How much rates vary
Facilitymedian $275 · 10th to 90th $76 to $1,202Professionalmedian $263 · 10th to 90th $214 to $525
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 $263.03 Typical High $1,202.26 | Facility | None | $223.87 | $263.03 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $269.15 | Professional | None (both parts) | $223.87 | $223.87 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $25.70 | Professional | 26 · Professional part | $19.05 | $19.05 | $25.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | TC · Technical part | $204.17 | $204.17 | $239.88 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $512.86 | Professional | None (both parts) | $218.78 | $263.03 | $512.86 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $19.95 | $23.44 | $43.65 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $234.42 | $446.68 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $36.31 Median $354.81 Typical High $389.05 | Professional | None (both parts) | $36.31 | $354.81 | $389.05 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $851.14 Typical High $2,344.23 | Facility | None | $630.96 | $851.14 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $426.58 Typical High $1,174.90 | Professional | None (both parts) | $218.78 | $426.58 | $1,174.90 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $22.39 Typical High $74.13 | Professional | 26 · Professional part | $16.60 | $22.39 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $426.58 Typical High $1,071.52 | Professional | TC · Technical part | $190.55 | $426.58 | $1,071.52 |
Emblem Health Setting Facility Modifier None Typical Low $177.83 Median $275.42 Typical High $776.25 | Facility | None | $177.83 | $275.42 | $776.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $338.84 Typical High $537.03 | Professional | None (both parts) | $269.15 | $338.84 | $537.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $31.62 Typical High $48.98 | Professional | 26 · Professional part | $23.99 | $31.62 | $48.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $302.00 Typical High $489.78 | Professional | TC · Technical part | $245.47 | $302.00 | $489.78 |
Excellus BCBS Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $45.71 | Facility | TC · Technical part | $45.71 | $45.71 | $45.71 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $190.55 | $234.42 | $316.23 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $32.36 | Professional | 26 · Professional part | $21.88 | $23.44 | $32.36 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $281.84 | Professional | TC · Technical part | $169.82 | $208.93 | $281.84 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $446.68 | Facility | None | $107.15 | $257.04 | $446.68 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $691.83 | Professional | None (both parts) | $239.88 | $239.88 | $691.83 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $3,019.95 Typical High $3,715.35 | Facility | None | $2,630.27 | $3,019.95 | $3,715.35 |
United Setting Professional Modifier None (both parts) Typical Low $204.17 Median $302.00 Typical High $691.83 | Professional | None (both parts) | $204.17 | $302.00 | $691.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $27.54 Typical High $60.26 | Professional | 26 · Professional part | $19.05 | $27.54 | $60.26 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $281.84 Typical High $645.65 | Professional | TC · Technical part | $186.21 | $281.84 | $645.65 |
Univera Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $588.84 | Facility | None | $75.86 | $75.86 | $588.84 |
Univera Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $549.54 | Facility | TC · Technical part | $45.71 | $45.71 | $549.54 |
Univera Setting Professional Modifier None (both parts) Typical Low $190.55 Median $234.42 Typical High $316.23 | Professional | None (both parts) | $190.55 | $234.42 | $316.23 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $33.11 | Professional | 26 · Professional part | $21.88 | $23.44 | $33.11 |
Univera Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $208.93 Typical High $281.84 | Professional | TC · Technical part | $169.82 | $208.93 | $281.84 |
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 $134.90 | Professional | 52 · Reduced service | $112.20 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $44.67 Typical High $53.70 | Professional | 53 · Discontinued | $44.67 | $44.67 | $53.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $213.80 | Professional | FX · Film X-ray | $177.83 | $177.83 | $213.80 |
Where New York sits
The same service costs 4.3 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· 45th of 51
$263
AK $1,000TX $234
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.