How much rates vary
Facilitymedian $132 · 10th to 90th $68 to $427Professionalmedian $68 · 10th to 90th $47 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 $67.61 Median $95.50 Typical High $245.47 | Facility | None | $67.61 | $95.50 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $23.99 Median $28.84 Typical High $28.84 | Facility | 26 · Professional part | $23.99 | $28.84 | $28.84 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $38.02 Median $70.79 Typical High $173.78 | Facility | TC · Technical part | $38.02 | $70.79 | $173.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $95.50 Typical High $125.89 | Professional | None (both parts) | $57.54 | $95.50 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $51.29 | Professional | 26 · Professional part | $23.99 | $26.92 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $70.79 Typical High $87.10 | Professional | TC · Technical part | $30.90 | $70.79 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $47.86 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $47.86 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $46.77 | Professional | 26 · Professional part | $24.55 | $24.55 | $46.77 |
AmeriHealth Setting Facility Modifier None Typical Low $114.82 Median $549.54 Typical High $2,238.72 | Facility | None | $114.82 | $549.54 | $2,238.72 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $72.44 Median $72.44 Typical High $263.03 | Professional | None (both parts) | $72.44 | $72.44 | $263.03 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.11 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $33.11 | $75.86 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $173.78 | Facility | None | $81.28 | $112.20 | $173.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $74.13 Typical High $154.88 | Professional | None (both parts) | $44.67 | $74.13 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $22.39 Typical High $52.48 | Professional | 26 · Professional part | $18.62 | $22.39 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $40.74 Typical High $95.50 | Professional | TC · Technical part | $24.55 | $40.74 | $95.50 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $85.11 Typical High $102.33 | Professional | None (both parts) | $72.44 | $85.11 | $102.33 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $43.65 | Professional | 26 · Professional part | $31.62 | $37.15 | $43.65 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $48.98 Typical High $58.88 | Professional | TC · Technical part | $40.74 | $48.98 | $58.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $95.50 Median $316.23 Typical High $602.56 | Facility | None | $95.50 | $316.23 | $602.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $117.49 | Professional | None (both parts) | $58.88 | $67.61 | $117.49 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $27.54 | $31.62 | $45.71 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $36.31 Typical High $72.44 | Professional | TC · Technical part | $31.62 | $36.31 | $72.44 |
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 $46.77 Median $58.88 Typical High $120.23 | Professional | None (both parts) | $46.77 | $58.88 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $51.29 | Professional | 26 · Professional part | $20.42 | $25.70 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $70.79 | Professional | TC · Technical part | $25.70 | $30.20 | $70.79 |
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 $22.39 Median $47.86 Typical High $47.86 | Professional | 52 · Reduced service | $22.39 | $47.86 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $19.05 Typical High $19.05 | Professional | 53 · Discontinued | $8.91 | $19.05 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $75.86 Typical High $75.86 | Professional | FX · Film X-ray | $44.67 | $75.86 | $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· 41st of 51
$69.18
AK $182TX $47.86
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.