| 3D mammogram (tomosynthesis) |
$29 |
$36 |
$29 |
$51 | |
| Abdominal ultrasound |
$568 |
$710 |
$527 |
$100 | |
| Abdominal ultrasound (complete) |
$740 |
$925 |
$740 |
$114 | |
| Abdominal ultrasound (limited) |
$396 |
$496 |
$488 |
$86 | |
| Abscess drainage (complex or multiple) |
$227 |
$284 |
$184 |
$220 | |
| Abscess drainage (simple) |
$145 |
$181 |
$132 |
$129 | |
| Abscess incision and drainage |
$180 |
$225 |
$147 |
$174 | |
| Adenoid removal (adenoidectomy) |
$440 |
$550 |
$323 |
$204 | |
| Allergy shots |
$33 |
$41 |
$28 |
$11 | |
| Anoscopy |
$66 |
$82 |
$59 |
$129 | |
| Arterial blood gas (ABG) |
$159 |
$199 |
$159 |
$26 | |
| Barium swallow study |
$379 |
$474 |
$299 |
$107 | |
| Benign skin lesion removal |
$291 |
$364 |
$222 |
$171 | |
| Blood clotting test (PT/INR) |
$44 |
$56 |
$55 |
$4 | |
| Blood transfusion |
$697 |
$871 |
$697 |
$47 | |
| Bone density scan (DEXA) |
$400 |
$500 |
$493 |
$39 | |
| Bone scan (nuclear) |
$986 |
$1,233 |
$777 |
$259 | |
| Breast ultrasound |
$302 |
$378 |
$268 |
$92 | |
| Breast ultrasound (complete) |
$340 |
$425 |
$268 |
$100 | |
| Breast ultrasound (limited) |
$264 |
$330 |
$208 |
$84 | |
| Breathing tube insertion (intubation) |
$295 |
$369 |
$270 |
$133 | |
| Burn dressing and debridement (medium) |
$125 |
$156 |
$122 |
$166 | |
| Burn dressing and debridement (small) |
$102 |
$127 |
$86 |
$93 | |
| Burn treatment |
$121 |
$152 |
$106 |
$129 | |
| Cardiac rehabilitation |
$138 |
$173 |
$138 |
$26 | |
| Cardiac stress test |
$672 |
$841 |
$530 |
$39 | |
| Cardioversion |
$715 |
$894 |
$563 |
$155 | |
| Carotid artery ultrasound |
$790 |
$988 |
$874 |
$156 | |
| Central line placement |
$333 |
$416 |
$292 |
$238 | |
| Chest tube insertion |
$516 |
$644 |
$455 |
$143 | |
| Chest X-ray |
$198 |
$248 |
$201 |
$37 | |
| Chest X-ray (1 view) |
$195 |
$244 |
$240 |
$25 | |
| Chest X-ray (2 views) |
$201 |
$252 |
$252 |
$33 | |
| Colonoscopy |
$624 |
$780 |
$418 |
$480 | |
| Complex wound repair |
$374 |
$467 |
$351 |
$390 | |
| Continuous glucose monitor setup |
$72 |
$90 |
$53 |
$35 | |
| Contraceptive implant (Nexplanon) |
$400 |
$500 |
$315 |
$115 | |
| COVID-19 PCR test |
$74 |
$93 |
$74 |
$51 | |
| CPAP titration study |
$810 |
$1,013 |
$694 |
$69 | |
| CT angiography of the chest |
$1,457 |
$1,821 |
$1,612 |
$281 | |
| CT angiography of the head |
$1,840 |
$2,300 |
$2,036 |
$274 | |
| CT scan of the abdomen |
$1,292 |
$1,615 |
$1,292 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,582 |
$3,228 |
$3,180 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$2,945 |
$3,681 |
$2,945 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,582 |
$3,228 |
$3,228 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,582 |
$3,228 |
$3,180 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,472 |
$1,840 |
$1,472 |
$259 | |
| CT scan of the abdomen with contrast |
$1,292 |
$1,615 |
$1,251 |
$230 | |
| CT scan of the abdomen without contrast |
$1,292 |
$1,615 |
$1,251 |
$136 | |
| CT scan of the arm |
$1,292 |
$1,615 |
$1,161 |
$199 | |
| CT scan of the arm with contrast |
$1,292 |
$1,615 |
$1,017 |
$199 | |
| CT scan of the arm without contrast |
$1,292 |
$1,615 |
$1,017 |
$161 | |
| CT scan of the chest |
$1,292 |
$1,615 |
$1,382 |
$167 | |
| CT scan of the chest with and without contrast |
$1,474 |
$1,843 |
$1,161 |
$196 | |
| CT scan of the chest with contrast |
