How much rates vary
Facilitymedian $741 · 10th to 90th $398 to $3,890Professionalmedian $398 · 10th to 90th $295 to $724
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 $398.11 Median $426.58 Typical High $3,890.45 | Facility | None | $398.11 | $426.58 | $3,890.45 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $125.89 | Facility | 26 · Professional part | $120.23 | $125.89 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $691.83 | Facility | TC · Technical part | $281.84 | $302.00 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $398.11 Typical High $616.60 | Professional | None (both parts) | $323.59 | $398.11 | $616.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $120.23 Typical High $158.49 | Professional | 26 · Professional part | $64.57 | $120.23 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $281.84 Typical High $457.09 | Professional | TC · Technical part | $263.03 | $281.84 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $234.42 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $234.42 | $501.19 | $501.19 |
AmeriHealth Setting Facility Modifier None Typical Low $660.69 Median $1,000.00 Typical High $6,918.31 | Facility | None | $660.69 | $1,000.00 | $6,918.31 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $363.08 | $363.08 | $812.83 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $75.86 | $75.86 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $741.31 Typical High $977.24 | Facility | None | $562.34 | $741.31 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $398.11 Typical High $870.96 | Professional | None (both parts) | $257.04 | $398.11 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $50.12 Typical High $128.82 | Professional | 26 · Professional part | $45.71 | $50.12 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $331.13 Typical High $707.95 | Professional | TC · Technical part | $204.17 | $331.13 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $436.52 Typical High $446.68 | Professional | None (both parts) | $363.08 | $436.52 | $446.68 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $74.13 | $85.11 | $89.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $346.74 Typical High $354.81 | Professional | TC · Technical part | $288.40 | $346.74 | $354.81 |
Horizon BCBS Setting Facility Modifier None Typical Low $457.09 Median $812.83 Typical High $2,238.72 | Facility | None | $457.09 | $812.83 | $2,238.72 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $309.03 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $309.03 | $354.81 | $616.60 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $95.50 | Professional | 26 · Professional part | $64.57 | $74.13 | $95.50 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $239.88 | $275.42 | $446.68 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $269.15 | $389.05 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $63.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $218.78 | $295.12 | $602.56 |
4 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 $186.21 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $74.13 | $81.28 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $295.12 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $398.11 Median $630.96 Typical High $707.95 | Professional | GL · Free upgrade | $398.11 | $630.96 | $707.95 |
Where New Jersey sits
The same service costs 5.1 times more in Wyoming than in Utah. 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
$398
WY $1,202UT $234
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.