How much rates vary
Facilitymedian $74 · 10th to 90th $22 to $389Professionalmedian $31 · 10th to 90th $22 to $58
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 $22.39 Median $28.84 Typical High $295.12 | Facility | None | $22.39 | $28.84 | $295.12 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $8.32 Typical High $8.32 | Facility | 26 · Professional part | $6.31 | $8.32 | $8.32 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $20.42 Typical High $39.81 | Facility | TC · Technical part | $16.22 | $20.42 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $28.84 Typical High $60.26 | Professional | None (both parts) | $22.39 | $28.84 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $15.14 | Professional | 26 · Professional part | $6.31 | $8.13 | $15.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.42 Typical High $44.67 | Professional | TC · Technical part | $16.22 | $20.42 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $25.12 Typical High $30.20 | Professional | None (both parts) | $19.95 | $25.12 | $30.20 |
AmeriHealth Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $575.44 | Facility | None | $38.02 | $41.69 | $575.44 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $38.90 Median $70.79 Typical High $100.00 | Professional | None (both parts) | $38.90 | $70.79 | $100.00 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $9.55 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $81.28 Typical High $120.23 | Facility | None | $58.88 | $81.28 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $23.44 | $30.20 | $57.54 |
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 $16.22 Median $19.05 Typical High $38.90 | Professional | TC · Technical part | $16.22 | $19.05 | $38.90 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $31.62 Median $44.67 Typical High $48.98 | Professional | None (both parts) | $31.62 | $44.67 | $48.98 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $10.96 Typical High $12.30 | Professional | 26 · Professional part | $7.94 | $10.96 | $12.30 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $33.88 Typical High $36.31 | Professional | TC · Technical part | $23.99 | $33.88 | $36.31 |
Horizon BCBS Setting Facility Modifier None Typical Low $26.92 Median $245.47 Typical High $457.09 | Facility | None | $26.92 | $245.47 | $457.09 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $52.48 | Professional | None (both parts) | $30.90 | $35.48 | $52.48 |
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 $22.91 Median $26.30 Typical High $37.15 | Professional | TC · Technical part | $22.91 | $26.30 | $37.15 |
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 $21.88 Median $28.18 Typical High $54.95 | Professional | None (both parts) | $21.88 | $28.18 | $54.95 |
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 $16.22 Median $20.89 Typical High $40.74 | Professional | TC · Technical part | $16.22 | $20.89 | $40.74 |
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 $10.00 Median $11.22 Typical High $14.79 | Professional | 52 · Reduced service | $10.00 | $11.22 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.47 Typical High $6.03 | Professional | 53 · Discontinued | $4.07 | $4.47 | $6.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $17.78 Typical High $22.91 | Professional | FX · Film X-ray | $17.78 | $17.78 | $22.91 |
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· 40th of 51
$30.90
AK $91.20FL $24.55
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.