| 3D mammogram (tomosynthesis) |
$23 |
$26 |
$20 |
$51 | |
| Abdominal fluid drain (paracentesis) |
$527 |
$585 |
$455 |
$284 | |
| Abdominal ultrasound |
$341 |
$379 |
$312 |
$100 | |
| Abdominal ultrasound (complete) |
$389 |
$433 |
$337 |
$114 | |
| Abdominal ultrasound (limited) |
$292 |
$325 |
$253 |
$86 | |
| Abscess drainage (complex or multiple) |
$167 |
$186 |
$178 |
$220 | |
| Abscess drainage (simple) |
$88 |
$98 |
$94 |
$129 | |
| Abscess incision and drainage |
$167 |
$186 |
$144 |
$174 | |
| Achilles tendon repair |
$1,405 |
$1,561 |
$1,499 |
$624 | |
| ACL knee reconstruction |
$2,085 |
$2,317 |
$2,224 |
$889 | |
| Allergy shots |
$34 |
$38 |
$31 |
$11 | |
| Ankle fracture repair |
$1,375 |
$1,528 |
$1,467 |
$608 | |
| Barium swallow study |
$304 |
$338 |
$273 |
$107 | |
| Bladder scope (cystoscopy) |
$425 |
$472 |
$453 |
$216 | |
| Bladder tumor removal (TURBT) |
$421 |
$468 |
$430 |
$236 | |
| Blood transfusion |
$459 |
$510 |
$397 |
$47 | |
| Bone density scan (DEXA) |
$384 |
$427 |
$332 |
$39 | |
| Bone scan (nuclear) |
$844 |
$938 |
$730 |
$259 | |
| Botox for migraine |
$617 |
$685 |
$627 |
$157 | |
| Breast biopsy |
$1,267 |
$1,407 |
$1,095 |
$478 | |
| Breast ultrasound |
$225 |
$250 |
$195 |
$92 | |
| Breast ultrasound (limited) |
$225 |
$250 |
$195 |
$84 | |
| Breathing tube insertion (intubation) |
$199 |
$222 |
$163 |
$133 | |
| Bunion surgery (bunionectomy) |
$1,189 |
$1,321 |
$1,198 |
$883 | |
| Cardiac rehabilitation |
$184 |
$204 |
$159 |
$26 | |
| Cardiac stress test |
$490 |
$545 |
$424 |
$39 | |
| Cardioversion |
$371 |
$412 |
$363 |
$155 | |
| Carotid artery ultrasound |
$718 |
$798 |
$621 |
$156 | |
| Carpal tunnel release |
$900 |
$1,000 |
$960 |
$483 | |
| Chemotherapy infusion |
$121 |
$134 |
$103 |
$81 | |
| Chemotherapy infusion (each additional) |
$56 |
$62 |
$48 |
$28 | |
| Chemotherapy infusion (first hour) |
$185 |
$206 |
$160 |
$133 | |
| Chest X-ray |
$156 |
$173 |
$146 |
$37 | |
| Chest X-ray (1 view) |
$132 |
$147 |
$114 |
$25 | |
| Chest X-ray (2 views) |
$156 |
$173 |
$135 |
$33 | |
| Circumcision |
$315 |
$350 |
$336 |
$167 | |
| Colonoscopy |
$1,814 |
$2,015 |
$1,511 |
$480 | |
| Contraceptive implant (Nexplanon) |
$177 |
$197 |
$189 |
$115 | |
| COVID-19 PCR test |
$104 |
$115 |
$90 |
$51 | |
| CPAP titration study |
$270 |
$300 |
$234 |
$69 | |
| CT angiography of the chest |
$1,283 |
$1,426 |
$1,110 |
$281 | |
| CT angiography of the head |
$1,480 |
$1,644 |
$1,280 |
$274 | |
| CT scan of the abdomen |
$1,073 |
$1,193 |
$974 |
$230 | |
| CT scan of the abdomen and pelvis |
$2,700 |
$3,000 |
$2,485 |
$300 | |
| CT scan of the abdomen and pelvis with and without contrast |
$3,150 |
$3,500 |
$2,724 |
$338 | |
| CT scan of the abdomen and pelvis with contrast |
$2,700 |
