How much rates vary
Facilitymedian $219 · 10th to 90th $151 to $832Professionalmedian $219 · 10th to 90th $174 to $427
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 $154.88 Median $218.78 Typical High $1,148.15 | Facility | None | $154.88 | $218.78 | $1,148.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $173.78 Typical High $776.25 | Facility | TC · Technical part | $125.89 | $173.78 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $426.58 | Professional | None (both parts) | $154.88 | $154.88 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $85.11 | Professional | 26 · Professional part | $30.20 | $30.20 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $125.89 Typical High $346.74 | Professional | TC · Technical part | $125.89 | $125.89 | $346.74 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $186.21 | $218.78 | $416.87 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $79.43 | Professional | 26 · Professional part | $38.02 | $44.67 | $79.43 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $173.78 Typical High $323.59 | Professional | TC · Technical part | $147.91 | $173.78 | $323.59 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $66.07 Median $257.04 Typical High $323.59 | Professional | None (both parts) | $66.07 | $257.04 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $616.60 Typical High $1,862.09 | Facility | None | $446.68 | $616.60 | $1,862.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $331.13 Typical High $1,096.48 | Professional | None (both parts) | $177.83 | $331.13 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $36.31 Typical High $141.25 | Professional | 26 · Professional part | $32.36 | $36.31 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $309.03 Typical High $776.25 | Professional | TC · Technical part | $138.04 | $309.03 | $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 $223.87 Median $288.40 Typical High $457.09 | Professional | None (both parts) | $223.87 | $288.40 | $457.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $95.50 | Professional | 26 · Professional part | $45.71 | $60.26 | $95.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $223.87 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $223.87 | $363.08 |
Excellus BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | TC · Technical part | $91.20 | $91.20 | $91.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $162.18 | $190.55 | $269.15 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $42.66 Typical High $60.26 | Professional | 26 · Professional part | $26.92 | $42.66 | $60.26 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $147.91 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $147.91 | $208.93 |
Highmark BCBS Setting Facility Modifier None Typical Low $416.87 Median $446.68 Typical High $851.14 | Facility | None | $416.87 | $446.68 | $851.14 |
Highmark BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
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 $302.00 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $302.00 | $302.00 | $575.44 |
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 $177.83 Median $257.04 Typical High $562.34 | Professional | None (both parts) | $177.83 | $257.04 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $52.48 Typical High $117.49 | Professional | 26 · Professional part | $36.31 | $52.48 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $204.17 Typical High $457.09 | Professional | TC · Technical part | $141.25 | $204.17 | $457.09 |
Univera Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $630.96 | Facility | None | $151.36 | $151.36 | $630.96 |
Univera Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $489.78 | Facility | TC · Technical part | $91.20 | $91.20 | $489.78 |
Univera Setting Professional Modifier None (both parts) Typical Low $162.18 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $162.18 | $199.53 | $269.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $42.66 | $64.57 |
Univera Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $125.89 | $154.88 | $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 $77.62 Median $77.62 Typical High $125.89 | Professional | 52 · Reduced service | $77.62 | $77.62 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $50.12 | Professional | 53 · Discontinued | $30.90 | $30.90 | $50.12 |
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 3.5 times more in Wisconsin 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· 48th of 51
$219
WI $676TX $191
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.