How much rates vary
Facilitymedian $219 · 10th to 90th $91 to $603Professionalmedian $117 · 10th to 90th $81 to $214
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 $81.28 Median $128.82 Typical High $128.82 | Facility | None | $81.28 | $128.82 | $128.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $31.62 | Facility | 26 · Professional part | $26.30 | $31.62 | $31.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $97.72 Typical High $134.90 | Facility | TC · Technical part | $54.95 | $97.72 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $97.72 Typical High $204.17 | Professional | None (both parts) | $81.28 | $97.72 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $27.54 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $27.54 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $67.61 Typical High $147.91 | Professional | TC · Technical part | $54.95 | $67.61 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $22.91 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $22.91 | $50.12 |
AmeriHealth Setting Facility Modifier None Typical Low $120.23 Median $223.87 Typical High $1,778.28 | Facility | None | $120.23 | $223.87 | $1,778.28 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $36.31 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $416.87 | Facility | None | $204.17 | $281.84 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $114.82 Typical High $239.88 | Professional | None (both parts) | $87.10 | $114.82 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $23.44 Typical High $56.23 | Professional | 26 · Professional part | $20.42 | $23.44 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $79.43 Typical High $181.97 | Professional | TC · Technical part | $56.23 | $79.43 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $128.82 Median $154.88 Typical High $186.21 | Professional | None (both parts) | $128.82 | $154.88 | $186.21 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $47.86 | Professional | 26 · Professional part | $34.67 | $39.81 | $47.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $138.04 | Professional | TC · Technical part | $95.50 | $114.82 | $138.04 |
Horizon BCBS Setting Facility Modifier None Typical Low $100.00 Median $288.40 Typical High $741.31 | Facility | None | $100.00 | $288.40 | $741.31 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $181.97 | Professional | None (both parts) | $117.49 | $134.90 | $181.97 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $51.29 | Professional | 26 · Professional part | $30.90 | $35.48 | $51.29 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $100.00 | $131.83 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $104.71 Typical High $218.78 | Professional | None (both parts) | $79.43 | $104.71 | $218.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $28.84 Typical High $58.88 | Professional | 26 · Professional part | $21.88 | $28.84 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $60.26 | $77.62 | $165.96 |
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 $40.74 Median $40.74 Typical High $64.57 | Professional | 52 · Reduced service | $40.74 | $40.74 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $25.70 | Professional | 53 · Discontinued | $16.22 | $16.22 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $102.33 | Professional | FX · Film X-ray | $64.57 | $64.57 | $102.33 |
Where New Jersey sits
The same service costs 3.9 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
$117
AK $339TX $87.10
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.