How much rates vary
Facilitymedian $200 · 10th to 90th $93 to $692Professionalmedian $87 · 10th to 90th $65 to $166
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 $114.82 Typical High $645.65 | Facility | None | $75.86 | $114.82 | $645.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $25.70 Median $31.62 Typical High $31.62 | Facility | 26 · Professional part | $25.70 | $31.62 | $31.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $51.29 Median $61.66 Typical High $125.89 | Facility | TC · Technical part | $51.29 | $61.66 | $125.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $75.86 | $87.10 | $158.49 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $25.70 | $30.90 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $54.95 Typical High $102.33 | Professional | TC · Technical part | $51.29 | $54.95 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $66.07 Typical High $120.23 | Professional | None (both parts) | $51.29 | $66.07 | $120.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $35.48 | Professional | 26 · Professional part | $26.92 | $33.11 | $35.48 |
AmeriHealth Setting Facility Modifier None Typical Low $120.23 Median $229.09 Typical High $3,630.78 | Facility | None | $120.23 | $229.09 | $3,630.78 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $229.09 Typical High $1,348.96 | Facility | TC · Technical part | $120.23 | $229.09 | $1,348.96 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $87.10 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $87.10 | $131.83 | $257.04 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $18.62 | $37.15 | $70.79 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $67.61 Typical High $114.82 | Professional | TC · Technical part | $67.61 | $67.61 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $173.78 Typical High $257.04 | Facility | None | $125.89 | $173.78 | $257.04 |
Cigna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $93.33 Typical High $177.83 | Professional | None (both parts) | $63.10 | $93.33 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $56.23 | Professional | 26 · Professional part | $20.89 | $23.44 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $56.23 Typical High $112.20 | Professional | TC · Technical part | $39.81 | $56.23 | $112.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $97.72 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $97.72 | $114.82 | $138.04 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $50.12 | Professional | 26 · Professional part | $36.31 | $41.69 | $50.12 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $61.66 | $74.13 | $87.10 |
Horizon BCBS Setting Facility Modifier None Typical Low $67.61 Median $331.13 Typical High $1,000.00 | Facility | None | $67.61 | $331.13 | $1,000.00 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $85.11 Median $97.72 Typical High $141.25 | Professional | None (both parts) | $85.11 | $97.72 | $141.25 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $50.12 | Professional | 26 · Professional part | $30.90 | $35.48 | $50.12 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $61.66 Typical High $87.10 | Professional | TC · Technical part | $53.70 | $61.66 | $87.10 |
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 $63.10 Median $77.62 Typical High $162.18 | Professional | None (both parts) | $63.10 | $77.62 | $162.18 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $29.51 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $29.51 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $50.12 Typical High $104.71 | Professional | TC · Technical part | $39.81 | $50.12 | $104.71 |
4 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 $33.11 Median $38.02 Typical High $46.77 | Professional | 52 · Reduced service | $33.11 | $38.02 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $15.14 Typical High $18.62 | Professional | 53 · Discontinued | $13.18 | $15.14 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $60.26 Median $61.66 Typical High $74.13 | Professional | FX · Film X-ray | $60.26 | $61.66 | $74.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 59 · Distinct service | $74.13 | $74.13 | $74.13 |
Where New Jersey sits
The same service costs 3.6 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· 38th of 51
$89.13
AK $245TX $67.61
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.