How much rates vary
Facilitymedian $95 · 10th to 90th $34 to $457Professionalmedian $43 · 10th to 90th $33 to $78
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 $33.11 Median $44.67 Typical High $117.49 | Facility | None | $33.11 | $44.67 | $117.49 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $11.48 | Facility | 26 · Professional part | $8.51 | $11.48 | $11.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $24.55 Median $33.88 Typical High $60.26 | Facility | TC · Technical part | $24.55 | $33.88 | $60.26 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $42.66 Typical High $83.18 | Professional | None (both parts) | $33.11 | $42.66 | $83.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.22 Typical High $22.39 | Professional | 26 · Professional part | $8.51 | $11.22 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.90 Typical High $60.26 | Professional | TC · Technical part | $24.55 | $30.90 | $60.26 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $31.62 Median $33.88 Typical High $34.67 | Professional | None (both parts) | $31.62 | $33.88 | $34.67 |
AmeriHealth Setting Facility Modifier None Typical Low $50.12 Median $95.50 Typical High $1,096.48 | Facility | None | $50.12 | $95.50 | $1,096.48 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $52.48 Median $70.79 Typical High $134.90 | Professional | None (both parts) | $52.48 | $70.79 | $134.90 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $14.45 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $102.33 Typical High $154.88 | Facility | None | $74.13 | $102.33 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $31.62 | $43.65 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.12 Typical High $21.38 | Professional | 26 · Professional part | $8.13 | $9.12 | $21.38 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $26.30 | $57.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $52.48 Median $61.66 Typical High $67.61 | Professional | None (both parts) | $52.48 | $61.66 | $67.61 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $19.05 | Professional | 26 · Professional part | $14.45 | $16.98 | $19.05 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $44.67 Typical High $48.98 | Professional | TC · Technical part | $37.15 | $44.67 | $48.98 |
Horizon BCBS Setting Facility Modifier None Typical Low $36.31 Median $288.40 Typical High $537.03 | Facility | None | $36.31 | $288.40 | $537.03 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $41.69 Median $47.86 Typical High $74.13 | Professional | None (both parts) | $41.69 | $47.86 | $74.13 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $18.62 | Professional | 26 · Professional part | $12.30 | $14.13 | $18.62 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $50.12 | Professional | TC · Technical part | $28.84 | $33.11 | $50.12 |
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 $30.90 Median $38.90 Typical High $72.44 | Professional | None (both parts) | $30.90 | $38.90 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $11.75 Typical High $21.88 | Professional | 26 · Professional part | $8.32 | $11.75 | $21.88 |
United Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $26.92 Typical High $52.48 | Professional | TC · Technical part | $21.88 | $26.92 | $52.48 |
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 $14.79 Median $16.60 Typical High $22.39 | Professional | 52 · Reduced service | $14.79 | $16.60 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $6.61 Typical High $9.12 | Professional | 53 · Discontinued | $5.89 | $6.61 | $9.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | FX · Film X-ray | $26.30 | $26.30 | $36.31 |
Where New Jersey sits
The same service costs 3.7 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· 36th of 51
$43.65
AK $123UT $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.