How much rates vary
Facilitymedian $72 · 10th to 90th $28 to $355Professionalmedian $33 · 10th to 90th $26 to $62
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 $27.54 Median $33.11 Typical High $63.10 | Facility | None | $27.54 | $33.11 | $63.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $7.94 Median $10.00 Typical High $10.00 | Facility | 26 · Professional part | $7.94 | $10.00 | $10.00 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $47.86 | Facility | TC · Technical part | $19.50 | $22.91 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $33.11 Typical High $66.07 | Professional | None (both parts) | $27.54 | $33.11 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.55 Typical High $17.38 | Professional | 26 · Professional part | $7.94 | $9.55 | $17.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $47.86 | Professional | TC · Technical part | $19.50 | $22.91 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | None (both parts) | $30.90 | $30.90 | $30.90 |
AmeriHealth Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $123.03 | Facility | None | $60.26 | $83.18 | $123.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $63.10 | Professional | None (both parts) | $25.12 | $33.11 | $63.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.08 Typical High $18.20 | Professional | 26 · Professional part | $6.31 | $7.08 | $18.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $17.78 | $23.44 | $44.67 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $46.77 Typical High $48.98 | Professional | None (both parts) | $39.81 | $46.77 | $48.98 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.59 Typical High $12.88 | Professional | 26 · Professional part | $10.96 | $12.59 | $12.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $34.67 Typical High $35.48 | Professional | TC · Technical part | $28.84 | $34.67 | $35.48 |
Horizon BCBS Setting Facility Modifier None Typical Low $27.54 Median $239.88 Typical High $380.19 | Facility | None | $27.54 | $239.88 | $380.19 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.02 Typical High $60.26 | Professional | None (both parts) | $33.11 | $38.02 | $60.26 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.22 Typical High $15.85 | Professional | 26 · Professional part | $9.77 | $11.22 | $15.85 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $26.92 Typical High $39.81 | Professional | TC · Technical part | $23.44 | $26.92 | $39.81 |
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 $25.70 Median $31.62 Typical High $58.88 | Professional | None (both parts) | $25.70 | $31.62 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.33 Typical High $17.38 | Professional | 26 · Professional part | $7.08 | $9.33 | $17.38 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $21.88 | $41.69 |
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 $11.48 Median $13.80 Typical High $16.60 | Professional | 52 · Reduced service | $11.48 | $13.80 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $5.50 Typical High $6.61 | Professional | 53 · Discontinued | $4.57 | $5.50 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | FX · Film X-ray | $21.88 | $21.88 | $26.30 |
Where New Jersey sits
The same service costs 3.5 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· 45th of 51
$33.11
AK $95.50FL $26.92
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.