$1,292 |
$1,615 |
$1,566 |
$167 | |
| CT scan of the chest without contrast |
$1,292 |
$1,615 |
$1,566 |
$133 | |
| CT scan of the head |
$1,292 |
$1,615 |
$1,292 |
$148 | |
| CT scan of the head with and without contrast |
$1,412 |
$1,765 |
$1,112 |
$173 | |
| CT scan of the head with contrast |
$1,292 |
$1,615 |
$1,017 |
$148 | |
| CT scan of the head without contrast |
$1,292 |
$1,615 |
$1,615 |
$107 | |
| CT scan of the leg |
$1,292 |
$1,615 |
$1,161 |
$166 | |
| CT scan of the leg with contrast |
$1,292 |
$1,615 |
$1,017 |
$166 | |
| CT scan of the leg without contrast |
$1,292 |
$1,615 |
$1,017 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,292 |
$1,615 |
$1,292 |
$169 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,292 |
$1,615 |
$1,114 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,292 |
$1,615 |
$1,292 |
$130 | |
| CT scan of the neck |
$1,292 |
$1,615 |
$1,292 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,292 |
$1,615 |
$1,615 |
$168 | |
| CT scan of the neck (cervical spine) with and without contrast |
$2,720 |
$3,400 |
$2,346 |
$196 | |
| CT scan of the neck (cervical spine) with contrast |
$1,292 |
$1,615 |
$1,017 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$1,292 |
$1,615 |
$1,590 |
$131 | |
| CT scan of the neck with and without contrast |
$1,412 |
$1,765 |
$1,112 |
$220 | |
| CT scan of the neck with contrast |
$1,292 |
$1,615 |
$1,292 |
$183 | |
| CT scan of the neck without contrast |
$1,292 |
$1,615 |
$1,211 |
$150 | |
| CT scan of the pelvis |
$1,292 |
$1,615 |
$1,251 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,472 |
$1,840 |
$1,159 |
$251 | |
| CT scan of the pelvis with contrast |
$1,292 |
$1,615 |
$1,211 |
$226 | |
| CT scan of the pelvis without contrast |
$1,292 |
$1,615 |
$1,292 |
$133 | |
| CT scan of the sinuses |
$1,292 |
$1,615 |
$1,449 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,840 |
$2,300 |
$1,449 |
$184 | |
| CT scan of the sinuses with contrast |
$1,292 |
$1,615 |
$1,251 |
$152 | |
| CT scan of the sinuses without contrast |
$1,292 |
$1,615 |
$1,566 |
$128 | |
| Diagnostic mammogram |
$263 |
$329 |
$238 |
$140 | |
| Ear pressure test (tympanometry) |
$58 |
$72 |
$45 |
$16 | |
| Ear tubes (myringotomy) |
$460 |
$575 |
$458 |
$174 | |
| Echocardiogram |
$793 |
$991 |
$650 |
$138 | |
| Echocardiogram with and without contrast |
$520 |
$650 |
$520 |
$101 | |
| Echocardiogram without contrast |
$793 |
$991 |
$624 |
$138 | |
| EEG (awake and asleep) |
$501 |
$626 |
$469 |
$482 | |
| EKG / ECG (tracing only) |
$161 |
$201 |
$195 |
$7 | |
| Electrocardiogram (EKG) |
$161 |
$201 |
$174 |
$8 | |
| Electroencephalogram (EEG) |
$489 |
$611 |
$458 |
$448 | |
| Emergency department visit |
$75 |
$93 |
$56 |
$69 | |
| Emergency department visit (level 1) |
$74 |
$92 |
$45 |
$11 | |
| Emergency department visit (level 2) |
$109 |
$136 |
$67 |
$40 | |
| Emergency department visit (level 3) |
$143 |
$179 |
$102 |
$69 | |
| Emergency department visit (level 4) |
$215 |
$269 |
$153 |
$118 | |
| Emergency department visit (level 5) |
$354 |
$443 |
$235 |
$171 | |
| Epidural steroid injection |
$1,184 |
$1,480 |
$1,168 |
$275 | |
| Facet joint injection (spine) |
$832 |
$1,040 |
$800 |
$99 | |
| Family therapy session |
$120 |
$150 |
$88 |
$110 | |
| Fecal occult blood (stool) test |
$29 |
$36 |
$23 |
$10 | |
