How much rates vary
Facilitymedian $68 · 10th to 90th $28 to $372Professionalmedian $28 · 10th to 90th $22 to $54
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 $21.88 Median $28.18 Typical High $263.03 | Facility | None | $21.88 | $28.18 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.31 Median $7.59 Typical High $7.59 | Facility | 26 · Professional part | $6.31 | $7.59 | $7.59 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $15.49 Median $20.89 Typical High $38.02 | Facility | TC · Technical part | $15.49 | $20.89 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.88 Median $28.18 Typical High $54.95 | Professional | None (both parts) | $21.88 | $28.18 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.59 Typical High $13.80 | Professional | 26 · Professional part | $6.31 | $7.59 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.49 Median $20.42 Typical High $41.69 | Professional | TC · Technical part | $15.49 | $20.42 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $22.39 Typical High $32.36 | Professional | None (both parts) | $18.20 | $22.39 | $32.36 |
AmeriHealth Setting Facility Modifier None Typical Low $36.31 Median $69.18 Typical High $3,548.13 | Facility | None | $36.31 | $69.18 | $3,548.13 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $35.48 Median $50.12 Typical High $89.13 | Professional | None (both parts) | $35.48 | $50.12 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $109.65 | Facility | None | $52.48 | $72.44 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $20.89 Median $29.51 Typical High $56.23 | Professional | None (both parts) | $20.89 | $29.51 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $4.90 Median $5.62 Typical High $14.13 | Professional | 26 · Professional part | $4.90 | $5.62 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $19.05 Typical High $38.02 | Professional | TC · Technical part | $15.85 | $19.05 | $38.02 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $34.67 Median $40.74 Typical High $44.67 | Professional | None (both parts) | $34.67 | $40.74 | $44.67 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.47 Typical High $11.75 | Professional | 26 · Professional part | $8.91 | $10.47 | $11.75 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $33.11 | Professional | TC · Technical part | $25.12 | $30.20 | $33.11 |
Horizon BCBS Setting Facility Modifier None Typical Low $24.55 Median $199.53 Typical High $380.19 | Facility | None | $24.55 | $199.53 | $380.19 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $28.18 Median $32.36 Typical High $47.86 | Professional | None (both parts) | $28.18 | $32.36 | $47.86 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $12.02 | Professional | 26 · Professional part | $7.41 | $8.51 | $12.02 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $23.99 Typical High $34.67 | Professional | TC · Technical part | $20.89 | $23.99 | $34.67 |
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 $21.38 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $21.38 | $26.30 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $7.08 Typical High $13.18 | Professional | 26 · Professional part | $5.62 | $7.08 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $19.50 Typical High $38.02 | Professional | TC · Technical part | $15.14 | $19.50 | $38.02 |
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 $10.00 Median $10.96 Typical High $14.13 | Professional | 52 · Reduced service | $10.00 | $10.96 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.37 Typical High $5.75 | Professional | 53 · Discontinued | $4.07 | $4.37 | $5.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $17.38 Typical High $22.91 | Professional | FX · Film X-ray | $17.38 | $17.38 | $22.91 |
Where New Jersey sits
The same service costs 3.7 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
$28.84
AK $83.18FL $22.39
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.