How much rates vary
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 $218.78 Median $295.12 Typical High $660.69 | Facility | None | $218.78 | $295.12 | $660.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $851.14 | Professional | None (both parts) | $218.78 | $218.78 | $851.14 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $26.30 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $457.09 | Professional | TC · Technical part | $194.98 | $194.98 | $457.09 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $575.44 | Professional | None (both parts) | $263.03 | $309.03 | $575.44 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $38.02 | $67.61 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $269.15 Typical High $489.78 | Professional | TC · Technical part | $229.09 | $269.15 | $489.78 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $53.70 Median $389.05 Typical High $436.52 | Professional | None (both parts) | $53.70 | $389.05 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $933.25 Typical High $2,344.23 | Facility | None | $676.08 | $933.25 | $2,344.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $1,288.25 | Professional | None (both parts) | $251.19 | $426.58 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $120.23 | Professional | 26 · Professional part | $26.30 | $30.90 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $426.58 Typical High $1,122.02 | Professional | TC · Technical part | $208.93 | $426.58 | $1,122.02 |
Emblem Health Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $831.76 | Facility | None | $186.21 | $288.40 | $831.76 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $295.12 | $371.54 | $588.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $48.98 Typical High $77.62 | Professional | 26 · Professional part | $37.15 | $48.98 | $77.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $323.59 Typical High $512.86 | Professional | TC · Technical part | $257.04 | $323.59 | $512.86 |
Excellus BCBS Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Facility | None | $60.26 | $60.26 | $60.26 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | TC · Technical part | $36.31 | $36.31 | $36.31 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $213.80 | $257.04 | $354.81 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $34.67 | $48.98 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $186.21 | $223.87 | $309.03 |
Highmark BCBS Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,071.52 | Facility | None | $1,071.52 | $1,071.52 | $1,071.52 |
Highmark BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | 26 · Professional part | $83.18 | $83.18 | $89.13 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $489.78 | Facility | None | $107.15 | $257.04 | $489.78 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $794.33 | Professional | None (both parts) | $199.53 | $199.53 | $794.33 |
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 $234.42 Median $331.13 Typical High $776.25 | Professional | None (both parts) | $234.42 | $331.13 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $41.69 Typical High $91.20 | Professional | 26 · Professional part | $28.84 | $41.69 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $309.03 Typical High $707.95 | Professional | TC · Technical part | $204.17 | $309.03 | $707.95 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $676.08 | Facility | None | $60.26 | $60.26 | $676.08 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $588.84 | Facility | TC · Technical part | $36.31 | $36.31 | $588.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $213.80 Median $257.04 Typical High $354.81 | Professional | None (both parts) | $213.80 | $257.04 | $354.81 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $34.67 Typical High $48.98 | Professional | 26 · Professional part | $22.91 | $34.67 | $48.98 |
Univera Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $223.87 Typical High $309.03 | Professional | TC · Technical part | $186.21 | $223.87 | $309.03 |
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 $109.65 Median $109.65 Typical High $147.91 | Professional | 52 · Reduced service | $109.65 | $109.65 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | 53 · Discontinued | $43.65 | $43.65 | $58.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | FX · Film X-ray | $177.83 | $177.83 | $239.88 |
Where New York sits
The same service costs 3.7 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· 43rd of 51
$309
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.