| Fecal occult blood (stool) test (immunochemical, FIT) |
$29 |
$36 |
$23 |
$16 | |
| Flu test |
$109 |
$136 |
$86 |
$17 | |
| Foreign body removal (skin) |
$180 |
$225 |
$180 |
$157 | |
| Gallbladder scan (HIDA) |
$992 |
$1,240 |
$893 |
$334 | |
| Group therapy session |
$78 |
$98 |
$54 |
$30 | |
| Hearing test (audiometry) |
$88 |
$110 |
$74 |
$36 | |
| Hemoglobin A1c (diabetes test) |
$65 |
$81 |
$81 |
$10 | |
| Holter heart monitor |
$235 |
$293 |
$87 |
$26 | |
| Home sleep apnea test |
$640 |
$800 |
$640 |
$123 | |
| Inguinal hernia repair |
$2,400 |
$3,000 |
$1,470 |
$538 | |
| IUD insertion |
$340 |
$425 |
$268 |
— | |
| IUD removal |
$360 |
$450 |
$284 |
$112 | |
| IV infusion therapy |
$101 |
$126 |
$46 |
$44 | |
| IV infusion therapy (each additional) |
$37 |
$46 |
$44 |
$21 | |
| IV infusion therapy (initial) |
$165 |
$207 |
$204 |
$67 | |
| Joint aspiration (small/intermediate) |
$86 |
$108 |
$104 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$120 |
$150 |
$108 |
$57 | |
| Joint aspiration or injection (small joint) |
$84 |
$104 |
$101 |
$56 | |
| Kidney scan (nuclear) |
$1,273 |
$1,591 |
$1,002 |
$172 | |
| Kidney ultrasound |
$264 |
$330 |
$355 |
$84 | |
| Kidney ultrasound (limited) |
$49 |
$61 |
$44 |
$61 | |
| Knee joint injection |
$182 |
$228 |
$206 |
$69 | |
| Laryngoscopy |
$140 |
$175 |
$110 |
$189 | |
| Leg vein ultrasound (Doppler) |
$719 |
$898 |
$654 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$607 |
$758 |
$478 |
$116 | |
| Lung function test (PFT) |
$126 |
$157 |
$99 |
$37 | |
| Lung scan (V/Q) |
$1,212 |
$1,515 |
$954 |
$291 | |
| MRA of the brain |
$2,116 |
$2,645 |
$1,666 |
$226 | |
| MRA of the brain without contrast |
$2,116 |
$2,645 |
$1,666 |
$328 | |
| MRA of the neck |
$2,774 |
$3,467 |
$2,645 |
$245 | |
| MRA of the neck without contrast |
$3,432 |
$4,290 |
$2,703 |
$343 | |
| MRI of the abdomen |
$2,116 |
$2,645 |
$2,645 |
$300 | |
| MRI of the abdomen with contrast |
$2,116 |
$2,645 |
$1,666 |
$300 | |
| MRI of the abdomen without contrast |
$2,116 |
$2,645 |
$1,666 |
$194 | |
| MRI of the ankle |
$2,976 |
$3,720 |
$2,645 |
$261 | |
| MRI of the ankle without contrast |
$2,116 |
$2,645 |
$1,666 |
$222 | |
| MRI of the brain |
$2,116 |
$2,645 |
$2,645 |
$269 | |
| MRI of the brain with contrast |
$2,116 |
$2,645 |
$1,666 |
$269 | |
| MRI of the brain without contrast |
$2,116 |
$2,645 |
$2,341 |
$195 | |
| MRI of the chest |
$3,058 |
$3,822 |
$2,645 |
$371 | |
| MRI of the chest without contrast |
$4,000 |
$5,000 |
$3,150 |
$466 | |
| MRI of the knee |
$2,383 |
$2,979 |
$2,087 |
$315 | |
| MRI of the knee without contrast |
$2,116 |
$2,645 |
$1,666 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,153 |
$2,691 |
$2,645 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,116 |
$2,645 |
$1,666 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$2,153 |
$2,691 |
$2,610 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$2,345 |
$2,931 |
$2,645 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,907 |
$4,883 |
$3,076 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$2,116 |
$2,645 |
$1,666 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$2,345 |
$2,931 |
$2,345 |
$190 | |
| MRI of the neck (cervical spine) |
$2,116 |
$2,645 |
$2,645 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$3,907 |
$4,883 |
$3,076 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,116 |
