How much rates vary
Facilitymedian $89 · 10th to 90th $34 to $380Professionalmedian $37 · 10th to 90th $27 to $68
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 $26.92 Median $35.48 Typical High $208.93 | Facility | None | $26.92 | $35.48 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $8.71 | Facility | 26 · Professional part | $6.76 | $8.71 | $8.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.95 Median $26.92 Typical High $48.98 | Facility | TC · Technical part | $19.95 | $26.92 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $72.44 | Professional | None (both parts) | $26.92 | $34.67 | $72.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $15.85 | Professional | 26 · Professional part | $6.76 | $8.32 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $56.23 | Professional | TC · Technical part | $19.95 | $25.70 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
AmeriHealth Setting Facility Modifier None Typical Low $47.86 Median $89.13 Typical High $3,890.45 | Facility | None | $47.86 | $89.13 | $3,890.45 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $19.05 | Professional | 26 · Professional part | $10.00 | $10.00 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $151.36 | Facility | None | $72.44 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $67.61 | Professional | None (both parts) | $26.92 | $31.62 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.46 Typical High $15.49 | Professional | 26 · Professional part | $5.62 | $6.46 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.99 Typical High $50.12 | Professional | TC · Technical part | $20.42 | $23.99 | $50.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $53.70 Typical High $58.88 | Professional | None (both parts) | $44.67 | $53.70 | $58.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $12.59 | Professional | 26 · Professional part | $9.77 | $11.48 | $12.59 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $41.69 Typical High $45.71 | Professional | TC · Technical part | $34.67 | $41.69 | $45.71 |
Horizon BCBS Setting Facility Modifier None Typical Low $33.88 Median $269.15 Typical High $407.38 | Facility | None | $33.88 | $269.15 | $407.38 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $63.10 | Professional | None (both parts) | $37.15 | $42.66 | $63.10 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $13.18 | Professional | 26 · Professional part | $8.51 | $9.77 | $13.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $47.86 | Professional | TC · Technical part | $28.84 | $33.11 | $47.86 |
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 $25.12 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $25.12 | $33.11 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $15.14 | Professional | 26 · Professional part | $6.31 | $8.13 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $26.30 | $51.29 |
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 $12.59 Median $13.49 Typical High $18.20 | Professional | 52 · Reduced service | $12.59 | $13.49 | $18.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.37 Typical High $7.24 | Professional | 53 · Discontinued | $5.01 | $5.37 | $7.24 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.38 Median $21.38 Typical High $28.18 | Professional | FX · Film X-ray | $21.38 | $21.38 | $28.18 |
Where New Jersey sits
The same service costs 3.9 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· 40th of 51
$37.15
AK $112FL $28.84
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.