$3,000 |
$2,335 |
$300 | |
| CT scan of the abdomen and pelvis without contrast |
$2,430 |
$2,700 |
$2,102 |
$183 | |
| CT scan of the abdomen with and without contrast |
$1,073 |
$1,193 |
$928 |
$259 | |
| CT scan of the abdomen with contrast |
$1,217 |
$1,353 |
$1,053 |
$230 | |
| CT scan of the abdomen without contrast |
$1,031 |
$1,146 |
$892 |
$136 | |
| CT scan of the arm |
$1,026 |
$1,140 |
$912 |
$199 | |
| CT scan of the arm with contrast |
$1,026 |
$1,140 |
$887 |
$199 | |
| CT scan of the arm without contrast |
$934 |
$1,038 |
$808 |
$161 | |
| CT scan of the chest |
$1,217 |
$1,353 |
$1,082 |
$167 | |
| CT scan of the chest with and without contrast |
$1,317 |
$1,464 |
$1,139 |
$196 | |
| CT scan of the chest with contrast |
$1,217 |
$1,353 |
$1,053 |
$167 | |
| CT scan of the chest without contrast |
$1,032 |
$1,147 |
$892 |
$133 | |
| CT scan of the head |
$1,032 |
$1,147 |
$917 |
$148 | |
| CT scan of the head with and without contrast |
$1,117 |
$1,241 |
$966 |
$173 | |
| CT scan of the head with contrast |
$1,032 |
$1,147 |
$892 |
$148 | |
| CT scan of the head without contrast |
$942 |
$1,047 |
$815 |
$107 | |
| CT scan of the leg |
$1,026 |
$1,140 |
$996 |
$166 | |
| CT scan of the leg with contrast |
$1,026 |
$1,140 |
$887 |
$166 | |
| CT scan of the leg without contrast |
$934 |
$1,038 |
$808 |
$130 | |
| CT scan of the lower back (lumbar spine) |
$1,122 |
$1,247 |
$1,054 |
$169 | |
| CT scan of the lower back (lumbar spine) with and without contrast |
$1,317 |
$1,464 |
$1,139 |
$197 | |
| CT scan of the lower back (lumbar spine) with contrast |
$1,122 |
$1,247 |
$970 |
$169 | |
| CT scan of the lower back (lumbar spine) without contrast |
$1,002 |
$1,114 |
$867 |
$130 | |
| CT scan of the neck |
$1,026 |
$1,140 |
$996 |
$183 | |
| CT scan of the neck (cervical spine) |
$1,028 |
$1,142 |
$935 |
$168 | |
| CT scan of the neck (cervical spine) with contrast |
$1,122 |
$1,247 |
$970 |
$168 | |
| CT scan of the neck (cervical spine) without contrast |
$934 |
$1,038 |
$808 |
$131 | |
| CT scan of the neck with and without contrast |
$1,317 |
$1,464 |
$1,139 |
$220 | |
| CT scan of the neck with contrast |
$1,026 |
$1,140 |
$887 |
$183 | |
| CT scan of the neck without contrast |
$934 |
$1,038 |
$808 |
$150 | |
| CT scan of the pelvis |
$1,217 |
$1,353 |
$1,053 |
$226 | |
| CT scan of the pelvis with and without contrast |
$1,317 |
$1,464 |
$1,139 |
$251 | |
| CT scan of the pelvis with contrast |
$1,217 |
$1,353 |
$1,053 |
$226 | |
| CT scan of the pelvis without contrast |
$934 |
$1,038 |
$808 |
$133 | |
| CT scan of the sinuses |
$1,026 |
$1,140 |
$996 |
$152 | |
| CT scan of the sinuses with and without contrast |
$1,317 |
$1,464 |
$1,139 |
$184 | |
| CT scan of the sinuses with contrast |
$1,026 |
