How much rates vary
Facilitymedian $224 · 10th to 90th $162 to $813Professionalmedian $214 · 10th to 90th $170 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 $151.36 Median $218.78 Typical High $1,202.26 | Facility | None | $151.36 | $218.78 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $263.03 | Professional | None (both parts) | $151.36 | $151.36 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $61.66 | Professional | 26 · Professional part | $36.31 | $36.31 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | TC · Technical part | $114.82 | $114.82 | $199.53 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $181.97 | $213.80 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $100.00 | Professional | 26 · Professional part | $45.71 | $53.70 | $100.00 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $162.18 Typical High $309.03 | Professional | TC · Technical part | $138.04 | $162.18 | $309.03 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $81.28 Median $239.88 Typical High $323.59 | Professional | None (both parts) | $81.28 | $239.88 | $323.59 |
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 $173.78 Median $380.19 Typical High $1,412.54 | Professional | None (both parts) | $173.78 | $380.19 | $1,412.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $169.82 | Professional | 26 · Professional part | $38.90 | $43.65 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $302.00 Typical High $758.58 | Professional | TC · Technical part | $131.83 | $302.00 | $758.58 |
Emblem Health Setting Facility Modifier None Typical Low $125.89 Median $194.98 Typical High $549.54 | Facility | None | $125.89 | $194.98 | $549.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $295.12 Typical High $457.09 | Professional | None (both parts) | $245.47 | $295.12 | $457.09 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $74.13 Typical High $114.82 | Professional | 26 · Professional part | $57.54 | $74.13 | $114.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $346.74 | Professional | TC · Technical part | $177.83 | $213.80 | $346.74 |
Excellus BCBS Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | TC · Technical part | $112.20 | $112.20 | $112.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $269.15 | Professional | None (both parts) | $186.21 | $199.53 | $269.15 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $52.48 | $72.44 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $147.91 | $234.42 |
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 $660.69 | Professional | None (both parts) | $151.36 | $151.36 | $660.69 |
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 $263.03 Typical High $562.34 | Professional | None (both parts) | $177.83 | $263.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $63.10 Typical High $141.25 | Professional | 26 · Professional part | $43.65 | $63.10 | $141.25 |
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 $186.21 Median $186.21 Typical High $645.65 | Facility | None | $186.21 | $186.21 | $645.65 |
Univera Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $467.74 | Facility | TC · Technical part | $112.20 | $112.20 | $467.74 |
Univera Setting Professional Modifier None (both parts) Typical Low $186.21 Median $223.87 Typical High $275.42 | Professional | None (both parts) | $186.21 | $223.87 | $275.42 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $52.48 | $77.62 |
Univera Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $162.18 Typical High $234.42 | Professional | TC · Technical part | $120.23 | $162.18 | $234.42 |
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 $123.03 | Professional | 52 · Reduced service | $75.86 | $75.86 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $48.98 | Professional | 53 · Discontinued | $30.20 | $30.20 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $177.83 | Professional | FX · Film X-ray | $120.23 | $120.23 | $177.83 |
Where New York sits
The same service costs 4.7 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· 49th of 51
$214
AK $851TX $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.