How much rates vary
Facilitymedian $214 · 10th to 90th $123 to $832Professionalmedian $200 · 10th to 90th $123 to $363
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 $123.03 Median $213.80 Typical High $213.80 | Facility | None | $123.03 | $213.80 | $213.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $69.18 Median $89.13 Typical High $89.13 | Facility | 26 · Professional part | $69.18 | $89.13 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $53.70 Median $125.89 Typical High $134.90 | Facility | TC · Technical part | $53.70 | $125.89 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $331.13 | Professional | None (both parts) | $123.03 | $162.18 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $81.28 Typical High $144.54 | Professional | 26 · Professional part | $69.18 | $81.28 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $53.70 | $91.20 | $162.18 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
AmeriHealth Setting Facility Modifier None Typical Low $177.83 Median $263.03 Typical High $831.76 | Facility | None | $177.83 | $263.03 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $371.54 Typical High $549.54 | Facility | None | $281.84 | $371.54 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $204.17 Typical High $416.87 | Professional | None (both parts) | $144.54 | $204.17 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $66.07 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $239.88 | Professional | TC · Technical part | $70.79 | $97.72 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $275.42 Typical High $331.13 | Professional | None (both parts) | $229.09 | $275.42 | $331.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $117.49 Typical High $138.04 | Professional | 26 · Professional part | $100.00 | $117.49 | $138.04 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $158.49 Typical High $186.21 | Professional | TC · Technical part | $131.83 | $158.49 | $186.21 |
Horizon BCBS Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $2,041.74 | Facility | None | $125.89 | $199.53 | $2,041.74 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $309.03 | Professional | None (both parts) | $199.53 | $229.09 | $309.03 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $128.82 | Professional | 26 · Professional part | $85.11 | $97.72 | $128.82 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $131.83 Typical High $169.82 | Professional | TC · Technical part | $114.82 | $131.83 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $177.83 Typical High $380.19 | Professional | None (both parts) | $138.04 | $177.83 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $64.57 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $102.33 Typical High $218.78 | Professional | TC · Technical part | $83.18 | $102.33 | $218.78 |
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 $61.66 Median $61.66 Typical High $107.15 | Professional | 52 · Reduced service | $61.66 | $61.66 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $42.66 | Professional | 53 · Discontinued | $24.55 | $24.55 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $173.78 | Professional | FX · Film X-ray | $97.72 | $97.72 | $173.78 |
Where New Jersey sits
The same service costs 5.8 times more in Alaska than in Utah. 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· 35th of 51
$200
AK $589UT $102
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.