How much rates vary
Facilitymedian $1,514 · 10th to 90th $398 to $4,169Professionalmedian $398 · 10th to 90th $302 to $759
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 $4,168.69 | Facility | None | $398.11 | $426.58 | $4,168.69 |
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 $338.84 Median $398.11 Typical High $660.69 | Professional | None (both parts) | $338.84 | $398.11 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $75.86 | $120.23 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $512.86 | Professional | TC · Technical part | $257.04 | $281.84 | $512.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $257.04 Median $281.84 Typical High $309.03 | Professional | None (both parts) | $257.04 | $281.84 | $309.03 |
AmeriHealth Setting Facility Modifier None Typical Low $1,380.38 Median $2,570.40 Typical High $4,786.30 | Facility | None | $1,380.38 | $2,570.40 | $4,786.30 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $91.20 Typical High $173.78 | Professional | 26 · Professional part | $91.20 | $91.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $977.24 | Facility | None | $562.34 | $724.44 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $426.58 Typical High $891.25 | Professional | None (both parts) | $263.03 | $426.58 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $60.26 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $346.74 Typical High $707.95 | Professional | TC · Technical part | $204.17 | $346.74 | $707.95 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $371.54 | $446.68 | $489.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $114.82 | Professional | 26 · Professional part | $87.10 | $102.33 | $114.82 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $346.74 Typical High $371.54 | Professional | TC · Technical part | $288.40 | $346.74 | $371.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $794.33 Median $2,187.76 Typical High $6,606.93 | Facility | None | $794.33 | $2,187.76 | $6,606.93 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $380.19 Median $436.52 Typical High $707.95 | Professional | None (both parts) | $380.19 | $436.52 | $707.95 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $79.43 | $91.20 | $114.82 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $338.84 Typical High $549.54 | Professional | TC · Technical part | $295.12 | $338.84 | $549.54 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,513.56 | $1,513.56 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $281.84 Median $407.38 Typical High $758.58 | Professional | None (both parts) | $281.84 | $407.38 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $75.86 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $295.12 Typical High $602.56 | Professional | TC · Technical part | $213.80 | $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 $426.58 Median $691.83 Typical High $1,096.48 | Professional | GL · Free upgrade | $426.58 | $691.83 | $1,096.48 |
Where New Jersey sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 41st of 51
$407
WY $1,259TX $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.