How much rates vary
Facilitymedian $120 · 10th to 90th $41 to $2,692Professionalmedian $50 · 10th to 90th $39 to $91
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 $40.74 Median $51.29 Typical High $67.61 | Facility | None | $40.74 | $51.29 | $67.61 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.88 Median $15.85 Typical High $15.85 | Facility | 26 · Professional part | $12.88 | $15.85 | $15.85 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $27.54 Median $35.48 Typical High $69.18 | Facility | TC · Technical part | $27.54 | $35.48 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $50.12 Typical High $97.72 | Professional | None (both parts) | $40.74 | $50.12 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $15.14 Typical High $28.18 | Professional | 26 · Professional part | $12.88 | $15.14 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $34.67 Typical High $67.61 | Professional | TC · Technical part | $27.54 | $34.67 | $67.61 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $14.79 Typical High $25.12 | Professional | 26 · Professional part | $11.48 | $14.79 | $25.12 |
AmeriHealth Setting Facility Modifier None Typical Low $61.66 Median $2,187.76 Typical High $3,981.07 | Facility | None | $61.66 | $2,187.76 | $3,981.07 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $117.49 | Professional | None (both parts) | $61.66 | $61.66 | $117.49 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $34.67 | Professional | 26 · Professional part | $17.78 | $17.78 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $120.23 Typical High $177.83 | Facility | None | $87.10 | $120.23 | $177.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $45.71 Typical High $91.20 | Professional | None (both parts) | $37.15 | $45.71 | $91.20 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $28.84 | Professional | 26 · Professional part | $10.23 | $11.48 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $29.51 Typical High $63.10 | Professional | TC · Technical part | $26.92 | $29.51 | $63.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $70.79 Typical High $72.44 | Professional | None (both parts) | $58.88 | $70.79 | $72.44 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.42 Typical High $21.38 | Professional | 26 · Professional part | $17.78 | $20.42 | $21.38 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $51.29 | Professional | TC · Technical part | $41.69 | $50.12 | $51.29 |
Horizon BCBS Setting Facility Modifier None Typical Low $39.81 Median $288.40 Typical High $457.09 | Facility | None | $39.81 | $288.40 | $457.09 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $85.11 | Professional | None (both parts) | $48.98 | $56.23 | $85.11 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.38 Typical High $25.12 | Professional | 26 · Professional part | $15.14 | $17.38 | $25.12 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $38.90 Typical High $56.23 | Professional | TC · Technical part | $33.88 | $38.90 | $56.23 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $36.31 | $45.71 | $87.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $11.22 | $14.45 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $31.62 Typical High $60.26 | Professional | TC · Technical part | $25.12 | $31.62 | $60.26 |
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 $17.38 Median $20.42 Typical High $25.70 | Professional | 52 · Reduced service | $17.38 | $20.42 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $8.13 Typical High $10.23 | Professional | 53 · Discontinued | $6.92 | $8.13 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | FX · Film X-ray | $32.36 | $32.36 | $40.74 |
Where New Jersey sits
The same service costs 4.5 times more in Alaska 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· 38th of 51
$51.29
AK $148UT $33.11
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.