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 $87.10 Median $107.15 Typical High $114.82 | Facility | None | $87.10 | $107.15 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $114.82 | Professional | None (both parts) | $87.10 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $50.12 | $50.12 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | TC · Technical part | $36.31 | $36.31 | $41.69 |
Anthem BCBS Setting Professional Modifier None (both parts) Typical Low $83.18 Median $117.49 Typical High $138.04 | Professional | None (both parts) | $83.18 | $117.49 | $138.04 |
Anthem BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $131.83 | Professional | 26 · Professional part | $61.66 | $70.79 | $131.83 |
Anthem BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $40.74 | $48.98 | $57.54 |
CDPHP Setting Professional Modifier None (both parts) Typical Low $58.88 Median $93.33 Typical High $151.36 | Professional | None (both parts) | $58.88 | $93.33 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $158.49 Typical High $933.25 | Facility | None | $112.20 | $158.49 | $933.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $107.15 Typical High $389.05 | Professional | None (both parts) | $75.86 | $107.15 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $223.87 | Professional | 26 · Professional part | $42.66 | $61.66 | $223.87 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $44.67 Typical High $169.82 | Professional | TC · Technical part | $33.88 | $44.67 | $169.82 |
Emblem Health Setting Facility Modifier None Typical Low $263.03 Median $524.81 Typical High $1,584.89 | Facility | None | $263.03 | $524.81 | $1,584.89 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $338.84 Median $380.19 Typical High $1,737.80 | Professional | None (both parts) | $338.84 | $380.19 | $1,737.80 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $79.43 Typical High $117.49 | Professional | 26 · Professional part | $61.66 | $79.43 | $117.49 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $302.00 Typical High $1,659.59 | Professional | TC · Technical part | $295.12 | $302.00 | $1,659.59 |
Excellus BCBS Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Excellus BCBS Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $91.20 | Facility | TC · Technical part | $91.20 | $91.20 | $91.20 |
Excellus BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $1,202.26 Typical High $1,659.59 | Professional | None (both parts) | $316.23 | $1,202.26 | $1,659.59 |
Excellus BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $85.11 | Professional | 26 · Professional part | $57.54 | $61.66 | $85.11 |
Excellus BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $1,122.02 Typical High $1,584.89 | Professional | TC · Technical part | $251.19 | $1,122.02 | $1,584.89 |
MVP Health Care Setting Facility Modifier None Typical Low $107.15 Median $194.98 Typical High $257.04 | Facility | None | $107.15 | $194.98 | $257.04 |
MVP Health Care Setting Professional Modifier None (both parts) Typical Low $123.03 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $123.03 | $446.68 | $446.68 |
MVP Health Care Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $85.11 Typical High $125.89 | Professional | 26 · Professional part | $70.79 | $85.11 | $125.89 |
United Setting Facility Modifier None Typical Low $467.74 Median $549.54 Typical High $676.08 | Facility | None | $467.74 | $549.54 | $676.08 |
United Setting Professional Modifier None (both parts) Typical Low $234.42 Median $416.87 Typical High $1,513.56 | Professional | None (both parts) | $234.42 | $416.87 | $1,513.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $70.79 Typical High $190.55 | Professional | 26 · Professional part | $48.98 | $70.79 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $1,258.93 | Professional | TC · Technical part | $186.21 | $338.84 | $1,258.93 |
Univera Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $2,089.30 | Facility | None | $151.36 | $151.36 | $2,089.30 |
Univera Setting Facility Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $1,949.84 | Facility | TC · Technical part | $91.20 | $91.20 | $1,949.84 |
Univera Setting Professional Modifier None (both parts) Typical Low $302.00 Median $1,202.26 Typical High $1,778.28 | Professional | None (both parts) | $302.00 | $1,202.26 | $1,778.28 |
Univera Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $61.66 Typical High $93.33 | Professional | 26 · Professional part | $57.54 | $61.66 | $93.33 |
Univera Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $1,122.02 Typical High $1,737.80 | Professional | TC · Technical part | $239.88 | $1,122.02 | $1,737.80 |
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 $42.66 Median $42.66 Typical High $53.70 | Professional | 52 · Reduced service | $42.66 | $42.66 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $17.38 Typical High $21.88 | Professional | 53 · Discontinued | $17.38 | $17.38 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $69.18 Typical High $87.10 | Professional | FX · Film X-ray | $69.18 | $69.18 | $87.10 |
Where New York sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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
$126
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.