How much rates vary
Facilitymedian $389 · 10th to 90th $200 to $11,749Professionalmedian $200 · 10th to 90th $123 to $437
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 $213.80 Median $213.80 Typical High $275.42 | Facility | None | $213.80 | $213.80 | $275.42 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $63.10 | Facility | 26 · Professional part | $53.70 | $63.10 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $151.36 Median $223.87 Typical High $549.54 | Facility | TC · Technical part | $151.36 | $223.87 | $549.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $275.42 Typical High $316.23 | Professional | None (both parts) | $147.91 | $275.42 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $63.10 Typical High $134.90 | Professional | 26 · Professional part | $53.70 | $63.10 | $134.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $169.82 Typical High $223.87 | Professional | TC · Technical part | $79.43 | $169.82 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
AmeriHealth Setting Facility Modifier None Typical Low $1,548.82 Median $2,818.38 Typical High $3,890.45 | Facility | None | $1,548.82 | $2,818.38 | $3,890.45 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $398.11 | $398.11 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $251.19 Typical High $380.19 | Facility | None | $177.83 | $251.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $141.25 Typical High $524.81 | Professional | None (both parts) | $114.82 | $141.25 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $128.82 | Professional | 26 · Professional part | $60.26 | $66.07 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $407.38 | Professional | TC · Technical part | $53.70 | $63.10 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $194.98 Median $229.09 Typical High $245.47 | Professional | None (both parts) | $194.98 | $229.09 | $245.47 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $134.90 | Professional | 26 · Professional part | $107.15 | $123.03 | $134.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $112.20 | Professional | TC · Technical part | $87.10 | $104.71 | $112.20 |
Horizon BCBS Setting Facility Modifier None Typical Low $380.19 Median $8,709.64 Typical High $14,125.38 | Facility | None | $380.19 | $8,709.64 | $14,125.38 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $512.86 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $512.86 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $173.78 Median $199.53 Typical High $467.74 | Professional | None (both parts) | $173.78 | $199.53 | $467.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $104.71 Typical High $134.90 | Professional | 26 · Professional part | $91.20 | $104.71 | $134.90 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $213.80 | Professional | TC · Technical part | $83.18 | $95.50 | $213.80 |
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 $125.89 Median $177.83 Typical High $457.09 | Professional | None (both parts) | $125.89 | $177.83 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $54.95 | $83.18 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $81.28 Typical High $251.19 | Professional | TC · Technical part | $57.54 | $81.28 | $251.19 |
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 $74.13 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $74.13 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $29.51 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $117.49 | $218.78 | $218.78 |
Where New Jersey sits
The same service costs 5.1 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
$200
AK $513UT $100
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.