How much rates vary
Facilitymedian $107 · 10th to 90th $40 to $457Professionalmedian $47 · 10th to 90th $35 to $83
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 $39.81 Median $48.98 Typical High $125.89 | Facility | None | $39.81 | $48.98 | $125.89 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $16.98 | Facility | 26 · Professional part | $13.49 | $16.98 | $16.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $66.07 | Facility | TC · Technical part | $26.92 | $32.36 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $38.90 | $45.71 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.49 Typical High $25.12 | Professional | 26 · Professional part | $13.18 | $13.49 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $26.30 | $31.62 | $60.26 |
AmeriHealth Setting Facility Modifier None Typical Low $69.18 Median $131.83 Typical High $1,380.38 | Facility | None | $69.18 | $131.83 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $107.15 Typical High $162.18 | Facility | None | $77.62 | $107.15 | $162.18 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $33.88 | $50.12 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $29.51 | Professional | 26 · Professional part | $9.12 | $10.47 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.11 Typical High $60.26 | Professional | TC · Technical part | $23.99 | $33.11 | $60.26 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $44.67 Median $61.66 Typical High $67.61 | Professional | None (both parts) | $44.67 | $61.66 | $67.61 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $17.78 Typical High $19.95 | Professional | 26 · Professional part | $12.88 | $17.78 | $19.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $44.67 Typical High $47.86 | Professional | TC · Technical part | $31.62 | $44.67 | $47.86 |
Horizon BCBS Setting Facility Modifier None Typical Low $35.48 Median $323.59 Typical High $489.78 | Facility | None | $35.48 | $323.59 | $489.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $44.67 Median $51.29 Typical High $83.18 | Professional | None (both parts) | $44.67 | $51.29 | $83.18 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $24.55 | Professional | 26 · Professional part | $14.13 | $16.22 | $24.55 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $35.48 Typical High $54.95 | Professional | TC · Technical part | $30.90 | $35.48 | $54.95 |
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 $34.67 Median $43.65 Typical High $81.28 | Professional | None (both parts) | $34.67 | $43.65 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $13.18 Typical High $26.30 | Professional | 26 · Professional part | $10.00 | $13.18 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $29.51 Typical High $54.95 | Professional | TC · Technical part | $23.99 | $29.51 | $54.95 |
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 $17.78 Median $19.95 Typical High $24.55 | Professional | 52 · Reduced service | $17.78 | $19.95 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.08 Median $7.94 Typical High $10.00 | Professional | 53 · Discontinued | $7.08 | $7.94 | $10.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $32.36 Typical High $39.81 | Professional | FX · Film X-ray | $29.51 | $32.36 | $39.81 |
Where New Jersey sits
The same service costs 4.0 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· 42nd of 51
$46.77
AK $132UT $33.11
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.