$1,140 |
$887 |
$152 | |
| CT scan of the sinuses without contrast |
$934 |
$1,038 |
$808 |
$128 | |
| Diagnostic mammogram |
$214 |
$238 |
$195 |
$140 | |
| Echocardiogram |
$614 |
$683 |
$531 |
$138 | |
| Echocardiogram with and without contrast |
$248 |
$275 |
$214 |
$101 | |
| Echocardiogram without contrast |
$614 |
$683 |
$531 |
$138 | |
| EKG / ECG (tracing only) |
$165 |
$184 |
$143 |
$7 | |
| Electrocardiogram (EKG) |
$165 |
$184 |
$132 |
$8 | |
| Electroencephalogram (EEG) |
$794 |
$882 |
$687 |
$448 | |
| Emergency department visit |
$99 |
$110 |
$88 |
$69 | |
| Emergency department visit (level 1) |
$68 |
$75 |
$72 |
$11 | |
| Emergency department visit (level 2) |
$126 |
$140 |
$127 |
$40 | |
| Emergency department visit (level 3) |
$176 |
$195 |
$176 |
$69 | |
| Emergency department visit (level 4) |
$243 |
$270 |
$259 |
$118 | |
| Emergency department visit (level 5) |
$338 |
$375 |
$360 |
$171 | |
| Epidural steroid injection |
$1,076 |
$1,195 |
$956 |
$275 | |
| Facet joint injection (spine) |
$383 |
$425 |
$361 |
$99 | |
| Feeding tube (PEG) placement |
$422 |
$469 |
$450 |
$178 | |
| Flu vaccine |
$27 |
$30 |
$23 |
— | |
| Gallbladder scan (HIDA) |
$1,103 |
$1,226 |
$1,016 |
$334 | |
| Ganglion cyst removal |
$676 |
$751 |
$721 |
$321 | |
| Group therapy session |
$126 |
$140 |
$109 |
$30 | |
| Hammertoe repair |
$822 |
$913 |
$876 |
$548 | |
| Hip replacement |
$2,876 |
$3,196 |
$3,068 |
$1,162 | |
| Holter heart monitor |
$184 |
$204 |
$196 |
$26 | |
| Home sleep apnea test |
$320 |
$356 |
$277 |
$123 | |
| Hydrocele repair |
$554 |
$615 |
$590 |
$315 | |
| IV infusion therapy |
$83 |
$93 |
$41 |
$44 | |
| IV infusion therapy (each additional) |
$37 |
$41 |
$32 |
$21 | |
| IV infusion therapy (initial) |
$130 |
$144 |
$112 |
$67 | |
| Joint aspiration (small/intermediate) |
$338 |
$375 |
$360 |
$57 | |
| Joint aspiration or injection (mid-size joint) |
$338 |
$375 |
$360 |
$57 | |
| Joint aspiration or injection (small joint) |
$338 |
$375 |
$360 |
$56 | |
| Kidney scan (nuclear) |
$1,658 |
$1,842 |
$1,434 |
$172 | |
| Kidney ultrasound |
$396 |
$440 |
$351 |
$84 | |
| Kidney ultrasound (limited) |
$316 |
$351 |
$273 |
$61 | |
| Knee arthroscopy |
$1,168 |
$1,298 |
$1,246 |
$524 | |
| Knee joint injection |
$1,076 |
$1,195 |
$930 |
$69 | |
| Leg vein ultrasound (Doppler) |
$543 |
$604 |
$492 |
$150 | |
| Leg vein ultrasound (Doppler) (limited) |
$496 |
$551 |
$429 |
$116 | |
| Liver biopsy |
$1,346 |
$1,496 |
$1,164 |
$288 | |
| Lung function test (PFT) |
$83 |
$92 |
$72 |
$37 | |
| Lung scan (V/Q) |
$1,210 |
$1,344 |
$1,046 |
$291 | |
| MRA of the brain |
$2,005 |
$2,228 |
$2,139 |
$226 | |
| MRA of the brain with contrast |
$2,005 |
$2,228 |
$1,734 |
$226 | |
| MRA of the brain without contrast |
