How much rates vary
Facilitymedian $234 · 10th to 90th $95 to $575Professionalmedian $120 · 10th to 90th $87 to $224
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 $93.33 Median $186.21 Typical High $676.08 | Facility | None | $93.33 | $186.21 | $676.08 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $21.88 Median $28.18 Typical High $28.18 | Facility | 26 · Professional part | $21.88 | $28.18 | $28.18 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $72.44 Median $97.72 Typical High $173.78 | Facility | TC · Technical part | $72.44 | $97.72 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $93.33 | $114.82 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $21.88 | $26.92 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $87.10 Typical High $169.82 | Professional | TC · Technical part | $72.44 | $87.10 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $177.83 | Professional | None (both parts) | $85.11 | $104.71 | $177.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $46.77 | Professional | 26 · Professional part | $23.44 | $23.44 | $46.77 |
AmeriHealth Setting Facility Modifier None Typical Low $114.82 Median $537.03 Typical High $4,265.80 | Facility | None | $114.82 | $537.03 | $4,265.80 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $380.19 Typical High $512.86 | Facility | TC · Technical part | $194.98 | $380.19 | $512.86 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $144.54 Median $269.15 Typical High $380.19 | Professional | None (both parts) | $144.54 | $269.15 | $380.19 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $72.44 | Professional | 26 · Professional part | $32.36 | $32.36 | $72.44 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $114.82 Typical High $208.93 | Professional | TC · Technical part | $95.50 | $114.82 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $288.40 Typical High $436.52 | Facility | None | $208.93 | $288.40 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $114.82 Typical High $245.47 | Professional | None (both parts) | $85.11 | $114.82 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.42 Typical High $48.98 | Professional | 26 · Professional part | $18.20 | $20.42 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $85.11 Typical High $186.21 | Professional | TC · Technical part | $64.57 | $85.11 | $186.21 |
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 $30.90 Median $36.31 Typical High $42.66 | Professional | 26 · Professional part | $30.90 | $36.31 | $42.66 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $100.00 | $120.23 | $141.25 |
Horizon BCBS Setting Facility Modifier None Typical Low $100.00 Median $269.15 Typical High $691.83 | Facility | None | $100.00 | $269.15 | $691.83 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $194.98 | Professional | None (both parts) | $120.23 | $138.04 | $194.98 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $42.66 | Professional | 26 · Professional part | $26.92 | $30.90 | $42.66 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $102.33 Typical High $138.04 | Professional | TC · Technical part | $91.20 | $102.33 | $138.04 |
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 $19.95 Median $25.12 Typical High $50.12 | Professional | 26 · Professional part | $19.95 | $25.12 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $81.28 Typical High $173.78 | Professional | TC · Technical part | $63.10 | $81.28 | $173.78 |
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 $45.71 Median $46.77 Typical High $63.10 | Professional | 52 · Reduced service | $45.71 | $46.77 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.20 Median $18.62 Typical High $25.12 | Professional | 53 · Discontinued | $18.20 | $18.62 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $75.86 Typical High $102.33 | Professional | FX · Film X-ray | $75.86 | $75.86 | $102.33 |
Where New Jersey sits
The same service costs 4.1 times more in Minnesota 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· 34th of 51
$120
MN $363FL $89.13
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.