How much rates vary
Facilitymedian $72 · 10th to 90th $23 to $355Professionalmedian $34 · 10th to 90th $23 to $63
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 $23.44 Median $33.11 Typical High $97.72 | Facility | None | $23.44 | $33.11 | $97.72 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $9.12 Typical High $10.72 | Facility | 26 · Professional part | $6.61 | $9.12 | $10.72 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.98 Median $23.99 Typical High $42.66 | Facility | TC · Technical part | $16.98 | $23.99 | $42.66 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $32.36 Typical High $67.61 | Professional | None (both parts) | $23.44 | $32.36 | $67.61 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $8.51 Typical High $15.14 | Professional | 26 · Professional part | $6.61 | $8.51 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $23.44 Typical High $50.12 | Professional | TC · Technical part | $16.98 | $23.44 | $50.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.91 Median $28.84 Typical High $33.88 | Professional | None (both parts) | $22.91 | $28.84 | $33.88 |
AmeriHealth Setting Facility Modifier None Typical Low $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $72.44 Typical High $645.65 | Facility | TC · Technical part | $38.02 | $72.44 | $645.65 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $42.66 Median $42.66 Typical High $97.72 | Professional | None (both parts) | $42.66 | $42.66 | $97.72 |
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 $64.57 Median $89.13 Typical High $131.83 | Facility | None | $64.57 | $89.13 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $64.57 | Professional | None (both parts) | $25.70 | $33.11 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $6.17 Typical High $16.22 | Professional | 26 · Professional part | $5.37 | $6.17 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.89 Typical High $43.65 | Professional | TC · Technical part | $17.78 | $20.89 | $43.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $41.69 Median $48.98 Typical High $53.70 | Professional | None (both parts) | $41.69 | $48.98 | $53.70 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $12.88 | Professional | 26 · Professional part | $9.77 | $11.48 | $12.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $38.02 Typical High $40.74 | Professional | TC · Technical part | $31.62 | $38.02 | $40.74 |
Horizon BCBS Setting Facility Modifier None Typical Low $35.48 Median $239.88 Typical High $389.05 | Facility | None | $35.48 | $239.88 | $389.05 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.90 Typical High $57.54 | Professional | None (both parts) | $33.88 | $38.90 | $57.54 |
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 $25.12 Median $28.84 Typical High $41.69 | Professional | TC · Technical part | $25.12 | $28.84 | $41.69 |
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 $23.44 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $23.44 | $30.20 | $58.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.76 Typical High $15.14 | Professional | 26 · Professional part | $6.17 | $7.76 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $17.78 | $23.44 | $44.67 |
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 $11.22 Median $11.75 Typical High $16.60 | Professional | 52 · Reduced service | $11.22 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.68 Typical High $6.61 | Professional | 53 · Discontinued | $4.47 | $4.68 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.05 Median $19.05 Typical High $26.30 | Professional | FX · Film X-ray | $19.05 | $19.05 | $26.30 |
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· 36th of 51
$33.88
AK $100FL $26.92
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.