How much rates vary
Facilitymedian $324 · 10th to 90th $98 to $9,120Professionalmedian $98 · 10th to 90th $69 to $148
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 $97.72 Median $114.82 Typical High $114.82 | Facility | None | $97.72 | $114.82 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $34.67 | Facility | 26 · Professional part | $29.51 | $34.67 | $34.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $67.61 Median $79.43 Typical High $165.96 | Facility | TC · Technical part | $67.61 | $79.43 | $165.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $114.82 | Professional | None (both parts) | $97.72 | $97.72 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $39.81 | Professional | 26 · Professional part | $29.51 | $29.51 | $39.81 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | TC · Technical part | $67.61 | $67.61 | $79.43 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | 26 · Professional part | $30.90 | $30.90 | $30.90 |
AmeriHealth Setting Facility Modifier None Typical Low $1,905.46 Median $5,011.87 Typical High $9,120.11 | Facility | None | $1,905.46 | $5,011.87 | $9,120.11 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $54.95 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $199.53 Typical High $323.59 | Facility | None | $151.36 | $199.53 | $323.59 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $69.18 Typical High $165.96 | Professional | None (both parts) | $67.61 | $69.18 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $25.12 Typical High $54.95 | Professional | 26 · Professional part | $24.55 | $25.12 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $44.67 Typical High $112.20 | Professional | TC · Technical part | $42.66 | $44.67 | $112.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $144.54 | Professional | None (both parts) | $104.71 | $131.83 | $144.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $50.12 Typical High $54.95 | Professional | 26 · Professional part | $39.81 | $50.12 | $54.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $83.18 Typical High $89.13 | Professional | TC · Technical part | $67.61 | $83.18 | $89.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $66.07 Median $489.78 Typical High $13,489.63 | Facility | None | $66.07 | $489.78 | $13,489.63 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $144.54 Median $16,982.44 Typical High $26,915.35 | Facility | TC · Technical part | $144.54 | $16,982.44 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $147.91 | Professional | None (both parts) | $100.00 | $114.82 | $147.91 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $50.12 | Professional | 26 · Professional part | $33.11 | $38.02 | $50.12 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $87.10 | Professional | TC · Technical part | $67.61 | $77.62 | $87.10 |
United Setting Professional Modifier None (both parts) Typical Low $69.18 Median $87.10 Typical High $138.04 | Professional | None (both parts) | $69.18 | $87.10 | $138.04 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.18 Typical High $46.77 | Professional | 26 · Professional part | $26.30 | $28.18 | $46.77 |
United Setting Professional Modifier TC · Technical part Typical Low $42.66 Median $56.23 Typical High $93.33 | Professional | TC · Technical part | $42.66 | $56.23 | $93.33 |
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 $47.86 Median $47.86 Typical High $57.54 | Professional | 52 · Reduced service | $47.86 | $47.86 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 53 · Discontinued | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $77.62 Median $77.62 Typical High $91.20 | Professional | FX · Film X-ray | $77.62 | $77.62 | $91.20 |
Where New Jersey sits
The same service costs 4.5 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· 41st of 51
$97.72
AK $295TX $66.07
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.