How much rates vary
Facilitymedian $186 · 10th to 90th $41 to $708Professionalmedian $166 · 10th to 90th $120 to $324
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 $120.23 Median $165.96 Typical High $1,202.26 | Facility | None | $120.23 | $165.96 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $263.03 | Professional | None (both parts) | $120.23 | $120.23 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $21.88 | Professional | 26 · Professional part | $9.55 | $9.55 | $21.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $234.42 | Professional | TC · Technical part | $109.65 | $109.65 | $234.42 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $138.04 Median $165.96 Typical High $316.23 | Professional | None (both parts) | $138.04 | $165.96 | $316.23 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $14.13 Typical High $23.99 | Professional | 26 · Professional part | $12.02 | $14.13 | $23.99 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $151.36 Typical High $288.40 | Professional | TC · Technical part | $128.82 | $151.36 | $288.40 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $19.95 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $19.95 | $223.87 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $537.03 Typical High $1,348.96 | Facility | None | $371.54 | $537.03 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $245.47 Typical High $758.58 | Professional | None (both parts) | $128.82 | $245.47 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $10.96 Typical High $44.67 | Professional | 26 · Professional part | $9.55 | $10.96 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $245.47 Typical High $691.83 | Professional | TC · Technical part | $120.23 | $245.47 | $691.83 |
Emblem Health Setting Facility Modifier None Typical Low $114.82 Median $177.83 Typical High $501.19 | Facility | None | $114.82 | $177.83 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $169.82 Median $213.80 Typical High $346.74 | Professional | None (both parts) | $169.82 | $213.80 | $346.74 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $18.62 Typical High $28.84 | Professional | 26 · Professional part | $14.13 | $18.62 | $28.84 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $194.98 Typical High $316.23 | Professional | TC · Technical part | $158.49 | $194.98 | $316.23 |
Excellus BCBS Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $23.99 | Facility | TC · Technical part | $23.99 | $23.99 | $23.99 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $120.23 | $147.91 | $204.17 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.88 Typical High $18.20 | Professional | 26 · Professional part | $8.13 | $12.88 | $18.20 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $112.20 | $134.90 | $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 $120.23 Median $120.23 Typical High $436.52 | Professional | None (both parts) | $120.23 | $120.23 | $436.52 |
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 $123.03 Median $186.21 Typical High $436.52 | Professional | None (both parts) | $123.03 | $186.21 | $436.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $15.85 Typical High $35.48 | Professional | 26 · Professional part | $11.22 | $15.85 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $181.97 Typical High $407.38 | Professional | TC · Technical part | $120.23 | $181.97 | $407.38 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $208.93 | Facility | None | $40.74 | $40.74 | $208.93 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $194.98 | Facility | TC · Technical part | $23.99 | $23.99 | $194.98 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $147.91 Typical High $204.17 | Professional | None (both parts) | $120.23 | $147.91 | $204.17 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $12.88 Typical High $19.50 | Professional | 26 · Professional part | $8.13 | $12.88 | $19.50 |
Univera Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $186.21 | Professional | TC · Technical part | $112.20 | $134.90 | $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 $60.26 Median $60.26 Typical High $83.18 | Professional | 52 · Reduced service | $60.26 | $60.26 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $33.11 | Professional | 53 · Discontinued | $23.99 | $23.99 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $134.90 | Professional | FX · Film X-ray | $95.50 | $95.50 | $134.90 |
Where New York sits
The same service costs 4.3 times more in Alabama than in Indiana. 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
$166
AL $562IN $132
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.