How much rates vary
Facilitymedian $1,349 · 10th to 90th $1,000 to $4,571Professionalmedian $1,318 · 10th to 90th $1,000 to $2,692
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 $3,715.35 Typical High $10,000.00 | Facility | None | $1,000.00 | $3,715.35 | $10,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,949.84 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,949.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $125.89 Typical High $229.09 | Professional | 26 · Professional part | $112.20 | $125.89 | $229.09 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,659.59 | Professional | TC · Technical part | $870.96 | $870.96 | $1,659.59 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,318.26 Typical High $2,754.23 | Professional | None (both parts) | $1,122.02 | $1,318.26 | $2,754.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $83.18 Typical High $151.36 | Professional | 26 · Professional part | $70.79 | $83.18 | $151.36 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $1,047.13 Median $1,258.93 Typical High $2,511.89 | Professional | TC · Technical part | $1,047.13 | $1,258.93 | $2,511.89 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $120.23 Median $2,041.74 Typical High $2,137.96 | Professional | None (both parts) | $120.23 | $2,041.74 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $812.83 Median $1,621.81 Typical High $5,128.61 | Facility | None | $812.83 | $1,621.81 | $5,128.61 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $954.99 Typical High $2,511.89 | Professional | None (both parts) | $436.52 | $954.99 | $2,511.89 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $309.03 | Professional | 26 · Professional part | $63.10 | $67.61 | $309.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $371.54 Median $812.83 Typical High $2,290.87 | Professional | TC · Technical part | $371.54 | $812.83 | $2,290.87 |
Emblem Health Setting Facility Modifier None Typical Low $977.24 Median $1,479.11 Typical High $4,365.16 | Facility | None | $977.24 | $1,479.11 | $4,365.16 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $1,778.28 Typical High $2,884.03 | Professional | None (both parts) | $1,479.11 | $1,778.28 | $2,884.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $112.20 Typical High $169.82 | Professional | 26 · Professional part | $87.10 | $112.20 | $169.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $1,380.38 Median $1,659.59 Typical High $2,691.53 | Professional | TC · Technical part | $1,380.38 | $1,659.59 | $2,691.53 |
Excellus BCBS Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $602.56 | Facility | TC · Technical part | $602.56 | $602.56 | $602.56 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $1,230.27 Typical High $1,621.81 | Professional | None (both parts) | $1,047.13 | $1,230.27 | $1,621.81 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $72.44 | $81.28 | $104.71 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $1,148.15 Typical High $1,513.56 | Professional | TC · Technical part | $977.24 | $1,148.15 | $1,513.56 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $1,288.25 | Facility | None | $107.15 | $257.04 | $1,288.25 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $1,621.81 Median $1,621.81 Typical High $3,715.35 | Professional | None (both parts) | $1,621.81 | $1,621.81 | $3,715.35 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $3,388.44 Typical High $4,168.69 | Facility | None | $2,884.03 | $3,388.44 | $4,168.69 |
United Setting Professional Modifier None (both parts) Typical Low $467.74 Median $1,479.11 Typical High $3,388.44 | Professional | None (both parts) | $467.74 | $1,479.11 | $3,388.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $87.10 Typical High $199.53 | Professional | 26 · Professional part | $64.57 | $87.10 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $1,380.38 Typical High $3,235.94 | Professional | TC · Technical part | $389.05 | $1,380.38 | $3,235.94 |
Univera Setting Facility Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $2,884.03 | Facility | None | $1,000.00 | $1,000.00 | $2,884.03 |
Univera Setting Facility Modifier TC · Technical part Typical Low $602.56 Median $602.56 Typical High $2,691.53 | Facility | TC · Technical part | $602.56 | $602.56 | $2,691.53 |
Univera Setting Professional Modifier None (both parts) Typical Low $794.33 Median $1,230.27 Typical High $1,621.81 | Professional | None (both parts) | $794.33 | $1,230.27 | $1,621.81 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $72.44 | $81.28 | $104.71 |
Univera Setting Professional Modifier TC · Technical part Typical Low $724.44 Median $1,148.15 Typical High $1,513.56 | Professional | TC · Technical part | $724.44 | $1,148.15 | $1,513.56 |
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 15.1 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· 33rd of 51
$1,318
NE $3,090WA $204
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.