How much rates vary
Facilitymedian $316 · 10th to 90th $71 to $1,175Professionalmedian $316 · 10th to 90th $229 to $603
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 $223.87 Median $316.23 Typical High $1,202.26 | Facility | None | $223.87 | $316.23 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $316.23 | Professional | None (both parts) | $223.87 | $223.87 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $30.90 | Professional | 26 · Professional part | $19.50 | $19.50 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | TC · Technical part | $204.17 | $204.17 | $281.84 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $316.23 Typical High $588.84 | Professional | None (both parts) | $263.03 | $316.23 | $588.84 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $51.29 | Professional | 26 · Professional part | $24.55 | $28.84 | $51.29 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $524.81 | Professional | TC · Technical part | $245.47 | $288.40 | $524.81 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $43.65 Median $426.58 Typical High $467.74 | Professional | None (both parts) | $43.65 | $426.58 | $467.74 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $2,290.87 | Facility | None | $676.08 | $933.25 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $446.68 Typical High $1,380.38 | Professional | None (both parts) | $245.47 | $446.68 | $1,380.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $24.55 Typical High $91.20 | Professional | 26 · Professional part | $21.38 | $24.55 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $446.68 Typical High $1,258.93 | Professional | TC · Technical part | $218.78 | $446.68 | $1,258.93 |
Emblem Health Setting Facility Modifier None Typical Low $208.93 Median $316.23 Typical High $912.01 | Facility | None | $208.93 | $316.23 | $912.01 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $316.23 | $398.11 | $630.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $38.90 | $63.10 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $354.81 Typical High $575.44 | Professional | TC · Technical part | $281.84 | $354.81 | $575.44 |
Excellus BCBS Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | TC · Technical part | $42.66 | $42.66 | $42.66 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $229.09 | $269.15 | $380.19 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.18 Typical High $39.81 | Professional | 26 · Professional part | $16.98 | $28.18 | $39.81 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $338.84 | Professional | TC · Technical part | $208.93 | $245.47 | $338.84 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $549.54 | Facility | None | $107.15 | $257.04 | $549.54 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $831.76 | Professional | None (both parts) | $218.78 | $218.78 | $831.76 |
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 $234.42 Median $354.81 Typical High $812.83 | Professional | None (both parts) | $234.42 | $354.81 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $33.88 Typical High $74.13 | Professional | 26 · Professional part | $23.44 | $33.88 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $331.13 Typical High $776.25 | Professional | TC · Technical part | $218.78 | $331.13 | $776.25 |
Univera Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $489.78 | Facility | None | $70.79 | $70.79 | $489.78 |
Univera Setting Facility Modifier TC · Technical part Typical Low $42.66 Median $42.66 Typical High $467.74 | Facility | TC · Technical part | $42.66 | $42.66 | $467.74 |
Univera Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $389.05 | Professional | None (both parts) | $229.09 | $275.42 | $389.05 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $16.98 | $28.18 | $42.66 |
Univera Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $245.47 Typical High $346.74 | Professional | TC · Technical part | $208.93 | $245.47 | $346.74 |
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 $112.20 Median $112.20 Typical High $154.88 | Professional | 52 · Reduced service | $112.20 | $112.20 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $63.10 | Professional | 53 · Discontinued | $44.67 | $44.67 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $251.19 | Professional | FX · Film X-ray | $181.97 | $181.97 | $251.19 |
Where New York sits
The same service costs 4.5 times more in Alaska than in Kentucky. 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· 41st of 51
$316
AK $1,175KY $263
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.