How much rates vary
Facilitymedian $275 · 10th to 90th $132 to $1,445Professionalmedian $138 · 10th to 90th $100 to $234
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 $102.33 Median $131.83 Typical High $131.83 | Facility | None | $102.33 | $131.83 | $131.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $199.53 | Facility | TC · Technical part | $79.43 | $104.71 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $151.36 | Professional | None (both parts) | $102.33 | $102.33 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $36.31 | Professional | 26 · Professional part | $21.88 | $21.88 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $79.43 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None (both parts) | $91.20 | $91.20 | $91.20 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $134.90 Median $218.78 Typical High $489.78 | Professional | None (both parts) | $134.90 | $218.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $309.03 Typical High $467.74 | Facility | None | $199.53 | $309.03 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $128.82 Typical High $245.47 | Professional | None (both parts) | $97.72 | $128.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $21.88 Typical High $53.70 | Professional | 26 · Professional part | $19.05 | $21.88 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $70.79 | $100.00 | $190.55 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $177.83 | Professional | None (both parts) | $141.25 | $165.96 | $177.83 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $37.15 | $43.65 | $48.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $128.82 | Professional | TC · Technical part | $102.33 | $123.03 | $128.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $109.65 Median $977.24 Typical High $1,621.81 | Facility | None | $109.65 | $977.24 | $1,621.81 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $141.25 | $162.18 | $229.09 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $31.62 | $44.67 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $181.97 | Professional | TC · Technical part | $112.20 | $128.82 | $181.97 |
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 $91.20 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $91.20 | $125.89 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.30 Typical High $50.12 | Professional | 26 · Professional part | $21.38 | $26.30 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $67.61 | $100.00 | $190.55 |
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 $44.67 Median $51.29 Typical High $67.61 | Professional | 52 · Reduced service | $44.67 | $51.29 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $20.42 Typical High $26.92 | Professional | 53 · Discontinued | $17.78 | $20.42 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $107.15 | Professional | FX · Film X-ray | $81.28 | $81.28 | $107.15 |
Where New Jersey sits
The same service costs 3.5 times more in Alaska 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· 36th of 51
$138
AK $355TX $100
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.