How much rates vary
Facilitymedian $1,047 · 10th to 90th $398 to $4,786Professionalmedian $427 · 10th to 90th $288 to $933
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 $398.11 Median $426.58 Typical High $4,073.80 | Facility | None | $398.11 | $426.58 | $4,073.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $125.89 | Facility | 26 · Professional part | $120.23 | $125.89 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $691.83 | Facility | TC · Technical part | $281.84 | $302.00 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $724.44 | Professional | None (both parts) | $371.54 | $398.11 | $724.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $120.23 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $281.84 | $288.40 | $562.34 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $338.84 | Professional | None (both parts) | $316.23 | $316.23 | $338.84 |
AmeriHealth Setting Facility Modifier None Typical Low $1,071.52 Median $1,995.26 Typical High $7,244.36 | Facility | None | $1,071.52 | $1,995.26 | $7,244.36 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $436.52 Median $457.09 Typical High $831.76 | Professional | None (both parts) | $436.52 | $457.09 | $831.76 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $190.55 | Professional | 26 · Professional part | $95.50 | $100.00 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $812.83 Typical High $1,071.52 | Facility | None | $630.96 | $812.83 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $602.56 Typical High $1,445.44 | Professional | None (both parts) | $288.40 | $602.56 | $1,445.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $66.07 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $489.78 Typical High $1,230.27 | Professional | TC · Technical part | $223.87 | $489.78 | $1,230.27 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $489.78 Typical High $512.86 | Professional | None (both parts) | $407.38 | $489.78 | $512.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $117.49 | Professional | 26 · Professional part | $95.50 | $112.20 | $117.49 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $380.19 Typical High $398.11 | Professional | TC · Technical part | $316.23 | $380.19 | $398.11 |
Horizon BCBS Setting Facility Modifier None Typical Low $302.00 Median $1,288.25 Typical High $2,238.72 | Facility | None | $302.00 | $1,288.25 | $2,238.72 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $457.09 Typical High $870.96 | Professional | None (both parts) | $398.11 | $457.09 | $870.96 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $87.10 | $100.00 | $128.82 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $316.23 | $363.08 | $724.44 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,445.44 | Facility | None | $676.08 | $676.08 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $263.03 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $263.03 | $426.58 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $83.18 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $309.03 Typical High $741.31 | Professional | TC · Technical part | $199.53 | $309.03 | $741.31 |
4 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 $186.21 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $74.13 | $81.28 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $295.12 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $478.63 Median $691.83 Typical High $1,230.27 | Professional | GL · Free upgrade | $478.63 | $691.83 | $1,230.27 |
Where New Jersey sits
The same service costs 5.6 times more in Wyoming 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· 44th of 51
$427
WY $1,380UT $245
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.