How much rates vary
Facilitymedian $1,072 · 10th to 90th $427 to $4,786Professionalmedian $479 · 10th to 90th $372 to $1,023
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 $398.11 Median $407.38 Typical High $812.83 | Professional | None (both parts) | $398.11 | $407.38 | $812.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $120.23 Typical High $190.55 | Professional | 26 · Professional part | $102.33 | $120.23 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $630.96 | Professional | TC · Technical part | $281.84 | $302.00 | $630.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | None (both parts) | $371.54 | $371.54 | $371.54 |
AmeriHealth Setting Facility Modifier None Typical Low $645.65 Median $1,548.82 Typical High $5,754.40 | Facility | None | $645.65 | $1,548.82 | $5,754.40 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $549.54 Median $549.54 Typical High $1,230.27 | Professional | None (both parts) | $549.54 | $549.54 | $1,230.27 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $120.23 Typical High $851.14 | Professional | 26 · Professional part | $114.82 | $120.23 | $851.14 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $1,174.90 | Facility | None | $676.08 | $870.96 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $323.59 Median $537.03 Typical High $1,202.26 | Professional | None (both parts) | $323.59 | $537.03 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $204.17 | Professional | 26 · Professional part | $72.44 | $79.43 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $416.87 Typical High $1,023.29 | Professional | TC · Technical part | $245.47 | $416.87 | $1,023.29 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $549.54 Typical High $602.56 | Professional | None (both parts) | $457.09 | $549.54 | $602.56 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $134.90 Typical High $151.36 | Professional | 26 · Professional part | $117.49 | $134.90 | $151.36 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $407.38 Typical High $446.68 | Professional | TC · Technical part | $338.84 | $407.38 | $446.68 |
Horizon BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,288.25 Typical High $5,011.87 | Facility | None | $676.08 | $1,288.25 | $5,011.87 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $467.74 Median $537.03 Typical High $870.96 | Professional | None (both parts) | $467.74 | $537.03 | $870.96 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $162.18 | Professional | 26 · Professional part | $102.33 | $117.49 | $162.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $363.08 Median $416.87 Typical High $660.69 | Professional | TC · Technical part | $363.08 | $416.87 | $660.69 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,445.44 | Facility | None | $676.08 | $676.08 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $1,000.00 | Professional | None (both parts) | $338.84 | $501.19 | $1,000.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $100.00 Typical High $208.93 | Professional | 26 · Professional part | $81.28 | $100.00 | $208.93 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $354.81 Typical High $831.76 | Professional | TC · Technical part | $257.04 | $354.81 | $831.76 |
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 $323.59 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $323.59 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $457.09 Median $691.83 Typical High $1,230.27 | Professional | GL · Free upgrade | $457.09 | $691.83 | $1,230.27 |
Where New Jersey sits
The same service costs 6.0 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· 43rd of 51
$479
WY $1,549UT $257
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.