How much rates vary
Facilitymedian $162 · 10th to 90th $81 to $603Professionalmedian $95 · 10th to 90th $71 to $174
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 $81.28 Median $97.72 Typical High $97.72 | Facility | None | $81.28 | $97.72 | $97.72 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $35.48 Typical High $35.48 | Facility | 26 · Professional part | $27.54 | $35.48 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $61.66 Typical High $134.90 | Facility | TC · Technical part | $54.95 | $61.66 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $81.28 | $87.10 | $165.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.20 Typical High $58.88 | Professional | 26 · Professional part | $27.54 | $30.20 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $56.23 Typical High $109.65 | Professional | TC · Technical part | $54.95 | $56.23 | $109.65 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None (both parts) | $81.28 | $81.28 | $81.28 |
AmeriHealth Setting Facility Modifier None Typical Low $104.71 Median $199.53 Typical High $5,754.40 | Facility | None | $104.71 | $199.53 | $5,754.40 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $114.82 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $114.82 | $114.82 | $199.53 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $39.81 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $138.04 Median $190.55 Typical High $281.84 | Facility | None | $138.04 | $190.55 | $281.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $67.61 | $102.33 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $63.10 | Professional | 26 · Professional part | $22.39 | $26.30 | $63.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $64.57 Typical High $123.03 | Professional | TC · Technical part | $43.65 | $64.57 | $123.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $128.82 Typical High $151.36 | Professional | None (both parts) | $91.20 | $128.82 | $151.36 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $45.71 Typical High $54.95 | Professional | 26 · Professional part | $33.11 | $45.71 | $54.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $97.72 | Professional | TC · Technical part | $57.54 | $83.18 | $97.72 |
Horizon BCBS Setting Facility Modifier None Typical Low $70.79 Median $331.13 Typical High $1,047.13 | Facility | None | $70.79 | $331.13 | $1,047.13 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $154.88 | Professional | None (both parts) | $91.20 | $104.71 | $154.88 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $56.23 | Professional | 26 · Professional part | $33.11 | $38.02 | $56.23 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $67.61 Typical High $100.00 | Professional | TC · Technical part | $58.88 | $67.61 | $100.00 |
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 $69.18 Median $87.10 Typical High $177.83 | Professional | None (both parts) | $69.18 | $87.10 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $31.62 Typical High $63.10 | Professional | 26 · Professional part | $25.12 | $31.62 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $54.95 Typical High $112.20 | Professional | TC · Technical part | $44.67 | $54.95 | $112.20 |
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 $66.07 Median $66.07 Typical High $77.62 | Professional | FX · Film X-ray | $66.07 | $66.07 | $77.62 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | 59 · Distinct service | $83.18 | $83.18 | $83.18 |
Where New Jersey sits
The same service costs 3.7 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
$95.50
AK $269TX $72.44
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.