How much rates vary
Facilitymedian $676 · 10th to 90th $398 to $5,012Professionalmedian $339 · 10th to 90th $186 to $631
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 $426.58 Typical High $3,890.45 | Facility | None | $398.11 | $426.58 | $3,890.45 |
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 $208.93 Median $398.11 Typical High $630.96 | Professional | None (both parts) | $208.93 | $398.11 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $69.18 | $120.23 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $281.84 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $128.82 Median $173.78 Typical High $190.55 | Professional | None (both parts) | $128.82 | $173.78 | $190.55 |
AmeriHealth Setting Facility Modifier None Typical Low $2,398.83 Median $4,265.80 Typical High $6,309.57 | Facility | None | $2,398.83 | $4,265.80 | $6,309.57 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $77.62 Typical High $338.84 | Professional | 26 · Professional part | $77.62 | $77.62 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $398.11 Typical High $537.03 | Facility | None | $302.00 | $398.11 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $354.81 Typical High $794.33 | Professional | None (both parts) | $162.18 | $354.81 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $138.04 | Professional | 26 · Professional part | $48.98 | $53.70 | $138.04 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $275.42 Typical High $630.96 | Professional | TC · Technical part | $109.65 | $275.42 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $229.09 | $275.42 | $302.00 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $100.00 | Professional | 26 · Professional part | $77.62 | $91.20 | $100.00 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $199.53 | Professional | TC · Technical part | $154.88 | $186.21 | $199.53 |
Horizon BCBS Setting Facility Modifier None Typical Low $457.09 Median $812.83 Typical High $5,495.41 | Facility | None | $457.09 | $812.83 | $5,495.41 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $229.09 | $263.03 | $549.54 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $104.71 | Professional | 26 · Professional part | $70.79 | $81.28 | $104.71 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $181.97 Typical High $380.19 | Professional | TC · Technical part | $158.49 | $181.97 | $380.19 |
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 $512.86 | Professional | None (both parts) | $173.78 | $251.19 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $67.61 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $67.61 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $162.18 Typical High $398.11 | Professional | TC · Technical part | $114.82 | $162.18 | $398.11 |
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 6.6 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· 26th of 51
$372
AK $813UT $123
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.