How much rates vary
Facilitymedian $631 · 10th to 90th $60 to $2,188Professionalmedian $537 · 10th to 90th $437 to $1,122
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 $389.05 Median $630.96 Typical High $2,818.38 | Facility | None | $389.05 | $630.96 | $2,818.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $1,071.52 | Professional | None (both parts) | $389.05 | $389.05 | $1,071.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $33.11 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $354.81 Median $354.81 Typical High $1,000.00 | Professional | TC · Technical part | $354.81 | $354.81 | $1,000.00 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $537.03 Typical High $1,096.48 | Professional | None (both parts) | $457.09 | $537.03 | $1,096.48 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $83.18 | Professional | 26 · Professional part | $40.74 | $47.86 | $83.18 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $489.78 Typical High $977.24 | Professional | TC · Technical part | $416.87 | $489.78 | $977.24 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $67.61 Median $851.14 Typical High $933.25 | Professional | None (both parts) | $67.61 | $851.14 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $1,288.25 Median $2,041.74 Typical High $4,265.80 | Facility | None | $1,288.25 | $2,041.74 | $4,265.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $457.09 Median $870.96 Typical High $2,691.53 | Professional | None (both parts) | $457.09 | $870.96 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $151.36 | Professional | 26 · Professional part | $33.11 | $38.02 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $416.87 Median $851.14 Typical High $2,511.89 | Professional | TC · Technical part | $416.87 | $851.14 | $2,511.89 |
Emblem Health Setting Facility Modifier None Typical Low $416.87 Median $630.96 Typical High $1,819.70 | Facility | None | $416.87 | $630.96 | $1,819.70 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $616.60 Median $776.25 Typical High $1,230.27 | Professional | None (both parts) | $616.60 | $776.25 | $1,230.27 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $97.72 | Professional | 26 · Professional part | $46.77 | $61.66 | $97.72 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $562.34 Median $707.95 Typical High $1,148.15 | Professional | TC · Technical part | $562.34 | $707.95 | $1,148.15 |
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 $446.68 Median $537.03 Typical High $741.31 | Professional | None (both parts) | $446.68 | $537.03 | $741.31 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $43.65 | $61.66 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $676.08 | Professional | TC · Technical part | $407.38 | $489.78 | $676.08 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $257.04 Typical High $1,071.52 | Facility | None | $107.15 | $257.04 | $1,071.52 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $1,659.59 | Professional | None (both parts) | $223.87 | $223.87 | $1,659.59 |
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 $467.74 Median $691.83 Typical High $1,659.59 | Professional | None (both parts) | $467.74 | $691.83 | $1,659.59 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $52.48 Typical High $120.23 | Professional | 26 · Professional part | $37.15 | $52.48 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $660.69 Typical High $1,513.56 | Professional | TC · Technical part | $436.52 | $660.69 | $1,513.56 |
Univera Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $758.58 | Facility | None | $60.26 | $60.26 | $758.58 |
Univera Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $562.34 | Facility | TC · Technical part | $36.31 | $36.31 | $562.34 |
Univera Setting Professional Modifier None (both parts) Typical Low $446.68 Median $537.03 Typical High $741.31 | Professional | None (both parts) | $446.68 | $537.03 | $741.31 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $43.65 Typical High $61.66 | Professional | 26 · Professional part | $28.18 | $43.65 | $61.66 |
Univera Setting Professional Modifier TC · Technical part Typical Low $407.38 Median $489.78 Typical High $676.08 | Professional | TC · Technical part | $407.38 | $489.78 | $676.08 |
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 $194.98 Median $194.98 Typical High $309.03 | Professional | 52 · Reduced service | $194.98 | $194.98 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $77.62 Median $77.62 Typical High $125.89 | Professional | 53 · Discontinued | $77.62 | $77.62 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $309.03 Median $309.03 Typical High $501.19 | Professional | FX · Film X-ray | $309.03 | $309.03 | $501.19 |
Where New York sits
The same service costs 4.4 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
$537
AK $1,950KY $447
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.