How much rates vary
Facilitymedian $129 · 10th to 90th $17 to $1,514Professionalmedian $41 · 10th to 90th $17 to $65
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 $16.60 Median $19.50 Typical High $263.03 | Facility | None | $16.60 | $19.50 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $7.94 | Facility | 26 · Professional part | $6.61 | $7.94 | $7.94 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $10.00 Median $11.48 Typical High $25.12 | Facility | TC · Technical part | $10.00 | $11.48 | $25.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $16.60 Median $19.50 Typical High $52.48 | Professional | None (both parts) | $16.60 | $19.50 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $19.05 | Professional | 26 · Professional part | $6.61 | $7.94 | $19.05 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $10.00 Median $11.48 Typical High $35.48 | Professional | TC · Technical part | $10.00 | $11.48 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None (both parts) | $34.67 | $34.67 | $34.67 |
AmeriHealth Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $1,148.15 | Facility | None | $346.74 | $691.83 | $1,148.15 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $17.78 Typical High $33.88 | Professional | 26 · Professional part | $14.45 | $17.78 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $67.61 Median $93.33 Typical High $144.54 | Facility | None | $67.61 | $93.33 | $144.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $16.98 Median $31.62 Typical High $54.95 | Professional | None (both parts) | $16.98 | $31.62 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $10.72 Typical High $19.95 | Professional | 26 · Professional part | $8.32 | $10.72 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $9.33 Median $19.50 Typical High $31.62 | Professional | TC · Technical part | $9.33 | $19.50 | $31.62 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $63.10 | Professional | None (both parts) | $51.29 | $61.66 | $63.10 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $20.89 | Professional | 26 · Professional part | $17.38 | $19.95 | $20.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $40.74 Typical High $41.69 | Professional | TC · Technical part | $33.88 | $40.74 | $41.69 |
Horizon BCBS Setting Facility Modifier None Typical Low $19.95 Median $1,258.93 Typical High $2,398.83 | Facility | None | $19.95 | $1,258.93 | $2,398.83 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $64.57 | Professional | None (both parts) | $43.65 | $50.12 | $64.57 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.38 Typical High $21.38 | Professional | 26 · Professional part | $15.14 | $17.38 | $21.38 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $29.51 Typical High $37.15 | Professional | TC · Technical part | $28.18 | $29.51 | $37.15 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,047.13 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $19.95 Median $36.31 Typical High $72.44 | Professional | None (both parts) | $19.95 | $36.31 | $72.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $13.49 Typical High $26.92 | Professional | 26 · Professional part | $7.08 | $13.49 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $12.88 Median $24.55 Typical High $47.86 | Professional | TC · Technical part | $12.88 | $24.55 | $47.86 |
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 $6.46 Median $8.32 Typical High $19.05 | Professional | 52 · Reduced service | $6.46 | $8.32 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.31 Typical High $7.59 | Professional | 53 · Discontinued | $2.57 | $3.31 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $13.49 Median $13.49 Typical High $26.92 | Professional | FX · Film X-ray | $13.49 | $13.49 | $26.92 |
Where New Jersey sits
The same service costs 9.3 times more in Alaska than in New York. 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· 26th of 51
$40.74
AK $123NY $13.18
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.