How much rates vary
Facilitymedian $269 · 10th to 90th $151 to $933Professionalmedian $275 · 10th to 90th $219 to $537
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 $194.98 Median $275.42 Typical High $1,202.26 | Facility | None | $194.98 | $275.42 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $194.98 | $194.98 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $44.67 | $44.67 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $269.15 | Professional | TC · Technical part | $151.36 | $151.36 | $269.15 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $229.09 | $275.42 | $524.81 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $56.23 | $66.07 | $114.82 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $398.11 | Professional | TC · Technical part | $177.83 | $208.93 | $398.11 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $97.72 Median $309.03 Typical High $407.38 | Professional | None (both parts) | $97.72 | $309.03 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $691.83 Typical High $2,290.87 | Facility | None | $501.19 | $691.83 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $416.87 Typical High $1,380.38 | Professional | None (both parts) | $223.87 | $416.87 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $208.93 | Professional | 26 · Professional part | $46.77 | $53.70 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $380.19 Typical High $954.99 | Professional | TC · Technical part | $165.96 | $380.19 | $954.99 |
Emblem Health Setting Facility Modifier None Typical Low $158.49 Median $245.47 Typical High $707.95 | Facility | None | $158.49 | $245.47 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $371.54 Typical High $575.44 | Professional | None (both parts) | $288.40 | $371.54 | $575.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $93.33 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $93.33 | $141.25 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $218.78 | $275.42 | $436.52 |
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 $208.93 Median $245.47 Typical High $338.84 | Professional | None (both parts) | $208.93 | $245.47 | $338.84 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $40.74 | $64.57 | $89.13 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $186.21 Typical High $251.19 | Professional | TC · Technical part | $151.36 | $186.21 | $251.19 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $398.11 | Facility | None | $107.15 | $257.04 | $398.11 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $831.76 | Professional | None (both parts) | $346.74 | $346.74 | $831.76 |
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 $223.87 Median $331.13 Typical High $707.95 | Professional | None (both parts) | $223.87 | $331.13 | $707.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $75.86 Typical High $169.82 | Professional | 26 · Professional part | $53.70 | $75.86 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $562.34 | Professional | TC · Technical part | $169.82 | $251.19 | $562.34 |
Univera Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $812.83 | Facility | None | $151.36 | $151.36 | $812.83 |
Univera Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $588.84 | Facility | TC · Technical part | $91.20 | $91.20 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $208.93 Median $251.19 Typical High $346.74 | Professional | None (both parts) | $208.93 | $251.19 | $346.74 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $64.57 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $64.57 | $95.50 |
Univera Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $190.55 Typical High $257.04 | Professional | TC · Technical part | $151.36 | $190.55 | $257.04 |
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 $97.72 Median $97.72 Typical High $165.96 | Professional | 52 · Reduced service | $97.72 | $97.72 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $66.07 | Professional | 53 · Discontinued | $38.90 | $38.90 | $66.07 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $245.47 | Professional | FX · Film X-ray | $154.88 | $154.88 | $245.47 |
Where New York sits
The same service costs 5.1 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
$275
AK $1,096TX $214
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.