How much rates vary
Facilitymedian $117 · 10th to 90th $49 to $380Professionalmedian $52 · 10th to 90th $40 to $95
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 $51.29 Typical High $51.29 | Facility | None | $39.81 | $51.29 | $51.29 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $12.59 | Facility | 26 · Professional part | $9.77 | $12.59 | $12.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $30.20 Median $38.90 Typical High $74.13 | Facility | TC · Technical part | $30.20 | $38.90 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $50.12 Typical High $81.28 | Professional | None (both parts) | $39.81 | $50.12 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $18.20 | Professional | 26 · Professional part | $9.77 | $11.22 | $18.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.02 Typical High $64.57 | Professional | TC · Technical part | $30.20 | $38.02 | $64.57 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
AmeriHealth Setting Facility Modifier None Typical Low $60.26 Median $112.20 Typical High $6,165.95 | Facility | None | $60.26 | $112.20 | $6,165.95 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $141.25 Typical High $213.80 | Facility | None | $97.72 | $141.25 | $213.80 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $53.70 Typical High $100.00 | Professional | None (both parts) | $40.74 | $53.70 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $22.39 | Professional | 26 · Professional part | $7.59 | $8.91 | $22.39 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $75.86 | Professional | TC · Technical part | $29.51 | $34.67 | $75.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $64.57 Median $75.86 Typical High $77.62 | Professional | None (both parts) | $64.57 | $75.86 | $77.62 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $15.85 | Professional | 26 · Professional part | $13.18 | $15.49 | $15.85 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $51.29 | $61.66 | $61.66 |
Horizon BCBS Setting Facility Modifier None Typical Low $48.98 Median $295.12 Typical High $407.38 | Facility | None | $48.98 | $295.12 | $407.38 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $60.26 Typical High $89.13 | Professional | None (both parts) | $52.48 | $60.26 | $89.13 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $19.50 | Professional | 26 · Professional part | $12.02 | $13.80 | $19.50 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $66.07 | Professional | TC · Technical part | $40.74 | $46.77 | $66.07 |
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 $38.02 Median $48.98 Typical High $93.33 | Professional | None (both parts) | $38.02 | $48.98 | $93.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $20.89 | Professional | 26 · Professional part | $8.51 | $11.22 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $38.02 Typical High $72.44 | Professional | TC · Technical part | $28.84 | $38.02 | $72.44 |
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 $18.20 Median $19.95 Typical High $25.70 | Professional | 52 · Reduced service | $18.20 | $19.95 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.94 Typical High $10.23 | Professional | 53 · Discontinued | $7.24 | $7.94 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | FX · Film X-ray | $31.62 | $31.62 | $40.74 |
Where New Jersey sits
The same service costs 4.5 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· 39th of 51
$52.48
AK $148UT $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.