How much rates vary
Facilitymedian $191 · 10th to 90th $60 to $661Professionalmedian $178 · 10th to 90th $141 to $339
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 $125.89 Median $177.83 Typical High $1,202.26 | Facility | None | $125.89 | $177.83 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $213.80 | Professional | None (both parts) | $125.89 | $125.89 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | 26 · Professional part | $14.45 | $14.45 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $190.55 | Professional | TC · Technical part | $112.20 | $112.20 | $190.55 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $177.83 Typical High $331.13 | Professional | None (both parts) | $151.36 | $177.83 | $331.13 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $35.48 | Professional | 26 · Professional part | $17.38 | $20.42 | $35.48 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $154.88 Typical High $288.40 | Professional | TC · Technical part | $131.83 | $154.88 | $288.40 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $30.20 Median $229.09 Typical High $257.04 | Professional | None (both parts) | $30.20 | $229.09 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $1,258.93 | Facility | None | $371.54 | $549.54 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $245.47 Typical High $794.33 | Professional | None (both parts) | $144.54 | $245.47 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $66.07 | Professional | 26 · Professional part | $14.79 | $16.60 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $239.88 Typical High $707.95 | Professional | TC · Technical part | $123.03 | $239.88 | $707.95 |
Emblem Health Setting Facility Modifier None Typical Low $117.49 Median $181.97 Typical High $524.81 | Facility | None | $117.49 | $181.97 | $524.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $229.09 Typical High $363.08 | Professional | None (both parts) | $181.97 | $229.09 | $363.08 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $42.66 | Professional | 26 · Professional part | $20.89 | $27.54 | $42.66 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $199.53 Typical High $323.59 | Professional | TC · Technical part | $162.18 | $199.53 | $323.59 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $131.83 | $158.49 | $213.80 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.50 Typical High $26.92 | Professional | 26 · Professional part | $11.75 | $19.50 | $26.92 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $114.82 | $138.04 | $186.21 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $295.12 | Facility | None | $107.15 | $257.04 | $295.12 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $467.74 | Professional | None (both parts) | $151.36 | $151.36 | $467.74 |
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 $138.04 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $138.04 | $199.53 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $23.44 Typical High $52.48 | Professional | 26 · Professional part | $16.60 | $23.44 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $181.97 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $181.97 | $416.87 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $363.08 | Facility | None | $60.26 | $60.26 | $363.08 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $331.13 | Facility | TC · Technical part | $36.31 | $36.31 | $331.13 |
Univera Setting Professional Modifier None (both parts) Typical Low $131.83 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $131.83 | $158.49 | $213.80 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $19.50 Typical High $27.54 | Professional | 26 · Professional part | $11.75 | $19.50 | $27.54 |
Univera Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $186.21 | Professional | TC · Technical part | $114.82 | $138.04 | $186.21 |
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 $63.10 Median $63.10 Typical High $89.13 | Professional | 52 · Reduced service | $63.10 | $63.10 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $35.48 | Professional | 53 · Discontinued | $25.12 | $25.12 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $141.25 | Professional | FX · Film X-ray | $100.00 | $100.00 | $141.25 |
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· 44th of 51
$178
AK $676TX $145
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.