How much rates vary
Facilitymedian $251 · 10th to 90th $85 to $813Professionalmedian $209 · 10th to 90th $162 to $398
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 $147.91 Median $208.93 Typical High $1,202.26 | Facility | None | $147.91 | $208.93 | $1,202.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $223.87 | Professional | None (both parts) | $147.91 | $147.91 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $17.38 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $194.98 | Professional | TC · Technical part | $131.83 | $131.83 | $194.98 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $177.83 | $208.93 | $398.11 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $45.71 | Professional | 26 · Professional part | $21.38 | $25.12 | $45.71 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $151.36 | $181.97 | $346.74 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $38.02 Median $269.15 Typical High $309.03 | Professional | None (both parts) | $38.02 | $269.15 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $630.96 Typical High $1,479.11 | Facility | None | $478.63 | $630.96 | $1,479.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $302.00 Typical High $1,071.52 | Professional | None (both parts) | $165.96 | $302.00 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $20.42 Typical High $83.18 | Professional | 26 · Professional part | $17.38 | $20.42 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $302.00 Typical High $933.25 | Professional | TC · Technical part | $144.54 | $302.00 | $933.25 |
Emblem Health Setting Facility Modifier None Typical Low $154.88 Median $239.88 Typical High $691.83 | Facility | None | $154.88 | $239.88 | $691.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $302.00 Typical High $467.74 | Professional | None (both parts) | $239.88 | $302.00 | $467.74 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $37.15 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $37.15 | $56.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $269.15 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $269.15 | $416.87 |
Excellus BCBS Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Facility | TC · Technical part | $51.29 | $51.29 | $51.29 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $147.91 | $194.98 | $269.15 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.12 Typical High $35.48 | Professional | 26 · Professional part | $15.85 | $25.12 | $35.48 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $134.90 | $165.96 | $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 $120.23 Median $120.23 Typical High $549.54 | Professional | None (both parts) | $120.23 | $120.23 | $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 $162.18 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $162.18 | $251.19 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $64.57 | Professional | 26 · Professional part | $21.38 | $30.20 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $223.87 Typical High $489.78 | Professional | TC · Technical part | $151.36 | $223.87 | $489.78 |
Univera Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $302.00 | Facility | None | $85.11 | $85.11 | $302.00 |
Univera Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $257.04 | Facility | TC · Technical part | $51.29 | $51.29 | $257.04 |
Univera Setting Professional Modifier None (both parts) Typical Low $147.91 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $147.91 | $194.98 | $269.15 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $25.12 Typical High $36.31 | Professional | 26 · Professional part | $15.85 | $25.12 | $36.31 |
Univera Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $165.96 Typical High $234.42 | Professional | TC · Technical part | $134.90 | $165.96 | $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 $74.13 Median $74.13 Typical High $107.15 | Professional | 52 · Reduced service | $74.13 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $43.65 | Professional | 53 · Discontinued | $29.51 | $29.51 | $43.65 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $165.96 | Professional | FX · Film X-ray | $117.49 | $117.49 | $165.96 |
Where New York sits
The same service costs 4.8 times more in Alaska 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· 45th of 51
$209
AK $851IN $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.