $1,096.48 Median $1,288.25 Typical High $1,584.89 | Facility | None | $1,096.48 | $1,288.25 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $549.54 | Professional | None (both parts) | $173.78 | $251.19 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $48.98 Typical High $107.15 | Professional | 26 · Professional part | $33.88 | $48.98 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $457.09 | Professional | TC · Technical part | $138.04 | $199.53 | $457.09 |
Univera Setting Facility Modifier None Typical Low $117.49 Median $117.49 Typical High $616.60 | Facility | None | $117.49 | $117.49 | $616.60 |
Univera Setting Facility Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $489.78 | Facility | TC · Technical part | $69.18 | $69.18 | $489.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $162.18 | $190.55 | $263.03 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $40.74 | $57.54 |
Univera Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $151.36 | $208.93 |
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 $75.86 Median $75.86 Typical High $128.82 | Professional | 52 · Reduced service | $75.86 | $75.86 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $51.29 | Professional | 53 · Discontinued | $30.90 | $30.90 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $177.83 | Professional | FX · Film X-ray | $123.03 | $123.03 | $177.83 |
Where New York sits
The same service costs 4.6 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· 47th of 51
$219
AK $832TX $182
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.