How much rates vary
Facilitymedian $69 · 10th to 90th $22 to $355Professionalmedian $32 · 10th to 90th $22 to $60
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 $22.39 Median $30.20 Typical High $204.17 | Facility | None | $22.39 | $30.20 | $204.17 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $8.32 Typical High $8.32 | Facility | 26 · Professional part | $6.31 | $8.32 | $8.32 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $39.81 | Facility | TC · Technical part | $16.22 | $21.38 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $22.39 Median $30.20 Typical High $63.10 | Professional | None (both parts) | $22.39 | $30.20 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $8.13 Typical High $14.45 | Professional | 26 · Professional part | $6.31 | $8.13 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.38 Typical High $45.71 | Professional | TC · Technical part | $16.22 | $21.38 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $23.99 Typical High $30.90 | Professional | None (both parts) | $19.95 | $23.99 | $30.90 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $1,737.80 Median $1,737.80 Typical High $1,737.80 | Facility | TC · Technical part | $1,737.80 | $1,737.80 | $1,737.80 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $40.74 Median $67.61 Typical High $102.33 | Professional | None (both parts) | $40.74 | $67.61 | $102.33 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $9.55 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $83.18 Typical High $125.89 | Facility | None | $60.26 | $83.18 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $30.90 Typical High $61.66 | Professional | None (both parts) | $23.99 | $30.90 | $61.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $5.89 Typical High $14.79 | Professional | 26 · Professional part | $5.13 | $5.89 | $14.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $20.42 Typical High $44.67 | Professional | TC · Technical part | $17.38 | $20.42 | $44.67 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $46.77 Typical High $46.77 | Professional | None (both parts) | $38.90 | $46.77 | $46.77 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $10.96 | Professional | 26 · Professional part | $9.33 | $10.96 | $10.96 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $35.48 Typical High $36.31 | Professional | TC · Technical part | $29.51 | $35.48 | $36.31 |
Horizon BCBS Setting Facility Modifier None Typical Low $33.11 Median $223.87 Typical High $380.19 | Facility | None | $33.11 | $223.87 | $380.19 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $32.36 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $32.36 | $37.15 | $53.70 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $9.33 Typical High $12.88 | Professional | 26 · Professional part | $8.13 | $9.33 | $12.88 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $27.54 Typical High $38.90 | Professional | TC · Technical part | $23.99 | $27.54 | $38.90 |
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 $22.91 Median $28.84 Typical High $57.54 | Professional | None (both parts) | $22.91 | $28.84 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.76 Typical High $14.45 | Professional | 26 · Professional part | $6.03 | $7.76 | $14.45 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $17.38 | $22.39 | $42.66 |
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 $11.22 Median $11.22 Typical High $15.85 | Professional | 52 · Reduced service | $11.22 | $11.22 | $15.85 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $6.31 | Professional | 53 · Discontinued | $4.47 | $4.47 | $6.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.78 Median $17.78 Typical High $23.99 | Professional | FX · Film X-ray | $17.78 | $17.78 | $23.99 |
Where New Jersey sits
The same service costs 3.8 times more in Alaska 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
$32.36
AK $95.50FL $25.12
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.