How much rates vary
Facilitymedian $107 · 10th to 90th $32 to $427Professionalmedian $39 · 10th to 90th $31 to $74
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 $32.36 Median $38.02 Typical High $354.81 | Facility | None | $32.36 | $38.02 | $354.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.91 Median $11.75 Typical High $11.75 | Facility | 26 · Professional part | $8.91 | $11.75 | $11.75 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $58.88 | Facility | TC · Technical part | $23.44 | $25.70 | $58.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $38.02 Typical High $77.62 | Professional | None (both parts) | $32.36 | $38.02 | $77.62 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.96 Typical High $19.95 | Professional | 26 · Professional part | $8.91 | $10.96 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $25.70 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $25.70 | $57.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.30 Median $37.15 Typical High $67.61 | Professional | None (both parts) | $26.30 | $37.15 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $11.48 Typical High $22.39 | Professional | 26 · Professional part | $8.13 | $11.48 | $22.39 |
AmeriHealth Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Facility | None | $112.20 | $112.20 | $112.20 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $109.65 | Professional | None (both parts) | $50.12 | $58.88 | $109.65 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $12.88 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $151.36 | Facility | None | $72.44 | $100.00 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $41.69 Typical High $77.62 | Professional | None (both parts) | $30.20 | $41.69 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.32 Typical High $21.38 | Professional | 26 · Professional part | $7.24 | $8.32 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.30 Typical High $50.12 | Professional | TC · Technical part | $20.89 | $26.30 | $50.12 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $63.10 | Professional | None (both parts) | $47.86 | $57.54 | $63.10 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $16.22 | Professional | 26 · Professional part | $12.59 | $14.45 | $16.22 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $46.77 | Professional | TC · Technical part | $35.48 | $42.66 | $46.77 |
Horizon BCBS Setting Facility Modifier None Typical Low $34.67 Median $288.40 Typical High $457.09 | Facility | None | $34.67 | $288.40 | $457.09 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $38.90 Median $44.67 Typical High $69.18 | Professional | None (both parts) | $38.90 | $44.67 | $69.18 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.59 Typical High $17.78 | Professional | 26 · Professional part | $10.96 | $12.59 | $17.78 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $48.98 | Professional | TC · Technical part | $28.18 | $32.36 | $48.98 |
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 $29.51 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $29.51 | $36.31 | $69.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $8.13 | $10.47 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.70 Typical High $51.29 | Professional | TC · Technical part | $21.38 | $25.70 | $51.29 |
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 $13.49 Median $16.22 Typical High $19.95 | Professional | 52 · Reduced service | $13.49 | $16.22 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $6.46 Typical High $8.13 | Professional | 53 · Discontinued | $5.37 | $6.46 | $8.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $26.30 Typical High $30.20 | Professional | FX · Film X-ray | $26.30 | $26.30 | $30.20 |
Where New Jersey sits
The same service costs 12.6 times more in Vermont 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· 41st of 51
$38.90
VT $389FL $30.90
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.