How much rates vary
Facilitymedian $95 · 10th to 90th $34 to $363Professionalmedian $32 · 10th to 90th $25 to $59
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 $25.12 Median $25.12 Typical High $31.62 | Facility | None | $25.12 | $25.12 | $31.62 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $29.51 Typical High $44.67 | Professional | None (both parts) | $25.12 | $29.51 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $14.45 | Professional | 26 · Professional part | $7.41 | $8.71 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $31.62 | Professional | TC · Technical part | $17.78 | $20.89 | $31.62 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | None (both parts) | $20.89 | $20.89 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $114.82 | Facility | None | $56.23 | $77.62 | $114.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $33.88 Typical High $61.66 | Professional | None (both parts) | $23.99 | $33.88 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.41 Typical High $18.62 | Professional | 26 · Professional part | $6.61 | $7.41 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $22.39 Typical High $41.69 | Professional | TC · Technical part | $16.22 | $22.39 | $41.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $48.98 | Professional | None (both parts) | $38.02 | $44.67 | $48.98 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $14.79 | Professional | 26 · Professional part | $11.48 | $13.18 | $14.79 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $34.67 | Professional | TC · Technical part | $26.30 | $31.62 | $34.67 |
Horizon BCBS Setting Facility Modifier None Typical Low $25.70 Median $269.15 Typical High $407.38 | Facility | None | $25.70 | $269.15 | $407.38 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $31.62 Median $36.31 Typical High $57.54 | Professional | None (both parts) | $31.62 | $36.31 | $57.54 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $15.85 | Professional | 26 · Professional part | $10.00 | $11.48 | $15.85 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $25.12 Typical High $38.02 | Professional | TC · Technical part | $21.88 | $25.12 | $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 $24.55 Median $30.20 Typical High $56.23 | Professional | None (both parts) | $24.55 | $30.20 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $7.24 | $9.33 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $20.42 Typical High $39.81 | Professional | TC · Technical part | $16.60 | $20.42 | $39.81 |
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 $11.48 Median $12.59 Typical High $15.85 | Professional | 52 · Reduced service | $11.48 | $12.59 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.01 Typical High $6.31 | Professional | 53 · Discontinued | $4.57 | $5.01 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | FX · Film X-ray | $19.95 | $19.95 | $25.12 |
Where New Jersey sits
The same service costs 3.8 times more in Alaska than in Florida. 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· 42nd of 51
$31.62
AK $95.50FL $25.12
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.