How much rates vary
Facilitymedian $69 · 10th to 90th $25 to $324Professionalmedian $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 $32.36 Typical High $32.36 | Facility | None | $25.12 | $32.36 | $32.36 |
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 $18.20 Median $23.44 Typical High $45.71 | Facility | TC · Technical part | $18.20 | $23.44 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $30.90 Typical High $48.98 | Professional | None (both parts) | $25.12 | $30.90 | $48.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.13 Typical High $12.30 | Professional | 26 · Professional part | $6.76 | $8.13 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $37.15 | Professional | TC · Technical part | $18.20 | $22.91 | $37.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $32.36 | Professional | None (both parts) | $23.44 | $23.44 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $123.03 | Facility | None | $58.88 | $81.28 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $33.11 Typical High $61.66 | Professional | None (both parts) | $24.55 | $33.11 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.46 Typical High $16.22 | Professional | 26 · Professional part | $5.62 | $6.46 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $17.78 | $23.44 | $44.67 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $33.11 Median $45.71 Typical High $47.86 | Professional | None (both parts) | $33.11 | $45.71 | $47.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.48 Typical High $11.75 | Professional | 26 · Professional part | $8.32 | $11.48 | $11.75 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $34.67 Typical High $35.48 | Professional | TC · Technical part | $24.55 | $34.67 | $35.48 |
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 $56.23 | Professional | None (both parts) | $31.62 | $36.31 | $56.23 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $13.80 | Professional | 26 · Professional part | $8.51 | $9.77 | $13.80 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $39.81 | Professional | TC · Technical part | $22.91 | $26.30 | $39.81 |
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 $23.99 Median $29.51 Typical High $56.23 | Professional | None (both parts) | $23.99 | $29.51 | $56.23 |
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 $17.38 Median $21.38 Typical High $41.69 | Professional | TC · Technical part | $17.38 | $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 $11.48 Median $12.59 Typical High $16.22 | Professional | 52 · Reduced service | $11.48 | $12.59 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.01 Typical High $6.46 | Professional | 53 · Discontinued | $4.57 | $5.01 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.95 Median $19.95 Typical High $25.70 | Professional | FX · Film X-ray | $19.95 | $19.95 | $25.70 |
Where New Jersey sits
The same service costs 3.5 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
$32.36
AK $87.10FL $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.