How much rates vary
Facilitymedian $76 · 10th to 90th $31 to $468Professionalmedian $32 · 10th to 90th $23 to $55
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 $23.44 Median $30.90 Typical High $190.55 | Facility | None | $23.44 | $30.90 | $190.55 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $8.32 | Facility | 26 · Professional part | $6.76 | $8.32 | $8.32 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $22.39 Typical High $41.69 | Facility | TC · Technical part | $16.60 | $22.39 | $41.69 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $29.51 Typical High $50.12 | Professional | None (both parts) | $23.44 | $29.51 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $12.88 | Professional | 26 · Professional part | $6.92 | $8.32 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.38 Typical High $34.67 | Professional | TC · Technical part | $16.60 | $21.38 | $34.67 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.33 Typical High $12.88 | Professional | 26 · Professional part | $6.61 | $9.33 | $12.88 |
AmeriHealth Setting Facility Modifier None Typical Low $33.88 Median $74.13 Typical High $1,698.24 | Facility | None | $33.88 | $74.13 | $1,698.24 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $35.48 Median $39.81 Typical High $79.43 | Professional | None (both parts) | $35.48 | $39.81 | $79.43 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $19.50 | Professional | 26 · Professional part | $10.23 | $10.23 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $125.89 | Facility | None | $60.26 | $83.18 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $28.18 Typical High $57.54 | Professional | None (both parts) | $23.44 | $28.18 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.61 Typical High $15.49 | Professional | 26 · Professional part | $5.89 | $6.61 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $19.05 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $19.05 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $46.77 Typical High $51.29 | Professional | None (both parts) | $38.90 | $46.77 | $51.29 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $13.18 | Professional | 26 · Professional part | $10.23 | $11.75 | $13.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $38.02 | Professional | TC · Technical part | $28.84 | $34.67 | $38.02 |
Horizon BCBS Setting Facility Modifier None Typical Low $28.18 Median $269.15 Typical High $407.38 | Facility | None | $28.18 | $269.15 | $407.38 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $36.31 Typical High $52.48 | Professional | None (both parts) | $31.62 | $36.31 | $52.48 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $13.80 | Professional | 26 · Professional part | $8.13 | $9.33 | $13.80 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $38.02 | Professional | TC · Technical part | $23.44 | $26.92 | $38.02 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $363.08 | Facility | None | $165.96 | $165.96 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.84 Typical High $56.23 | Professional | None (both parts) | $22.39 | $28.84 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.76 Typical High $14.45 | Professional | 26 · Professional part | $6.17 | $7.76 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $16.22 | $21.38 | $41.69 |
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 $10.72 Median $11.75 Typical High $15.49 | Professional | 52 · Reduced service | $10.72 | $11.75 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.68 Typical High $6.31 | Professional | 53 · Discontinued | $4.27 | $4.68 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $19.05 Typical High $24.55 | Professional | FX · Film X-ray | $19.05 | $19.05 | $24.55 |
Where New Jersey sits
The same service costs 4.1 times more in Alaska than in New York. 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 Jersey· 40th of 51
$31.62
AK $95.50NY $23.44
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.