How much rates vary
Facilitymedian $550 · 10th to 90th $372 to $3,162Professionalmedian $302 · 10th to 90th $186 to $603
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 $501.19 Typical High $3,630.78 | Facility | None | $398.11 | $501.19 | $3,630.78 |
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 $208.93 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $208.93 | $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 $151.36 Median $263.03 Typical High $316.23 | Professional | None (both parts) | $151.36 | $263.03 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $77.62 | $141.25 |
AmeriHealth Setting Facility Modifier None Typical Low $660.69 Median $741.31 Typical High $6,606.93 | Facility | None | $660.69 | $741.31 | $6,606.93 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $660.69 Median $1,230.27 Typical High $3,467.37 | Facility | TC · Technical part | $660.69 | $1,230.27 | $3,467.37 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $912.01 | Professional | None (both parts) | $263.03 | $263.03 | $912.01 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $870.96 | Professional | 26 · Professional part | $83.18 | $83.18 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $380.19 Typical High $501.19 | Facility | None | $295.12 | $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 $141.25 | Professional | 26 · Professional part | $50.12 | $56.23 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $537.03 | Professional | TC · Technical part | $104.71 | $190.55 | $537.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $269.15 Typical High $295.12 | Professional | None (both parts) | $229.09 | $269.15 | $295.12 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $93.33 Typical High $104.71 | Professional | 26 · Professional part | $79.43 | $93.33 | $104.71 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $194.98 | Professional | TC · Technical part | $147.91 | $177.83 | $194.98 |
Horizon BCBS Setting Facility Modifier None Typical Low $457.09 Median $812.83 Typical High $5,888.44 | Facility | None | $457.09 | $812.83 | $5,888.44 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $446.68 | Professional | None (both parts) | $218.78 | $257.04 | $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 $151.36 Median $173.78 Typical High $275.42 | Professional | TC · Technical part | $151.36 | $173.78 | $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 24.0 times more in Vermont 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· 30th of 51
$324
VT $2,951UT $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.