$3,151 |
$3,501 |
$2,725 |
$328 | |
| MRA of the neck |
$3,056 |
$3,395 |
$2,643 |
$245 | |
| MRA of the neck without contrast |
$3,056 |
$3,395 |
$2,643 |
$343 | |
| MRI of the abdomen |
$2,243 |
$2,493 |
$2,031 |
$300 | |
| MRI of the abdomen with contrast |
$2,243 |
$2,493 |
$1,940 |
$300 | |
| MRI of the abdomen without contrast |
$1,861 |
$2,068 |
$1,610 |
$194 | |
| MRI of the ankle |
$2,458 |
$2,732 |
$2,222 |
$261 | |
| MRI of the ankle without contrast |
$1,861 |
$2,068 |
$1,610 |
$222 | |
| MRI of the brain |
$2,052 |
$2,281 |
$1,985 |
$269 | |
| MRI of the brain with contrast |
$2,052 |
$2,281 |
$1,775 |
$269 | |
| MRI of the brain without contrast |
$1,861 |
$2,068 |
$1,610 |
$195 | |
| MRI of the chest |
$2,243 |
$2,493 |
$2,189 |
$371 | |
| MRI of the chest with contrast |
$2,243 |
$2,493 |
$1,940 |
$371 | |
| MRI of the chest without contrast |
$3,056 |
$3,395 |
$2,643 |
$466 | |
| MRI of the knee |
$1,839 |
$2,043 |
$1,610 |
$315 | |
| MRI of the knee with contrast |
$1,706 |
$1,895 |
$1,475 |
$315 | |
| MRI of the knee without contrast |
$1,861 |
$2,068 |
$1,610 |
$204 | |
| MRI of the lower back (lumbar spine) |
$2,005 |
$2,228 |
$1,894 |
$270 | |
| MRI of the lower back (lumbar spine) with contrast |
$2,005 |
$2,228 |
$1,734 |
$270 | |
| MRI of the lower back (lumbar spine) without contrast |
$1,719 |
$1,910 |
$1,486 |
$192 | |
| MRI of the mid-back (thoracic spine) |
$1,910 |
$2,122 |
$1,935 |
$271 | |
| MRI of the mid-back (thoracic spine) with and without contrast |
$3,056 |
$3,395 |
$2,643 |
$319 | |
| MRI of the mid-back (thoracic spine) with contrast |
$1,910 |
$2,122 |
$1,652 |
$271 | |
| MRI of the mid-back (thoracic spine) without contrast |
$1,814 |
$2,016 |
$1,569 |
$190 | |
| MRI of the neck (cervical spine) |
$2,005 |
$2,228 |
$1,910 |
$274 | |
| MRI of the neck (cervical spine) with and without contrast |
$2,960 |
$3,289 |
$2,560 |
$318 | |
| MRI of the neck (cervical spine) with contrast |
$2,005 |
$2,228 |
$1,734 |
$274 | |
| MRI of the neck (cervical spine) without contrast |
$1,719 |
$1,910 |
$1,486 |
$191 | |
| MRI of the pelvis |
$2,052 |
$2,281 |
$2,037 |
$268 | |
| MRI of the pelvis with contrast |
$2,052 |
$2,281 |
$1,775 |
$268 | |
| MRI of the pelvis without contrast |
$1,910 |
$2,122 |
$1,652 |
$227 | |
| MRI of the shoulder |
$2,005 |
$2,228 |
$1,935 |
$313 | |
| MRI of the shoulder with contrast |
$2,005 |
$2,228 |
$1,734 |
$313 | |
| MRI of the shoulder without contrast |
$1,814 |
$2,016 |
$1,569 |
$205 | |
| MRI of the wrist |
$2,155 |
$2,394 |
$1,885 |
$330 | |
| MRI of the wrist without contrast |
$1,254 |
$1,393 |
$1,084 |
$303 | |
| Nebulizer breathing treatment |
$92 |
$102 |
$78 |
$9 | |
| Occupational therapy evaluation |
$110 |
$123 |
$95 |
$101 | |
