How much rates vary
Facilitymedian $115 · 10th to 90th $39 to $447Professionalmedian $48 · 10th to 90th $36 to $87
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 $37.15 Median $45.71 Typical High $87.10 | Facility | None | $37.15 | $45.71 | $87.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $11.22 Median $13.80 Typical High $13.80 | Facility | 26 · Professional part | $11.22 | $13.80 | $13.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $64.57 | Facility | TC · Technical part | $25.70 | $31.62 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $37.15 | $45.71 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $13.18 Typical High $23.44 | Professional | 26 · Professional part | $11.22 | $13.18 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $31.62 Typical High $63.10 | Professional | TC · Technical part | $25.70 | $31.62 | $63.10 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $21.88 | Professional | 26 · Professional part | $10.23 | $10.23 | $21.88 |
AmeriHealth Setting Facility Modifier None Typical Low $66.07 Median $123.03 Typical High $870.96 | Facility | None | $66.07 | $123.03 | $870.96 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $30.20 | Professional | 26 · Professional part | $15.85 | $15.85 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $117.49 Typical High $177.83 | Facility | None | $85.11 | $117.49 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $44.67 Typical High $87.10 | Professional | None (both parts) | $35.48 | $44.67 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.23 Typical High $25.70 | Professional | 26 · Professional part | $9.12 | $10.23 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $61.66 | Professional | TC · Technical part | $25.12 | $31.62 | $61.66 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $56.23 Median $66.07 Typical High $72.44 | Professional | None (both parts) | $56.23 | $66.07 | $72.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.78 Typical High $19.95 | Professional | 26 · Professional part | $15.14 | $17.78 | $19.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $52.48 | Professional | TC · Technical part | $40.74 | $48.98 | $52.48 |
Horizon BCBS Setting Facility Modifier None Typical Low $38.90 Median $323.59 Typical High $489.78 | Facility | None | $38.90 | $323.59 | $489.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $47.86 Median $54.95 Typical High $79.43 | Professional | None (both parts) | $47.86 | $54.95 | $79.43 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $22.39 | Professional | 26 · Professional part | $13.49 | $15.49 | $22.39 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $38.90 | $56.23 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $35.48 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $35.48 | $43.65 | $83.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.88 Typical High $23.99 | Professional | 26 · Professional part | $9.77 | $12.88 | $23.99 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $31.62 | $60.26 |
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 $16.22 Median $18.62 Typical High $23.44 | Professional | 52 · Reduced service | $16.22 | $18.62 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $7.41 Typical High $9.33 | Professional | 53 · Discontinued | $6.46 | $7.41 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $29.51 Typical High $36.31 | Professional | FX · Film X-ray | $29.51 | $29.51 | $36.31 |
Where New Jersey sits
The same service costs 4.1 times more in Alaska than in Utah. 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
$47.86
AK $132UT $32.36
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.