How much rates vary
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 $100.00 Median $128.82 Typical High $144.54 | Facility | None | $100.00 | $128.82 | $144.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $33.88 | Facility | 26 · Professional part | $28.84 | $33.88 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $177.83 | Facility | TC · Technical part | $72.44 | $95.50 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $95.50 | $109.65 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $28.84 | $33.88 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $123.03 | Professional | TC · Technical part | $63.10 | $72.44 | $123.03 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | None (both parts) | $85.11 | $85.11 | $85.11 |
AmeriHealth Setting Facility Modifier None Typical Low $371.54 Median $741.31 Typical High $11,748.98 | Facility | None | $371.54 | $741.31 | $11,748.98 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $316.23 | Facility | None | $147.91 | $204.17 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $85.11 Typical High $223.87 | Professional | None (both parts) | $75.86 | $85.11 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $35.48 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $48.98 Typical High $144.54 | Professional | TC · Technical part | $43.65 | $48.98 | $144.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $154.88 | Professional | None (both parts) | $128.82 | $151.36 | $154.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $67.61 | Professional | 26 · Professional part | $56.23 | $64.57 | $67.61 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $85.11 | Professional | TC · Technical part | $70.79 | $85.11 | $85.11 |
Horizon BCBS Setting Facility Modifier None Typical Low $147.91 Median $4,073.80 Typical High $11,748.98 | Facility | None | $147.91 | $4,073.80 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $199.53 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $194.98 | Professional | None (both parts) | $109.65 | $125.89 | $194.98 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $61.66 | Professional | 26 · Professional part | $33.11 | $38.02 | $61.66 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $128.82 | Professional | TC · Technical part | $77.62 | $89.13 | $128.82 |
United Setting Facility Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $6,606.93 | Facility | None | $3,019.95 | $3,019.95 | $6,606.93 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $102.33 Typical High $199.53 | Professional | None (both parts) | $70.79 | $102.33 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $37.15 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $37.15 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $46.77 | $72.44 | $134.90 |
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 $44.67 Median $50.12 Typical High $64.57 | Professional | 52 · Reduced service | $44.67 | $50.12 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $19.95 Typical High $25.70 | Professional | 53 · Discontinued | $18.20 | $19.95 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $81.28 Typical High $102.33 | Professional | FX · Film X-ray | $74.13 | $81.28 | $102.33 |
Where New Jersey sits
The same service costs 4.2 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· 40th of 51
$110
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.