| Occupational therapy evaluation (high complexity) |
$110 |
$123 |
$95 |
$101 | |
| Occupational therapy evaluation (low complexity) |
$110 |
$123 |
$95 |
$101 | |
| Occupational therapy evaluation (moderate complexity) |
$110 |
$123 |
$95 |
$101 | |
| Office visit (established patient) |
$146 |
$163 |
$131 |
$115 | |
| Office visit (new patient) |
$180 |
$200 |
$175 |
$177 | |
| Office visit, established patient (level 3) |
$111 |
$124 |
$113 |
$95 | |
| Office visit, established patient (level 4) |
$170 |
$189 |
$147 |
$136 | |
| Office visit, new patient (level 3) |
$164 |
$182 |
$142 |
$118 | |
| Office visit, new patient (level 4) |
$279 |
$310 |
$223 |
$177 | |
| Office visit, new patient (level 5) |
$364 |
$404 |
$303 |
$237 | |
| Orthopedic hardware removal |
$900 |
$1,000 |
$960 |
$632 | |
| Pelvic ultrasound |
$270 |
$300 |
$220 |
$78 | |
| Pelvic ultrasound (complete) |
$341 |
$379 |
$295 |
$105 | |
| Pelvic ultrasound (limited) |
$198 |
$220 |
$171 |
$51 | |
| Physical therapy evaluation |
$110 |
$123 |
$95 |
$98 | |
| Physical therapy evaluation (high complexity) |
$110 |
$123 |
$95 |
$98 | |
| Physical therapy evaluation (moderate complexity) |
$110 |
$123 |
$95 |
$98 | |
| Pregnancy ultrasound |
$365 |
$406 |
$324 |
$126 | |
| Pregnancy ultrasound (first trimester) |
$341 |
$379 |
$295 |
$117 | |
| Pregnancy ultrasound (second or third trimester) |
$389 |
$433 |
$337 |
$136 | |
| Pulmonary rehabilitation |
$184 |
$204 |
$159 |
$87 | |
| Radiofrequency nerve ablation |
$3,011 |
$3,345 |
$2,640 |
$462 | |
| Rotator cuff repair |
$1,802 |
$2,002 |
$1,928 |
$792 | |
| Sacroiliac joint injection |
$1,076 |
$1,195 |
$984 |
$176 | |
| Scoliosis spine X-ray |
$436 |
$484 |
$377 |
$58 | |
| Scoliosis spine X-ray (3 views) |
$436 |
$484 |
$377 |
$72 | |
| Screening colonoscopy |
$913 |
$1,015 |
$986 |
$378 | |
| Screening mammogram |
$196 |
$218 |
$182 |
$126 | |
| Scrotal ultrasound |
$341 |
$379 |
$295 |
$99 | |
| Shoulder arthroscopy |
$2,191 |
$2,434 |
$2,337 |
$962 | |
| Shoulder replacement |
$3,088 |
$3,431 |
$3,294 |
$1,300 | |
| Simple laceration repair (small, up to 2.5 cm) |
$139 |
$155 |
$125 |
$114 | |
| Simple wound stitches |
$139 |
$155 |
$127 |
$127 | |
| Sleep study (polysomnography) |
$1,882 |
$2,091 |
$1,683 |
$691 | |
| Soft tissue ultrasound |
$351 |
$390 |
$303 |
$64 | |
| Speech therapy |
$152 |
$169 |
$131 |
$76 | |
| Spinal tap (lumbar puncture) |
$324 |
$361 |
$288 |
$165 | |
| Spirometry (lung function test) |
$128 |
$143 |
$104 |
$30 | |
| Spirometry with bronchodilator |
$83 |
$92 |
$72 |
$43 | |
| Stress echocardiogram |
$459 |
$510 |
$397 |
$209 | |
| Swallow study |
$179 |
$199 |
$155 |
$85 | |
| Tdap (tetanus) vaccine |
$181 |
$181 |
$137 |
— | |
| Thyroid ultrasound |
$316 |
$351 |
