How much rates vary
Facilitymedian $457 · 10th to 90th $339 to $3,890Professionalmedian $316 · 10th to 90th $182 to $589
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 $3,890.45 | Facility | None | $398.11 | $426.58 | $3,890.45 |
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 $204.17 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $204.17 | $398.11 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $70.79 | $120.23 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $281.84 Typical High $389.05 | Professional | TC · Technical part | $134.90 | $281.84 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $64.57 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $64.57 | $173.78 | $190.55 |
AmeriHealth Setting Facility Modifier None Typical Low $331.13 Median $371.54 Typical High $3,630.78 | Facility | None | $331.13 | $371.54 | $3,630.78 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $263.03 Median $489.78 Typical High $891.25 | Professional | None (both parts) | $263.03 | $489.78 | $891.25 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $83.18 Typical High $346.74 | Professional | 26 · Professional part | $79.43 | $83.18 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $380.19 Typical High $501.19 | Facility | None | $288.40 | $380.19 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $288.40 Typical High $660.69 | Professional | None (both parts) | $154.88 | $288.40 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $147.91 | Professional | 26 · Professional part | $50.12 | $56.23 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $186.21 Typical High $537.03 | Professional | TC · Technical part | $104.71 | $186.21 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $281.84 | Professional | None (both parts) | $229.09 | $269.15 | $281.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $97.72 | Professional | 26 · Professional part | $79.43 | $93.33 | $97.72 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $181.97 | Professional | TC · Technical part | $147.91 | $177.83 | $181.97 |
Horizon BCBS Setting Facility Modifier None Typical Low $467.74 Median $870.96 Typical High $5,888.44 | Facility | None | $467.74 | $870.96 | $5,888.44 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $446.68 | Professional | None (both parts) | $218.78 | $251.19 | $446.68 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $107.15 | Professional | 26 · Professional part | $70.79 | $81.28 | $107.15 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $275.42 | Professional | TC · Technical part | $147.91 | $169.82 | $275.42 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $239.88 Typical High $524.81 | Professional | None (both parts) | $165.96 | $239.88 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $144.54 | Professional | 26 · Professional part | $56.23 | $69.18 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $426.58 | Professional | TC · Technical part | $109.65 | $147.91 | $426.58 |
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 $398.11 Median $630.96 Typical High $707.95 | Professional | GL · Free upgrade | $398.11 | $630.96 | $707.95 |
Where New Jersey sits
The same service costs 6.5 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· 33rd of 51
$331
AK $794UT $123
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.