How much rates vary
Facilitymedian $98 · 10th to 90th $34 to $479Professionalmedian $35 · 10th to 90th $26 to $66
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 $25.70 Median $40.74 Typical High $478.63 | Facility | None | $25.70 | $40.74 | $478.63 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.76 Median $8.71 Typical High $8.91 | Facility | 26 · Professional part | $6.76 | $8.71 | $8.91 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $45.71 | Facility | TC · Technical part | $19.05 | $25.70 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $34.67 Typical High $70.79 | Professional | None (both parts) | $25.70 | $34.67 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.51 Typical High $15.85 | Professional | 26 · Professional part | $6.76 | $8.51 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.70 Typical High $54.95 | Professional | TC · Technical part | $19.05 | $25.70 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $37.15 Typical High $45.71 | Professional | None (both parts) | $28.18 | $37.15 | $45.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $9.33 Typical High $18.20 | Professional | 26 · Professional part | $6.61 | $9.33 | $18.20 |
AmeriHealth Setting Facility Modifier None Typical Low $40.74 Median $75.86 Typical High $6,025.60 | Facility | None | $40.74 | $75.86 | $6,025.60 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $77.62 Typical High $2,089.30 | Facility | TC · Technical part | $40.74 | $77.62 | $2,089.30 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $43.65 Median $58.88 Typical High $117.49 | Professional | None (both parts) | $43.65 | $58.88 | $117.49 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $22.39 | Professional | 26 · Professional part | $10.00 | $10.00 | $22.39 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $35.48 Typical High $45.71 | Professional | TC · Technical part | $33.88 | $35.48 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $97.72 Typical High $151.36 | Facility | None | $70.79 | $97.72 | $151.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $34.67 Typical High $67.61 | Professional | None (both parts) | $26.92 | $34.67 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.46 Typical High $15.49 | Professional | 26 · Professional part | $5.62 | $6.46 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $22.91 Typical High $46.77 | Professional | TC · Technical part | $19.50 | $22.91 | $46.77 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $45.71 Median $54.95 Typical High $58.88 | Professional | None (both parts) | $45.71 | $54.95 | $58.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.75 Typical High $13.18 | Professional | 26 · Professional part | $10.23 | $11.75 | $13.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $42.66 Typical High $45.71 | Professional | TC · Technical part | $35.48 | $42.66 | $45.71 |
Horizon BCBS Setting Facility Modifier None Typical Low $38.90 Median $251.19 Typical High $389.05 | Facility | None | $38.90 | $251.19 | $389.05 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $35.48 Median $40.74 Typical High $61.66 | Professional | None (both parts) | $35.48 | $40.74 | $61.66 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $13.80 | Professional | 26 · Professional part | $8.51 | $9.77 | $13.80 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $45.71 | Professional | TC · Technical part | $26.92 | $30.90 | $45.71 |
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 $25.70 Median $32.36 Typical High $63.10 | Professional | None (both parts) | $25.70 | $32.36 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.13 Typical High $15.14 | Professional | 26 · Professional part | $6.46 | $8.13 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.12 Typical High $50.12 | Professional | TC · Technical part | $19.95 | $25.12 | $50.12 |
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 $12.02 Median $12.88 Typical High $17.38 | Professional | 52 · Reduced service | $12.02 | $12.88 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.13 Typical High $7.08 | Professional | 53 · Discontinued | $4.79 | $5.13 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $20.89 Median $20.89 Typical High $27.54 | Professional | FX · Film X-ray | $20.89 | $20.89 | $27.54 |
Where New Jersey sits
The same service costs 13.5 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
$35.48
VT $389FL $28.84
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.