How much rates vary
Facilitymedian $186 · 10th to 90th $41 to $661Professionalmedian $162 · 10th to 90th $132 to $316
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 $117.49 Median $162.18 Typical High $1,202.26 | Facility | None | $117.49 | $162.18 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $199.53 | Professional | None (both parts) | $117.49 | $117.49 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $13.80 Typical High $23.99 | Professional | 26 · Professional part | $13.80 | $13.80 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $173.78 | Professional | TC · Technical part | $102.33 | $102.33 | $173.78 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $165.96 Typical High $309.03 | Professional | None (both parts) | $131.83 | $165.96 | $309.03 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $36.31 | Professional | 26 · Professional part | $17.38 | $20.42 | $36.31 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $144.54 Typical High $269.15 | Professional | TC · Technical part | $123.03 | $144.54 | $269.15 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $30.20 Median $208.93 Typical High $239.88 | Professional | None (both parts) | $30.20 | $208.93 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $501.19 Typical High $1,258.93 | Facility | None | $371.54 | $501.19 | $1,258.93 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $741.31 | Professional | None (both parts) | $134.90 | $234.42 | $741.31 |
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 $114.82 Median $229.09 Typical High $645.65 | Professional | TC · Technical part | $114.82 | $229.09 | $645.65 |
Emblem Health Setting Facility Modifier None Typical Low $107.15 Median $165.96 Typical High $467.74 | Facility | None | $107.15 | $165.96 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $165.96 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $165.96 | $213.80 | $338.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $43.65 | Professional | 26 · Professional part | $20.42 | $26.92 | $43.65 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $181.97 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $181.97 | $295.12 |
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 $144.54 Typical High $204.17 | Professional | None (both parts) | $120.23 | $144.54 | $204.17 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.50 Typical High $27.54 | Professional | 26 · Professional part | $12.30 | $19.50 | $27.54 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $125.89 | $173.78 |
Highmark BCBS Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $660.69 | Facility | None | $512.86 | $537.03 | $660.69 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $245.47 Typical High $275.42 | Facility | None | $107.15 | $245.47 | $275.42 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $426.58 | Professional | None (both parts) | $151.36 | $151.36 | $426.58 |
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 $128.82 Median $181.97 Typical High $426.58 | Professional | None (both parts) | $128.82 | $181.97 | $426.58 |
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 $112.20 Median $169.82 Typical High $380.19 | Professional | TC · Technical part | $112.20 | $169.82 | $380.19 |
Univera Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $363.08 | Facility | None | $40.74 | $40.74 | $363.08 |
Univera Setting Facility Modifier TC · Technical part Typical Low $23.99 Median $23.99 Typical High $316.23 | Facility | TC · Technical part | $23.99 | $23.99 | $316.23 |
Univera Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $120.23 | $144.54 | $204.17 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $19.50 Typical High $28.18 | Professional | 26 · Professional part | $12.30 | $19.50 | $28.18 |
Univera Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $125.89 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $125.89 | $173.78 |
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 $58.88 Median $58.88 Typical High $81.28 | Professional | 52 · Reduced service | $58.88 | $58.88 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $33.11 | Professional | 53 · Discontinued | $23.44 | $23.44 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $93.33 Median $93.33 Typical High $131.83 | Professional | FX · Film X-ray | $93.33 | $93.33 | $131.83 |
Where New York sits
The same service costs 4.4 times more in Alaska than in Florida. 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
$162
AK $603FL $138
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.