How much rates vary
Facilitymedian $257 · 10th to 90th $162 to $955Professionalmedian $229 · 10th to 90th $178 to $457
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 $162.18 Median $234.42 Typical High $1,202.26 | Facility | None | $162.18 | $234.42 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $275.42 | Professional | None (both parts) | $162.18 | $162.18 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $44.67 | $44.67 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $117.49 Typical High $213.80 | Professional | TC · Technical part | $117.49 | $117.49 | $213.80 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $446.68 | Professional | None (both parts) | $181.97 | $229.09 | $446.68 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $56.23 | $66.07 | $117.49 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $165.96 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $165.96 | $309.03 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $100.00 Median $239.88 Typical High $338.84 | Professional | None (both parts) | $100.00 | $239.88 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $575.44 Typical High $1,778.28 | Facility | None | $426.58 | $575.44 | $1,778.28 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $346.74 Typical High $1,148.15 | Professional | None (both parts) | $181.97 | $346.74 | $1,148.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $208.93 | Professional | 26 · Professional part | $47.86 | $54.95 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $316.23 Typical High $776.25 | Professional | TC · Technical part | $131.83 | $316.23 | $776.25 |
Emblem Health Setting Facility Modifier None Typical Low $123.03 Median $186.21 Typical High $537.03 | Facility | None | $123.03 | $186.21 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $302.00 Typical High $478.63 | Professional | None (both parts) | $245.47 | $302.00 | $478.63 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $91.20 Typical High $141.25 | Professional | 26 · Professional part | $69.18 | $91.20 | $141.25 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $208.93 Typical High $338.84 | Professional | TC · Technical part | $165.96 | $208.93 | $338.84 |
Excellus BCBS Setting Facility Modifier None Typical Low $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | TC · Technical part | $144.54 | $144.54 | $144.54 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $302.00 | Professional | None (both parts) | $194.98 | $223.87 | $302.00 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $89.13 | Professional | 26 · Professional part | $60.26 | $64.57 | $89.13 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $144.54 | $239.88 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $316.23 | Facility | None | $107.15 | $257.04 | $316.23 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $707.95 | Professional | None (both parts) | $151.36 | $151.36 | $707.95 |
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 $186.21 Median $281.84 Typical High $588.84 | Professional | None (both parts) | $186.21 | $281.84 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $77.62 Typical High $169.82 | Professional | 26 · Professional part | $53.70 | $77.62 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $194.98 Typical High $436.52 | Professional | TC · Technical part | $131.83 | $194.98 | $436.52 |
Univera Setting Facility Modifier None Typical Low $194.98 Median $239.88 Typical High $676.08 | Facility | None | $194.98 | $239.88 | $676.08 |
Univera Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $144.54 Typical High $457.09 | Facility | TC · Technical part | $131.83 | $144.54 | $457.09 |
Univera Setting Professional Modifier None (both parts) Typical Low $194.98 Median $269.15 Typical High $302.00 | Professional | None (both parts) | $194.98 | $269.15 | $302.00 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $64.57 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $64.57 | $91.20 |
Univera Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $181.97 Typical High $239.88 | Professional | TC · Technical part | $131.83 | $181.97 | $239.88 |
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 $81.28 Median $81.28 Typical High $138.04 | Professional | 52 · Reduced service | $81.28 | $81.28 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $54.95 | Professional | 53 · Discontinued | $32.36 | $32.36 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | FX · Film X-ray | $128.82 | $128.82 | $218.78 |
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· 47th of 51
$229
AK $891TX $178
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.