How much rates vary
Facilitymedian $83 · 10th to 90th $30 to $1,023Professionalmedian $32 · 10th to 90th $23 to $60
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 $22.91 Median $30.20 Typical High $165.96 | Facility | None | $22.91 | $30.20 | $165.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $8.32 Typical High $8.32 | Facility | 26 · Professional part | $6.61 | $8.32 | $8.32 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $40.74 | Facility | TC · Technical part | $16.60 | $21.88 | $40.74 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.91 Median $30.20 Typical High $63.10 | Professional | None (both parts) | $22.91 | $30.20 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.13 Typical High $15.14 | Professional | 26 · Professional part | $6.61 | $8.13 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $21.88 Typical High $47.86 | Professional | TC · Technical part | $16.60 | $21.88 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $24.55 Median $30.20 Typical High $35.48 | Professional | None (both parts) | $24.55 | $30.20 | $35.48 |
AmeriHealth Setting Facility Modifier None Typical Low $38.90 Median $186.21 Typical High $3,019.95 | Facility | None | $38.90 | $186.21 | $3,019.95 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $39.81 Median $39.81 Typical High $77.62 | Professional | None (both parts) | $39.81 | $39.81 | $77.62 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $19.05 | Professional | 26 · Professional part | $9.55 | $9.55 | $19.05 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $128.82 | Facility | None | $60.26 | $83.18 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $23.99 | $31.62 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $6.17 Typical High $14.79 | Professional | 26 · Professional part | $5.37 | $6.17 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $40.74 | Professional | TC · Technical part | $17.38 | $20.42 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $47.86 | Professional | None (both parts) | $39.81 | $47.86 | $47.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $11.22 | Professional | 26 · Professional part | $9.33 | $10.96 | $11.22 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $37.15 | Professional | TC · Technical part | $30.90 | $37.15 | $37.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $33.88 Median $239.88 Typical High $380.19 | Facility | None | $33.88 | $239.88 | $380.19 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $32.36 | $37.15 | $53.70 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $13.18 | Professional | 26 · Professional part | $8.13 | $9.33 | $13.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $27.54 Typical High $38.90 | Professional | TC · Technical part | $23.99 | $27.54 | $38.90 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $363.08 | Facility | None | $165.96 | $165.96 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $22.91 Median $29.51 Typical High $56.23 | Professional | None (both parts) | $22.91 | $29.51 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.76 Typical High $14.45 | Professional | 26 · Professional part | $6.03 | $7.76 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $42.66 | Professional | TC · Technical part | $17.38 | $21.88 | $42.66 |
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 $10.72 Median $11.48 Typical High $15.49 | Professional | 52 · Reduced service | $10.72 | $11.48 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.57 Typical High $6.17 | Professional | 53 · Discontinued | $4.27 | $4.57 | $6.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $18.62 Median $18.62 Typical High $24.55 | Professional | FX · Film X-ray | $18.62 | $18.62 | $24.55 |
Where New Jersey sits
The same service costs 6.0 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· 39th of 51
$32.36
VT $155FL $25.70
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.