How much rates vary
Facilitymedian $69 · 10th to 90th $40 to $1,096Professionalmedian $47 · 10th to 90th $29 to $79
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 $42.66 Median $42.66 Typical High $66.07 | Facility | None | $42.66 | $42.66 | $66.07 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $15.14 | Facility | 26 · Professional part | $13.18 | $15.14 | $15.14 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $26.92 Median $53.70 Typical High $131.83 | Facility | TC · Technical part | $26.92 | $53.70 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $33.88 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $27.54 | Professional | 26 · Professional part | $12.88 | $13.49 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $47.86 Typical High $53.70 | Professional | TC · Technical part | $21.38 | $47.86 | $53.70 |
AmeriHealth Setting Facility Modifier None Typical Low $19.95 Median $41.69 Typical High $75.86 | Facility | None | $19.95 | $41.69 | $75.86 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $17.38 Typical High $33.11 | Professional | 26 · Professional part | $17.38 | $17.38 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $89.13 Typical High $134.90 | Facility | None | $64.57 | $89.13 | $134.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.11 Typical High $89.13 | Professional | None (both parts) | $28.84 | $33.11 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.22 Typical High $28.84 | Professional | 26 · Professional part | $10.00 | $11.22 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $20.89 Typical High $63.10 | Professional | TC · Technical part | $18.62 | $20.89 | $63.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $50.12 Median $58.88 Typical High $64.57 | Professional | None (both parts) | $50.12 | $58.88 | $64.57 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.42 Typical High $22.91 | Professional | 26 · Professional part | $17.78 | $20.42 | $22.91 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $41.69 | Professional | TC · Technical part | $32.36 | $38.90 | $41.69 |
Horizon BCBS Setting Facility Modifier None Typical Low $72.44 Median $870.96 Typical High $1,513.56 | Facility | None | $72.44 | $870.96 | $1,513.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $85.11 | Professional | None (both parts) | $40.74 | $46.77 | $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 $25.12 Median $28.84 Typical High $54.95 | Professional | TC · Technical part | $25.12 | $28.84 | $54.95 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,445.44 | Facility | None | $676.08 | $676.08 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $75.86 | Professional | None (both parts) | $32.36 | $40.74 | $75.86 |
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 $19.95 Median $24.55 Typical High $51.29 | Professional | TC · Technical part | $19.95 | $24.55 | $51.29 |
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 $14.45 Median $33.11 Typical High $33.11 | Professional | 52 · Reduced service | $14.45 | $33.11 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $13.18 Typical High $13.18 | Professional | 53 · Discontinued | $5.75 | $13.18 | $13.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $53.70 Typical High $53.70 | Professional | FX · Film X-ray | $26.92 | $53.70 | $53.70 |
Where New Jersey sits
The same service costs 3.8 times more in Alaska than in New York. 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· 41st of 51
$46.77
AK $115NY $30.20
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.