How much rates vary
Facilitymedian $575 · 10th to 90th $398 to $3,631Professionalmedian $316 · 10th to 90th $200 to $603
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 $467.74 Typical High $3,630.78 | Facility | None | $398.11 | $467.74 | $3,630.78 |
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 $218.78 Median $398.11 Typical High $602.56 | Professional | None (both parts) | $218.78 | $398.11 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $66.07 | $120.23 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $154.88 | $281.84 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $199.53 Typical High $338.84 | Professional | None (both parts) | $186.21 | $199.53 | $338.84 |
AmeriHealth Setting Facility Modifier None Typical Low $741.31 Median $2,630.27 Typical High $3,890.45 | Facility | None | $741.31 | $2,630.27 | $3,890.45 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $281.84 Median $630.96 Typical High $891.25 | Professional | None (both parts) | $281.84 | $630.96 | $891.25 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $75.86 Typical High $489.78 | Professional | 26 · Professional part | $75.86 | $75.86 | $489.78 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $707.95 | Professional | TC · Technical part | $204.17 | $204.17 | $707.95 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $436.52 Typical High $575.44 | Facility | None | $338.84 | $436.52 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $309.03 Typical High $660.69 | Professional | None (both parts) | $165.96 | $309.03 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $51.29 Typical High $131.83 | Professional | 26 · Professional part | $45.71 | $51.29 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $213.80 Typical High $524.81 | Professional | TC · Technical part | $117.49 | $213.80 | $524.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $288.40 Typical High $316.23 | Professional | None (both parts) | $245.47 | $288.40 | $316.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $95.50 | Professional | 26 · Professional part | $74.13 | $85.11 | $95.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $223.87 | Professional | TC · Technical part | $169.82 | $204.17 | $223.87 |
Horizon BCBS Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $6,025.60 | Facility | None | $489.78 | $870.96 | $6,025.60 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $234.42 | $269.15 | $478.63 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $64.57 | $74.13 | $97.72 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $309.03 | Professional | TC · Technical part | $169.82 | $194.98 | $309.03 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $173.78 | $251.19 | $537.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $131.83 | Professional | 26 · Professional part | $51.29 | $63.10 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $165.96 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $165.96 | $416.87 |
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 $398.11 Median $630.96 Typical High $707.95 | Professional | GL · Free upgrade | $398.11 | $630.96 | $707.95 |
Where New Jersey sits
The same service costs 13.5 times more in Vermont 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· 30th of 51
$347
VT $2,089UT $155
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.