How much rates vary
Facilitymedian $100 · 10th to 90th $46 to $447Professionalmedian $48 · 10th to 90th $35 to $91
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 $45.71 Median $50.12 Typical High $54.95 | Facility | None | $45.71 | $50.12 | $54.95 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $19.50 Median $24.55 Typical High $24.55 | Facility | 26 · Professional part | $19.50 | $24.55 | $24.55 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $25.12 Median $26.30 Typical High $64.57 | Facility | TC · Technical part | $25.12 | $26.30 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $45.71 Typical High $87.10 | Professional | None (both parts) | $41.69 | $45.71 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $19.50 | $23.44 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $26.30 Typical High $42.66 | Professional | TC · Technical part | $20.42 | $26.30 | $42.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | None (both parts) | $40.74 | $42.66 | $42.66 |
AmeriHealth Setting Facility Modifier None Typical Low $104.71 Median $162.18 Typical High $724.44 | Facility | None | $104.71 | $162.18 | $724.44 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $323.59 Typical High $812.83 | Facility | TC · Technical part | $104.71 | $323.59 | $812.83 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $56.23 Median $56.23 Typical High $102.33 | Professional | None (both parts) | $56.23 | $56.23 | $102.33 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $58.88 | Professional | 26 · Professional part | $28.18 | $28.18 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $72.44 Typical High $109.65 | Facility | None | $52.48 | $72.44 | $109.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $34.67 Median $54.95 Typical High $100.00 | Professional | None (both parts) | $34.67 | $54.95 | $100.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.20 Typical High $44.67 | Professional | 26 · Professional part | $15.85 | $18.20 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $26.92 Typical High $64.57 | Professional | TC · Technical part | $16.60 | $26.92 | $64.57 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $53.70 Median $63.10 Typical High $75.86 | Professional | None (both parts) | $53.70 | $63.10 | $75.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.11 Typical High $38.90 | Professional | 26 · Professional part | $28.18 | $33.11 | $38.90 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $30.20 Typical High $36.31 | Professional | TC · Technical part | $25.12 | $30.20 | $36.31 |
Horizon BCBS Setting Facility Modifier None Typical Low $28.84 Median $269.15 Typical High $457.09 | Facility | None | $28.84 | $269.15 | $457.09 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $46.77 Median $53.70 Typical High $89.13 | Professional | None (both parts) | $46.77 | $53.70 | $89.13 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $27.54 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $27.54 | $39.81 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $57.54 | Professional | TC · Technical part | $22.91 | $26.30 | $57.54 |
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 $34.67 Median $45.71 Typical High $89.13 | Professional | None (both parts) | $34.67 | $45.71 | $89.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $22.39 Typical High $45.71 | Professional | 26 · Professional part | $18.20 | $22.39 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $21.88 Typical High $46.77 | Professional | TC · Technical part | $16.22 | $21.88 | $46.77 |
2 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 FX · Film X-ray Typical Low $33.11 Median $36.31 Typical High $39.81 | Professional | FX · Film X-ray | $33.11 | $36.31 | $39.81 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 59 · Distinct service | $40.74 | $40.74 | $40.74 |
Where New Jersey sits
The same service costs 4.5 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· 40th of 51
$48.98
AK $141UT $31.62
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.