How much rates vary
Facilitymedian $398 · 10th to 90th $170 to $17,783Professionalmedian $200 · 10th to 90th $120 to $380
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 $169.82 Median $169.82 Typical High $245.47 | Facility | None | $169.82 | $169.82 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $54.95 | Facility | 26 · Professional part | $46.77 | $54.95 | $54.95 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $199.53 Typical High $489.78 | Facility | TC · Technical part | $112.20 | $199.53 | $489.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $239.88 Typical High $275.42 | Professional | None (both parts) | $151.36 | $239.88 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $112.20 | Professional | 26 · Professional part | $46.77 | $54.95 | $112.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $154.88 | $199.53 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
AmeriHealth Setting Facility Modifier None Typical Low $2,884.03 Median $6,760.83 Typical High $9,120.11 | Facility | None | $2,884.03 | $6,760.83 | $9,120.11 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $109.65 Typical High $190.55 | Professional | 26 · Professional part | $97.72 | $109.65 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $263.03 Typical High $407.38 | Facility | None | $190.55 | $263.03 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $512.86 | Professional | None (both parts) | $120.23 | $134.90 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $66.07 Typical High $123.03 | Professional | 26 · Professional part | $56.23 | $66.07 | $123.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $67.61 Typical High $354.81 | Professional | TC · Technical part | $57.54 | $67.61 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $257.04 | Professional | None (both parts) | $199.53 | $234.42 | $257.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $123.03 Typical High $138.04 | Professional | 26 · Professional part | $107.15 | $123.03 | $138.04 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $112.20 Typical High $120.23 | Professional | TC · Technical part | $93.33 | $112.20 | $120.23 |
Horizon BCBS Setting Facility Modifier None Typical Low $331.13 Median $12,302.69 Typical High $23,988.33 | Facility | None | $331.13 | $12,302.69 | $23,988.33 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $346.74 Median $16,982.44 Typical High $27,542.29 | Facility | TC · Technical part | $346.74 | $16,982.44 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $181.97 | $213.80 | $380.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $125.89 | Professional | 26 · Professional part | $93.33 | $100.00 | $125.89 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $104.71 | $173.78 |
United Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $23,442.29 | Facility | None | $10,715.19 | $10,715.19 | $23,442.29 |
United Setting Professional Modifier None (both parts) Typical Low $128.82 Median $181.97 Typical High $457.09 | Professional | None (both parts) | $128.82 | $181.97 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $47.86 | $85.11 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $89.13 Typical High $229.09 | Professional | TC · Technical part | $60.26 | $89.13 | $229.09 |
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 $57.54 Median $123.03 Typical High $123.03 | Professional | 52 · Reduced service | $57.54 | $123.03 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $23.44 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $114.82 | $194.98 | $194.98 |
Where New Jersey sits
The same service costs 5.2 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· 36th of 51
$204
AK $525UT $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.