How much rates vary
Facilitymedian $269 · 10th to 90th $132 to $1,230Professionalmedian $141 · 10th to 90th $112 to $263
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 $131.83 Median $131.83 Typical High $154.88 | Facility | None | $131.83 | $131.83 | $154.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $39.81 Median $47.86 Typical High $47.86 | Facility | 26 · Professional part | $39.81 | $47.86 | $47.86 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $93.33 Typical High $229.09 | Facility | TC · Technical part | $83.18 | $93.33 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $125.89 | $131.83 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $58.88 | Professional | 26 · Professional part | $39.81 | $45.71 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $123.03 | Professional | TC · Technical part | $79.43 | $93.33 | $123.03 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $69.18 | $69.18 | $69.18 |
AmeriHealth Setting Facility Modifier None Typical Low $263.03 Median $389.05 Typical High $5,754.40 | Facility | None | $263.03 | $389.05 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $257.04 Typical High $354.81 | Facility | None | $208.93 | $257.04 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $165.96 Typical High $338.84 | Professional | None (both parts) | $107.15 | $165.96 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $89.13 | Professional | 26 · Professional part | $32.36 | $35.48 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $112.20 Typical High $234.42 | Professional | TC · Technical part | $72.44 | $112.20 | $234.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $190.55 | Professional | None (both parts) | $158.49 | $186.21 | $190.55 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $61.66 | Professional | 26 · Professional part | $52.48 | $60.26 | $61.66 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $125.89 Typical High $131.83 | Professional | TC · Technical part | $104.71 | $125.89 | $131.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $169.82 Median $281.84 Typical High $812.83 | Facility | None | $169.82 | $281.84 | $812.83 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $147.91 Typical High $239.88 | Professional | None (both parts) | $128.82 | $147.91 | $239.88 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $72.44 | Professional | 26 · Professional part | $46.77 | $53.70 | $72.44 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $83.18 | $95.50 | $125.89 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $363.08 | Facility | None | $165.96 | $165.96 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $112.20 | $154.88 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $91.20 | Professional | 26 · Professional part | $37.15 | $45.71 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $102.33 Typical High $199.53 | Professional | TC · Technical part | $74.13 | $102.33 | $199.53 |
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 $56.23 Median $66.07 Typical High $70.79 | Professional | 52 · Reduced service | $56.23 | $66.07 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $26.30 Typical High $28.18 | Professional | 53 · Discontinued | $22.39 | $26.30 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $100.00 | $104.71 | $104.71 |
Where New Jersey sits
The same service costs 4.3 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· 44th of 51
$141
AK $447UT $105
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.