How much rates vary
Facilitymedian $102 · 10th to 90th $38 to $479Professionalmedian $46 · 10th to 90th $35 to $81
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 $38.02 Median $46.77 Typical High $54.95 | Facility | None | $38.02 | $46.77 | $54.95 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $10.72 | Facility | 26 · Professional part | $8.91 | $10.72 | $10.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $72.44 | Facility | TC · Technical part | $29.51 | $35.48 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $44.67 Typical High $85.11 | Professional | None (both parts) | $38.02 | $44.67 | $85.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.72 Typical High $20.89 | Professional | 26 · Professional part | $8.91 | $10.72 | $20.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $33.11 Typical High $63.10 | Professional | TC · Technical part | $27.54 | $33.11 | $63.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $52.48 | Professional | None (both parts) | $28.84 | $34.67 | $52.48 |
AmeriHealth Setting Facility Modifier None Typical Low $63.10 Median $117.49 Typical High $1,023.29 | Facility | None | $63.10 | $117.49 | $1,023.29 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $169.82 | Facility | None | $81.28 | $112.20 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $47.86 Typical High $89.13 | Professional | None (both parts) | $33.11 | $47.86 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $19.95 | Professional | 26 · Professional part | $7.94 | $8.91 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $33.88 Typical High $64.57 | Professional | TC · Technical part | $25.12 | $33.88 | $64.57 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $63.10 Typical High $69.18 | Professional | None (both parts) | $52.48 | $63.10 | $69.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.49 Typical High $17.38 | Professional | 26 · Professional part | $13.18 | $15.49 | $17.38 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $51.29 | Professional | TC · Technical part | $39.81 | $47.86 | $51.29 |
Horizon BCBS Setting Facility Modifier None Typical Low $38.02 Median $323.59 Typical High $489.78 | Facility | None | $38.02 | $323.59 | $489.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $77.62 | Professional | None (both parts) | $43.65 | $50.12 | $77.62 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.49 Typical High $18.62 | Professional | 26 · Professional part | $11.75 | $13.49 | $18.62 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $37.15 Typical High $58.88 | Professional | TC · Technical part | $32.36 | $37.15 | $58.88 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $41.69 Typical High $77.62 | Professional | None (both parts) | $34.67 | $41.69 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $11.22 Typical High $20.89 | Professional | 26 · Professional part | $7.94 | $11.22 | $20.89 |
United Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $30.20 | $60.26 |
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 $15.14 Median $19.05 Typical High $23.44 | Professional | 52 · Reduced service | $15.14 | $19.05 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $7.59 Typical High $9.33 | Professional | 53 · Discontinued | $6.03 | $7.59 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $30.90 Typical High $37.15 | Professional | FX · Film X-ray | $29.51 | $30.90 | $37.15 |
Where New Jersey sits
The same service costs 3.9 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· 37th of 51
$46.77
AK $129UT $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.