How much rates vary
Facilitymedian $234 · 10th to 90th $50 to $776Professionalmedian $204 · 10th to 90th $162 to $407
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 $144.54 Median $213.80 Typical High $489.78 | Facility | None | $144.54 | $213.80 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $144.54 Typical High $213.80 | Professional | None (both parts) | $144.54 | $144.54 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $14.79 Typical High $23.99 | Professional | 26 · Professional part | $14.79 | $14.79 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $186.21 | Professional | TC · Technical part | $128.82 | $128.82 | $186.21 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $173.78 | $204.17 | $389.05 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $38.90 | Professional | 26 · Professional part | $18.62 | $22.39 | $38.90 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $154.88 | $181.97 | $346.74 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $33.11 Median $275.42 Typical High $309.03 | Professional | None (both parts) | $33.11 | $275.42 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $630.96 Typical High $1,513.56 | Facility | None | $489.78 | $630.96 | $1,513.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $295.12 Typical High $977.24 | Professional | None (both parts) | $165.96 | $295.12 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $18.20 Typical High $70.79 | Professional | 26 · Professional part | $16.22 | $18.20 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $302.00 Typical High $870.96 | Professional | TC · Technical part | $147.91 | $302.00 | $870.96 |
Emblem Health Setting Facility Modifier None Typical Low $144.54 Median $223.87 Typical High $630.96 | Facility | None | $144.54 | $223.87 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $281.84 Typical High $446.68 | Professional | None (both parts) | $223.87 | $281.84 | $446.68 |
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 $199.53 Median $245.47 Typical High $398.11 | Professional | TC · Technical part | $199.53 | $245.47 | $398.11 |
Excellus BCBS Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $30.20 | Facility | TC · Technical part | $30.20 | $30.20 | $30.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $144.54 | $190.55 | $263.03 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $21.88 | $30.90 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $234.42 | Professional | TC · Technical part | $131.83 | $169.82 | $234.42 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $371.54 | Facility | None | $107.15 | $257.04 | $371.54 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $549.54 | Professional | None (both parts) | $186.21 | $186.21 | $549.54 |
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 $169.82 Median $234.42 Typical High $537.03 | Professional | None (both parts) | $169.82 | $234.42 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $26.30 Typical High $57.54 | Professional | 26 · Professional part | $18.20 | $26.30 | $57.54 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $218.78 Typical High $501.19 | Professional | TC · Technical part | $151.36 | $218.78 | $501.19 |
Univera Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $436.52 | Facility | None | $50.12 | $50.12 | $436.52 |
Univera Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $30.20 Typical High $398.11 | Facility | TC · Technical part | $30.20 | $30.20 | $398.11 |
Univera Setting Professional Modifier None (both parts) Typical Low $144.54 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $144.54 | $190.55 | $263.03 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $13.18 | $21.88 | $30.90 |
Univera Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $234.42 | Professional | TC · Technical part | $131.83 | $169.82 | $234.42 |
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 $72.44 Median $72.44 Typical High $107.15 | Professional | 52 · Reduced service | $72.44 | $72.44 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $42.66 | Professional | 53 · Discontinued | $28.84 | $28.84 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $114.82 Typical High $169.82 | Professional | FX · Film X-ray | $114.82 | $114.82 | $169.82 |
Where New York sits
The same service costs 4.8 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· 47th of 51
$204
AK $851KY $178
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.