How much rates vary
Facilitymedian $17 · 10th to 90th $9 to $123Professionalmedian $12 · 10th to 90th $9 to $22
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 $10.23 Median $10.23 Typical High $15.49 | Facility | None | $10.23 | $10.23 | $15.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.23 Median $11.75 Typical High $16.60 | Professional | None (both parts) | $10.23 | $11.75 | $16.60 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.41 Typical High $10.72 | Professional | 26 · Professional part | $7.08 | $7.41 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $3.16 Median $3.89 Typical High $5.75 | Professional | TC · Technical part | $3.16 | $3.89 | $5.75 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $8.71 Median $10.47 Typical High $11.48 | Professional | None (both parts) | $8.71 | $10.47 | $11.48 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $10.47 Median $21.38 Typical High $38.02 | Professional | None (both parts) | $10.47 | $21.38 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $13.80 Typical High $19.05 | Facility | None | $8.91 | $13.80 | $19.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.51 Median $13.49 Typical High $27.54 | Professional | None (both parts) | $8.51 | $13.49 | $27.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.25 Median $6.31 Typical High $15.85 | Professional | 26 · Professional part | $5.25 | $6.31 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $2.57 Median $3.98 Typical High $9.77 | Professional | TC · Technical part | $2.57 | $3.98 | $9.77 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $13.80 Median $16.22 Typical High $19.95 | Professional | None (both parts) | $13.80 | $16.22 | $19.95 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $12.59 | Professional | 26 · Professional part | $9.12 | $10.47 | $12.59 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $4.90 Median $5.75 Typical High $6.92 | Professional | TC · Technical part | $4.90 | $5.75 | $6.92 |
Horizon BCBS Setting Facility Modifier None Typical Low $64.57 Median $97.72 Typical High $134.90 | Facility | None | $64.57 | $97.72 | $134.90 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.80 Typical High $22.39 | Professional | None (both parts) | $12.02 | $13.80 | $22.39 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.12 Typical High $15.49 | Professional | 26 · Professional part | $7.94 | $9.12 | $15.49 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $4.07 Median $4.68 Typical High $7.76 | Professional | TC · Technical part | $4.07 | $4.68 | $7.76 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $120.23 | Facility | None | $54.95 | $54.95 | $120.23 |
United Setting Professional Modifier None (both parts) Typical Low $8.91 Median $10.96 Typical High $22.39 | Professional | None (both parts) | $8.91 | $10.96 | $22.39 |
United Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $7.41 Typical High $15.14 | Professional | 26 · Professional part | $5.75 | $7.41 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $3.02 Median $3.72 Typical High $7.76 | Professional | TC · Technical part | $3.02 | $3.72 | $7.76 |
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 $5.13 Median $5.13 Typical High $7.76 | Professional | 52 · Reduced service | $5.13 | $5.13 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $3.09 | Professional | 53 · Discontinued | $2.04 | $2.04 | $3.09 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $8.32 Median $8.32 Typical High $12.30 | Professional | FX · Film X-ray | $8.32 | $8.32 | $12.30 |
Where New Jersey sits
The same service costs 3.9 times more in Alaska than in Florida. 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· 46th of 51
$12.02
AK $35.48FL $9.12
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.