$273 |
$109 | |
| Thyroid uptake scan |
$729 |
$810 |
$666 |
$145 | |
| Transvaginal ultrasound |
$341 |
$379 |
$295 |
$118 | |
| Trigger finger release |
$654 |
$727 |
$698 |
$630 | |
| Trigger point injection |
$477 |
$530 |
$480 |
$56 | |
| Trigger point injection (1-2 muscles) |
$338 |
$375 |
$360 |
$52 | |
| Ulnar nerve surgery (elbow) |
$1,250 |
$1,389 |
$1,333 |
$575 | |
| Upper GI endoscopy (EGD) |
$1,875 |
$2,083 |
$1,562 |
$371 | |
| Upper GI series (barium) |
$351 |
$390 |
$303 |
$128 | |
| Vaccine administration |
$14 |
$15 |
$12 |
$19 | |
| Vaccine administration (each additional) |
$11 |
$13 |
$10 |
$16 | |
| Vasectomy |
$365 |
$405 |
$389 |
$347 | |
| Vitamin D test |
$59 |
$65 |
$51 |
$30 | |
| Wart removal |
$149 |
$165 |
$158 |
$121 | |
| Wound debridement |
$134 |
$149 |
$143 |
$186 | |
| X-ray of the abdomen |
$156 |
$174 |
$143 |
$36 | |
| X-ray of the ankle |
$145 |
$162 |
$126 |
$37 | |
| X-ray of the collarbone |
$127 |
$141 |
$110 |
$33 | |
| X-ray of the elbow |
$145 |
$162 |
$126 |
$33 | |
| X-ray of the facial bones |
$166 |
$184 |
$151 |
$39 | |
| X-ray of the foot |
$145 |
$162 |
$126 |
$34 | |
| X-ray of the forearm |
$127 |
$141 |
$110 |
$29 | |
| X-ray of the hand |
$136 |
$152 |
$118 |
$38 | |
| X-ray of the hip |
$136 |
$152 |
$118 |
$49 | |
| X-ray of the hip (3 views) |
$136 |
$152 |
$118 |
$49 | |
| X-ray of the knee |
$136 |
$152 |
$121 |
$42 | |
| X-ray of the knee (2 views) |
$127 |
$141 |
$110 |
$34 | |
| X-ray of the knee (3 views) |
$136 |
$152 |
$118 |
$42 | |
| X-ray of the knee (4+ views) |
$145 |
$162 |
$126 |
$49 | |
| X-ray of the lower back (lumbar spine) |
$198 |
$220 |
$179 |
$47 | |
| X-ray of the lower back (lumbar spine) (2 views) |
$181 |
$201 |
$156 |
$40 | |
| X-ray of the lower back (lumbar spine) (4+ views) |
$214 |
$238 |
$185 |
$53 | |
| X-ray of the lower leg |
$136 |
$152 |
$118 |
$31 | |
| X-ray of the mid-back (thoracic spine) |
$185 |
$206 |
$175 |
$36 | |
| X-ray of the mid-back (thoracic spine) (2 views) |
$146 |
$163 |
$126 |
$33 | |
| X-ray of the mid-back (thoracic spine) (3 views) |
$225 |
$250 |
$194 |
$39 | |
| X-ray of the neck (cervical spine) |
$175 |
$194 |
$167 |
$47 | |
| X-ray of the neck (cervical spine) (3 views) |
$136 |
$152 |
$118 |
$40 | |
| X-ray of the pelvis |
$153 |
$171 |
$141 |
$36 | |
| X-ray of the pelvis (1 view) |
$132 |
$147 |
$114 |
$28 | |
| X-ray of the ribs |
$184 |
$205 |
$164 |
$42 | |
| X-ray of the ribs (2 views) |
$173 |
$193 |
$150 |
$36 | |
| X-ray of the ribs (3 views) |
$184 |
$205 |
$159 |
$42 | |
| X-ray of the shoulder |
$146 |
$163 |
$126 |
$36 | |
| X-ray of the skull |
$195 |
$217 |
$171 |
$40 | |
| X-ray of the upper arm |
$136 |
$152 |
$118 |
$32 | |
| X-ray of the wrist |
$145 |
$162 |
$126 |
$43 | |