How much rates vary
Facilitymedian $55 · 10th to 90th $19 to $363Professionalmedian $23 · 10th to 90th $18 to $42
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 $19.50 Median $24.55 Typical High $67.61 | Facility | None | $19.50 | $24.55 | $67.61 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.03 Median $7.59 Typical High $7.59 | Facility | 26 · Professional part | $6.03 | $7.59 | $7.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.49 Median $16.98 Typical High $33.88 | Facility | TC · Technical part | $13.49 | $16.98 | $33.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $19.50 Median $22.91 Typical High $41.69 | Professional | None (both parts) | $19.50 | $22.91 | $41.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.41 Typical High $13.80 | Professional | 26 · Professional part | $6.03 | $7.41 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $15.49 Typical High $28.18 | Professional | TC · Technical part | $13.18 | $15.49 | $28.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $13.49 Median $15.85 Typical High $16.98 | Professional | None (both parts) | $13.49 | $15.85 | $16.98 |
AmeriHealth Setting Facility Modifier None Typical Low $194.98 Median $302.00 Typical High $457.09 | Facility | None | $194.98 | $302.00 | $457.09 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $26.92 Median $31.62 Typical High $109.65 | Professional | None (both parts) | $26.92 | $31.62 | $109.65 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $8.71 Typical High $16.60 | Professional | 26 · Professional part | $8.71 | $8.71 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $48.98 Typical High $74.13 | Facility | None | $35.48 | $48.98 | $74.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.22 Median $25.70 Typical High $47.86 | Professional | None (both parts) | $16.22 | $25.70 | $47.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $5.62 Typical High $14.13 | Professional | 26 · Professional part | $5.01 | $5.62 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $10.96 Median $16.98 Typical High $31.62 | Professional | TC · Technical part | $10.96 | $16.98 | $31.62 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $31.62 | Professional | None (both parts) | $25.70 | $30.90 | $31.62 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $10.00 Typical High $10.23 | Professional | 26 · Professional part | $8.71 | $10.00 | $10.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.89 Typical High $21.38 | Professional | TC · Technical part | $17.38 | $20.89 | $21.38 |
Horizon BCBS Setting Facility Modifier None Typical Low $18.62 Median $223.87 Typical High $407.38 | Facility | None | $18.62 | $223.87 | $407.38 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $21.38 Median $24.55 Typical High $40.74 | Professional | None (both parts) | $21.38 | $24.55 | $40.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $12.02 | Professional | 26 · Professional part | $7.41 | $8.51 | $12.02 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $16.22 Typical High $26.92 | Professional | TC · Technical part | $14.13 | $16.22 | $26.92 |
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 $16.98 Median $20.89 Typical High $39.81 | Professional | None (both parts) | $16.98 | $20.89 | $39.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.50 Median $7.08 Typical High $13.18 | Professional | 26 · Professional part | $5.50 | $7.08 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $11.22 Median $13.80 Typical High $26.30 | Professional | TC · Technical part | $11.22 | $13.80 | $26.30 |
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 $8.91 Median $9.77 Typical High $12.30 | Professional | 52 · Reduced service | $8.91 | $9.77 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.89 Typical High $5.01 | Professional | 53 · Discontinued | $3.55 | $3.89 | $5.01 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $14.45 Median $15.49 Typical High $19.95 | Professional | FX · Film X-ray | $14.45 | $15.49 | $19.95 |
Where New Jersey sits
The same service costs 3.7 times more in Alaska 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· 42nd of 51
$22.91
AK $64.57FL $17.38
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.