How much rates vary
Facilitymedian $676 · 10th to 90th $398 to $6,761Professionalmedian $372 · 10th to 90th $219 to $661
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 $245.47 Median $398.11 Typical High $645.65 | Professional | None (both parts) | $245.47 | $398.11 | $645.65 |
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 $173.78 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $173.78 | $281.84 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $204.17 | $371.54 | $371.54 |
AmeriHealth Setting Facility Modifier None Typical Low $3,090.30 Median $5,754.40 Typical High $8,912.51 | Facility | None | $3,090.30 | $5,754.40 | $8,912.51 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $323.59 Median $323.59 Typical High $724.44 | Professional | None (both parts) | $323.59 | $323.59 | $724.44 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $81.28 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $489.78 Typical High $660.69 | Facility | None | $380.19 | $489.78 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $380.19 Typical High $891.25 | Professional | None (both parts) | $190.55 | $380.19 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $54.95 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $302.00 Typical High $724.44 | Professional | TC · Technical part | $138.04 | $302.00 | $724.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $338.84 | Professional | None (both parts) | $269.15 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $95.50 | Professional | 26 · Professional part | $77.62 | $91.20 | $95.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $234.42 Typical High $239.88 | Professional | TC · Technical part | $194.98 | $234.42 | $239.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $489.78 Median $851.14 Typical High $6,456.54 | Facility | None | $489.78 | $851.14 | $6,456.54 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $275.42 | $316.23 | $602.56 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $81.28 | $104.71 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $426.58 | Professional | TC · Technical part | $204.17 | $234.42 | $426.58 |
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 $204.17 Median $295.12 Typical High $602.56 | Professional | None (both parts) | $204.17 | $295.12 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $67.61 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $199.53 Typical High $446.68 | Professional | TC · Technical part | $144.54 | $199.53 | $446.68 |
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 6.0 times more in Wyoming 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· 35th of 51
$372
WY $912UT $151
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.