How much rates vary
Facilitymedian $100 · 10th to 90th $32 to $457Professionalmedian $36 · 10th to 90th $28 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 $30.20 Median $38.90 Typical High $51.29 | Facility | None | $30.20 | $38.90 | $51.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.33 Median $12.59 Typical High $12.59 | Facility | 26 · Professional part | $9.33 | $12.59 | $12.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $51.29 | Facility | TC · Technical part | $20.89 | $26.30 | $51.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $36.31 Typical High $63.10 | Professional | None (both parts) | $30.20 | $36.31 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.33 Typical High $16.22 | Professional | 26 · Professional part | $8.91 | $9.33 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $45.71 | Professional | TC · Technical part | $20.89 | $26.30 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | None (both parts) | $23.99 | $23.99 | $26.30 |
AmeriHealth Setting Facility Modifier None Typical Low $69.18 Median $131.83 Typical High $2,754.23 | Facility | None | $69.18 | $131.83 | $2,754.23 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $19.95 | Professional | 26 · Professional part | $10.23 | $10.23 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $93.33 Typical High $141.25 | Facility | None | $67.61 | $93.33 | $141.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $36.31 Typical High $74.13 | Professional | None (both parts) | $26.92 | $36.31 | $74.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.92 Typical High $20.42 | Professional | 26 · Professional part | $5.89 | $6.92 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $24.55 | $50.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $42.66 Median $51.29 Typical High $52.48 | Professional | None (both parts) | $42.66 | $51.29 | $52.48 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $12.02 | Professional | 26 · Professional part | $10.23 | $11.75 | $12.02 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $40.74 | Professional | TC · Technical part | $32.36 | $38.90 | $40.74 |
Horizon BCBS Setting Facility Modifier None Typical Low $31.62 Median $288.40 Typical High $457.09 | Facility | None | $31.62 | $288.40 | $457.09 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $41.69 Typical High $64.57 | Professional | None (both parts) | $36.31 | $41.69 | $64.57 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.48 Typical High $18.20 | Professional | 26 · Professional part | $10.00 | $11.48 | $18.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $44.67 | Professional | TC · Technical part | $26.30 | $30.20 | $44.67 |
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 $27.54 Median $33.88 Typical High $64.57 | Professional | None (both parts) | $27.54 | $33.88 | $64.57 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.55 Typical High $18.62 | Professional | 26 · Professional part | $6.61 | $9.55 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $24.55 Typical High $47.86 | Professional | TC · Technical part | $19.95 | $24.55 | $47.86 |
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 $13.80 Median $15.14 Typical High $19.50 | Professional | 52 · Reduced service | $13.80 | $15.14 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $6.03 Typical High $7.76 | Professional | 53 · Discontinued | $5.62 | $6.03 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $23.44 Median $23.99 Typical High $30.90 | Professional | FX · Film X-ray | $23.44 | $23.99 | $30.90 |
Where New Jersey sits
The same service costs 3.6 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· 36th of 51
$38.02
AK $105FL $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.