How much rates vary
Facilitymedian $126 · 10th to 90th $50 to $603Professionalmedian $69 · 10th to 90th $38 to $126
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 $75.86 Median $95.50 Typical High $194.98 | Facility | None | $75.86 | $95.50 | $194.98 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.02 Median $53.70 Typical High $53.70 | Facility | 26 · Professional part | $38.02 | $53.70 | $53.70 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $37.15 Median $41.69 Typical High $91.20 | Facility | TC · Technical part | $37.15 | $41.69 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $75.86 Typical High $95.50 | Professional | None (both parts) | $51.29 | $75.86 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $31.62 | $38.02 | $53.70 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $37.15 Typical High $42.66 | Professional | TC · Technical part | $19.95 | $37.15 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $36.31 Median $46.77 Typical High $70.79 | Professional | None (both parts) | $36.31 | $46.77 | $70.79 |
AmeriHealth Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $1,621.81 | Facility | None | $125.89 | $239.88 | $1,621.81 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $54.95 Median $70.79 Typical High $281.84 | Professional | None (both parts) | $54.95 | $70.79 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $69.18 Typical High $91.20 | Facility | None | $44.67 | $69.18 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $72.44 Typical High $177.83 | Professional | None (both parts) | $36.31 | $72.44 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $81.28 | Professional | 26 · Professional part | $20.42 | $26.92 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $34.67 Typical High $85.11 | Professional | TC · Technical part | $14.13 | $34.67 | $85.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $57.54 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $57.54 | $69.18 | $81.28 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $48.98 | Professional | 26 · Professional part | $35.48 | $41.69 | $48.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $26.30 Typical High $31.62 | Professional | TC · Technical part | $22.39 | $26.30 | $31.62 |
Horizon BCBS Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $489.78 | Facility | None | $234.42 | $354.81 | $489.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $60.26 Typical High $162.18 | Professional | None (both parts) | $52.48 | $60.26 | $162.18 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $35.48 | $75.86 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $25.70 Typical High $64.57 | Professional | TC · Technical part | $22.39 | $25.70 | $64.57 |
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 $37.15 Median $51.29 Typical High $107.15 | Professional | None (both parts) | $37.15 | $51.29 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $22.91 | $30.20 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $14.45 Median $21.38 Typical High $48.98 | Professional | TC · Technical part | $14.45 | $21.38 | $48.98 |
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 $23.99 Median $38.02 Typical High $47.86 | Professional | 52 · Reduced service | $23.99 | $38.02 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $15.14 Typical High $19.05 | Professional | 53 · Discontinued | $9.55 | $15.14 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $60.26 Typical High $75.86 | Professional | FX · Film X-ray | $56.23 | $60.26 | $75.86 |
Where New Jersey sits
The same service costs 3.8 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· 34th of 51
$69.18
AK $151TX $39.81
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.