How much rates vary
Facilitymedian $316 · 10th to 90th $170 to $13,490Professionalmedian $186 · 10th to 90th $115 to $398
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 $181.97 Median $181.97 Typical High $1,949.84 | Facility | None | $181.97 | $181.97 | $1,949.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $53.70 | Facility | 26 · Professional part | $46.77 | $53.70 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $125.89 Median $199.53 Typical High $489.78 | Facility | TC · Technical part | $125.89 | $199.53 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $245.47 Typical High $295.12 | Professional | None (both parts) | $134.90 | $245.47 | $295.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $125.89 | Professional | 26 · Professional part | $46.77 | $53.70 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $158.49 Typical High $199.53 | Professional | TC · Technical part | $75.86 | $158.49 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $141.25 | Professional | None (both parts) | $109.65 | $109.65 | $141.25 |
AmeriHealth Setting Facility Modifier None Typical Low $7,244.36 Median $14,791.08 Typical High $22,908.68 | Facility | None | $7,244.36 | $14,791.08 | $22,908.68 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $104.71 Typical High $239.88 | Professional | 26 · Professional part | $93.33 | $104.71 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $363.08 | Facility | None | $169.82 | $234.42 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $512.86 | Professional | None (both parts) | $107.15 | $131.83 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $58.88 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $60.26 Typical High $354.81 | Professional | TC · Technical part | $51.29 | $60.26 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $208.93 Typical High $223.87 | Professional | None (both parts) | $177.83 | $208.93 | $223.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $120.23 | Professional | 26 · Professional part | $95.50 | $109.65 | $120.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $104.71 | Professional | TC · Technical part | $83.18 | $100.00 | $104.71 |
Horizon BCBS Setting Facility Modifier None Typical Low $331.13 Median $8,709.64 Typical High $13,803.84 | Facility | None | $331.13 | $8,709.64 | $13,803.84 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $16,218.10 Typical High $26,915.35 | Facility | TC · Technical part | $416.87 | $16,218.10 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $162.18 Median $186.21 Typical High $407.38 | Professional | None (both parts) | $162.18 | $186.21 | $407.38 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $120.23 | Professional | 26 · Professional part | $81.28 | $93.33 | $120.23 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $81.28 | $93.33 | $177.83 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $13,182.57 | Facility | None | $6,025.60 | $6,025.60 | $13,182.57 |
United Setting Professional Modifier None (both parts) Typical Low $114.82 Median $165.96 Typical High $457.09 | Professional | None (both parts) | $114.82 | $165.96 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $48.98 | $75.86 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $213.80 | Professional | TC · Technical part | $54.95 | $79.43 | $213.80 |
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 $64.57 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $64.57 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $25.70 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $102.33 | $199.53 | $199.53 |
Where New Jersey sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 40th of 51
$186
AK $468TX $115
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.