How much rates vary
Facilitymedian $51 · 10th to 90th $21 to $372Professionalmedian $20 · 10th to 90th $15 to $38
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 $19.05 Median $21.38 Typical High $25.12 | Facility | None | $19.05 | $21.38 | $25.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $10.47 Median $10.47 Typical High $27.54 | Facility | TC · Technical part | $10.47 | $10.47 | $27.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $19.05 Typical High $25.12 | Professional | None (both parts) | $16.22 | $19.05 | $25.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $12.30 | Professional | 26 · Professional part | $7.94 | $9.12 | $12.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $7.41 Median $10.96 Typical High $13.18 | Professional | TC · Technical part | $7.41 | $10.96 | $13.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.18 Median $15.14 Typical High $18.62 | Professional | None (both parts) | $13.18 | $15.14 | $18.62 |
AmeriHealth Setting Facility Modifier None Typical Low $51.29 Median $97.72 Typical High $1,584.89 | Facility | None | $51.29 | $97.72 | $1,584.89 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $21.88 | Professional | 26 · Professional part | $12.02 | $12.02 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $29.51 Typical High $46.77 | Facility | None | $21.38 | $29.51 | $46.77 |
Cigna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $23.99 Typical High $42.66 | Professional | None (both parts) | $13.49 | $23.99 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.59 Typical High $19.50 | Professional | 26 · Professional part | $6.61 | $7.59 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.46 Median $10.72 Typical High $22.91 | Professional | TC · Technical part | $6.46 | $10.72 | $22.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $22.91 Median $26.92 Typical High $30.20 | Professional | None (both parts) | $22.91 | $26.92 | $30.20 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.80 Typical High $15.14 | Professional | 26 · Professional part | $11.75 | $13.80 | $15.14 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $13.49 Typical High $14.79 | Professional | TC · Technical part | $11.22 | $13.49 | $14.79 |
Horizon BCBS Setting Facility Modifier None Typical Low $10.72 Median $269.15 Typical High $407.38 | Facility | None | $10.72 | $269.15 | $407.38 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $19.05 Median $21.88 Typical High $39.81 | Professional | None (both parts) | $19.05 | $21.88 | $39.81 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $16.60 | Professional | 26 · Professional part | $10.23 | $11.75 | $16.60 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $8.91 Median $10.23 Typical High $16.98 | Professional | TC · Technical part | $8.91 | $10.23 | $16.98 |
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 $15.14 Median $18.62 Typical High $35.48 | Professional | None (both parts) | $15.14 | $18.62 | $35.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $9.77 Typical High $18.20 | Professional | 26 · Professional part | $7.59 | $9.77 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $7.08 Median $8.71 Typical High $17.78 | Professional | TC · Technical part | $7.08 | $8.71 | $17.78 |
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 $7.94 Median $9.55 Typical High $10.72 | Professional | 52 · Reduced service | $7.94 | $9.55 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.80 Typical High $4.27 | Professional | 53 · Discontinued | $3.24 | $3.80 | $4.27 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $12.88 Median $15.14 Typical High $16.98 | Professional | FX · Film X-ray | $12.88 | $15.14 | $16.98 |
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· 43rd of 51
$20.42
AK $56.23FL $15.49
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.