$2,645 |
$1,666 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$2,116 |
$2,645 |
$2,341 |
$191 | |
| MRI of the pelvis |
$2,116 |
$2,645 |
$2,645 |
$268 | |
| MRI of the pelvis with contrast |
$2,116 |
$2,645 |
$1,825 |
$268 | |
| MRI of the pelvis without contrast |
$2,116 |
$2,645 |
$1,666 |
$227 | |
| MRI of the shoulder |
$2,800 |
$3,500 |
$2,221 |
$313 | |
| MRI of the shoulder with contrast |
$2,800 |
$3,500 |
$2,205 |
$313 | |
| MRI of the shoulder without contrast |
$2,116 |
$2,645 |
$1,666 |
$205 | |
| MRI of the wrist |
$2,976 |
$3,720 |
$2,645 |
$330 | |
| MRI of the wrist without contrast |
$2,116 |
$2,645 |
$1,666 |
$303 | |
| Nebulizer breathing treatment |
$94 |
$117 |
$101 |
$9 | |
| Occupational therapy evaluation |
$220 |
$275 |
$189 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$240 |
$300 |
$189 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$196 |
$245 |
$154 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$220 |
$275 |
$173 |
$101 | |
| Office visit (established patient) |
$80 |
$100 |
$76 |
$115 | |
| Office visit (new patient) |
$91 |
$113 |
$85 |
$177 | |
| Office visit, established patient (level 3) |
$80 |
$100 |
$63 |
$95 | |
| Office visit, established patient (level 4) |
$99 |
$123 |
$86 |
$136 | |
| Office visit, new patient (level 3) |
$80 |
$100 |
$77 |
$118 | |
| Office visit, new patient (level 4) |
$91 |
$113 |
$88 |
$177 | |
| Office visit, new patient (level 5) |
$114 |
$143 |
$100 |
$237 | |
| Pelvic ultrasound |
$453 |
$567 |
$433 |
$78 | |
| Pelvic ultrasound (complete) |
$561 |
$701 |
$526 |
$105 | |
| Pelvic ultrasound (limited) |
$346 |
$433 |
$273 |
$51 | |
| Physical therapy evaluation |
$200 |
$250 |
$198 |
$98 | |
| Physical therapy evaluation (high complexity) |
$252 |
$315 |
$198 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$200 |
$250 |
$158 |
$98 | |
| Pilonidal cyst removal |
$800 |
$1,000 |
$630 |
$541 | |
| Pregnancy ultrasound |
$410 |
$513 |
$379 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$340 |
$425 |
$268 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$481 |
$601 |
$379 |
$136 | |
| Psychiatric evaluation |
$160 |
$200 |
$113 |
$188 | |
| Psychotherapy session |
$124 |
$154 |
$96 |
$140 | |
| Pulmonary rehabilitation |
$195 |
$244 |
$189 |
$87 | |
| Radiofrequency nerve ablation |
$2,490 |
$3,113 |
$2,331 |
$462 | |
| Sacroiliac joint injection |
$348 |
$435 |
$274 |
$176 | |
| Scoliosis spine X-ray |
$162 |
$203 |
$144 |
$58 | |
| Scoliosis spine X-ray (1 view) |
$144 |
$180 |
$113 |
$44 | |
| Scoliosis spine X-ray (3 views) |
$180 |
$225 |
$180 |
$72 | |
| Screening colonoscopy |
$483 |
$604 |
$296 |
$378 | |
| Screening mammogram |
$275 |
$344 |
$275 |
$126 | |
| Scrotal ultrasound |
$602 |
$753 |
$602 |
$99 | |
| Septoplasty (deviated septum) |
$1,200 |
$1,500 |
$882 |
$613 | |
| Simple laceration repair (small, up to 2.5 cm) |
$209 |
$262 |
$183 |
$114 | |
| Simple wound stitches |
$215 |
$269 |
$190 |
$127 | |
| Skin biopsy |
$104 |
$130 |
$86 |
$121 | |
| Skin biopsy (punch) |
$167 |
$209 |
$132 |
$121 | |
| Skin cancer lesion removal |
$267 |
$334 |
$229 |
$240 | |
| Skin lesion freezing (cryotherapy) |
$40 |
$50 |
$32 |
$36 | |
| Skin tag removal |
$83 |
$103 |
$66 |
$92 | |
| Sleep study (polysomnography) |
$2,338 |
$2,922 |
$2,260 |
$691 | |
| Soft tissue ultrasound |
