How much rates vary
Facilitymedian $71 · 10th to 90th $26 to $708Professionalmedian $31 · 10th to 90th $23 to $58
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 $22.91 Median $30.20 Typical High $97.72 | Facility | None | $22.91 | $30.20 | $97.72 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $8.32 | Facility | 26 · Professional part | $6.76 | $8.32 | $8.32 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.85 Median $21.88 Typical High $38.90 | Facility | TC · Technical part | $15.85 | $21.88 | $38.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.20 Typical High $61.66 | Professional | None (both parts) | $22.91 | $30.20 | $61.66 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $8.32 Typical High $16.22 | Professional | 26 · Professional part | $6.92 | $8.32 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $21.88 Typical High $43.65 | Professional | TC · Technical part | $15.85 | $21.88 | $43.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $20.42 Median $20.89 Typical High $30.90 | Professional | None (both parts) | $20.42 | $20.89 | $30.90 |
AmeriHealth Setting Facility Modifier None Typical Low $33.88 Median $114.82 Typical High $2,137.96 | Facility | None | $33.88 | $114.82 | $2,137.96 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $35.48 Median $38.90 Typical High $77.62 | Professional | None (both parts) | $35.48 | $38.90 | $77.62 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $10.23 Typical High $19.50 | Professional | 26 · Professional part | $10.23 | $10.23 | $19.50 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $77.62 Typical High $117.49 | Facility | None | $56.23 | $77.62 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $27.54 Typical High $57.54 | Professional | None (both parts) | $22.91 | $27.54 | $57.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.61 Typical High $15.49 | Professional | 26 · Professional part | $5.89 | $6.61 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $18.62 Typical High $41.69 | Professional | TC · Technical part | $15.49 | $18.62 | $41.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $44.67 Typical High $47.86 | Professional | None (both parts) | $37.15 | $44.67 | $47.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $13.18 | Professional | 26 · Professional part | $10.23 | $11.75 | $13.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $32.36 Typical High $35.48 | Professional | TC · Technical part | $26.92 | $32.36 | $35.48 |
Horizon BCBS Setting Facility Modifier None Typical Low $25.70 Median $269.15 Typical High $407.38 | Facility | None | $25.70 | $269.15 | $407.38 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $53.70 | Professional | None (both parts) | $30.90 | $35.48 | $53.70 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $14.45 | Professional | 26 · Professional part | $8.91 | $10.23 | $14.45 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $36.31 | Professional | TC · Technical part | $22.39 | $25.70 | $36.31 |
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 $21.88 Median $28.18 Typical High $54.95 | Professional | None (both parts) | $21.88 | $28.18 | $54.95 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $8.32 Typical High $15.49 | Professional | 26 · Professional part | $6.17 | $8.32 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.42 Typical High $39.81 | Professional | TC · Technical part | $15.49 | $20.42 | $39.81 |
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 $10.96 Median $11.22 Typical High $15.14 | Professional | 52 · Reduced service | $10.96 | $11.22 | $15.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.57 Typical High $6.17 | Professional | 53 · Discontinued | $4.37 | $4.57 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.20 Median $18.20 Typical High $24.55 | Professional | FX · Film X-ray | $18.20 | $18.20 | $24.55 |
Where New Jersey sits
The same service costs 4.3 times more in Alaska than in New York. 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· 41st of 51
$30.90
AK $93.33NY $21.88
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.