$273 |
$342 |
$215 |
$64 | |
| Speech therapy |
$200 |
$250 |
$170 |
$76 | |
| Spinal tap (lumbar puncture) |
$346 |
$433 |
$272 |
$165 | |
| Spirometry (lung function test) |
$85 |
$106 |
$61 |
$30 | |
| Spirometry with bronchodilator |
$349 |
$436 |
$275 |
$43 | |
| Strep throat test |
$44 |
$54 |
$34 |
$17 | |
| Swallow study |
$304 |
$380 |
$239 |
$85 | |
| Tdap (tetanus) vaccine |
$184 |
$184 |
$181 |
— | |
| Thyroid ultrasound |
$468 |
$585 |
$568 |
$109 | |
| Thyroid uptake scan |
$680 |
$850 |
$536 |
$145 | |
| Tonsillectomy |
$714 |
$893 |
$505 |
$252 | |
| Transesophageal echocardiogram (TEE) |
$1,195 |
$1,493 |
$941 |
$239 | |
| Transesophageal echocardiogram (TEE) with and without contrast |
$1,195 |
$1,493 |
$941 |
$239 | |
| Transvaginal ultrasound |
$521 |
$652 |
$521 |
$118 | |
| Trigger point injection |
$170 |
$212 |
$193 |
$56 | |
| Trigger point injection (1-2 muscles) |
$155 |
$193 |
$122 |
$52 | |
| Turbinate reduction |
$400 |
$500 |
$294 |
$294 | |
| Upper GI endoscopy (EGD) |
$1,941 |
$2,427 |
$2,635 |
$371 | |
| Urine microalbumin test |
$43 |
$54 |
$42 |
$5 | |
| Vaccine administration |
$60 |
$75 |
$56 |
$19 | |
| Vaccine administration (each additional) |
$46 |
$57 |
$36 |
$16 | |
| Wart removal |
$92 |
$115 |
$83 |
$121 | |
| Wound debridement |
$279 |
$348 |
$289 |
$186 | |
| X-ray of the abdomen |
$225 |
$281 |
$225 |
$36 | |
| X-ray of the ankle |
$178 |
$222 |
$140 |
$37 | |
| X-ray of the collarbone |
$166 |
$208 |
$131 |
$33 | |
| X-ray of the elbow |
$176 |
$220 |
$139 |
$33 | |
| X-ray of the facial bones |
$250 |
$312 |
$197 |
$39 | |
| X-ray of the foot |
$172 |
$215 |
$135 |
$34 | |
| X-ray of the forearm |
$160 |
$200 |
$126 |
$29 | |
| X-ray of the hand |
$180 |
$225 |
$142 |
$38 | |
| X-ray of the hip |
$156 |
$195 |
$152 |
$49 | |
| X-ray of the hip (1 view) |
$150 |
$187 |
$118 |
$34 | |
| X-ray of the hip (3 views) |
$156 |
$195 |
$123 |
$49 | |
| X-ray of the hip (4 views) |
$193 |
$241 |
$152 |
$63 | |
| X-ray of the knee |
$185 |
$231 |
$180 |
$42 | |
| X-ray of the knee (2 views) |
$166 |
$208 |
$131 |
$34 | |
| X-ray of the knee (3 views) |
$185 |
$231 |
$146 |
$42 | |
| X-ray of the knee (4+ views) |
$228 |
$285 |
$180 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$241 |
$301 |
$265 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$217 |
$271 |
$267 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$265 |
$331 |
$265 |
$53 | |
| X-ray of the lower leg |
$170 |
$212 |
$134 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$256 |
$320 |
$258 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$213 |
$266 |
$213 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$299 |
$374 |
$290 |
$39 | |
| X-ray of the neck (cervical spine) |
$222 |
$278 |
$243 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$194 |
$243 |
$239 |
$40 | |
| X-ray of the pelvis |
$175 |
$219 |
$158 |
$36 | |
| X-ray of the pelvis (1 view) |
$163 |
$203 |
$163 |
$28 | |
| X-ray of the ribs |
$209 |
$261 |
$223 |
$42 | |
| X-ray of the ribs (2 views) |
$187 |
$234 |
$147 |
$36 | |
| X-ray of the ribs (3 views) |
$293 |
$366 |
$231 |
$42 | |
| X-ray of the shoulder |
$227 |
$284 |
$179 |
$36 | |
| X-ray of the skull |
$235 |
$294 |
$217 |
$40 | |
| X-ray of the upper arm |
$157 |
$197 |
$124 |
$32 | |
| X-ray of the wrist |
$170 |
$212 |
$134 |
$43 | |