How much rates vary
Facilitymedian $234 · 10th to 90th $123 to $575Professionalmedian $126 · 10th to 90th $83 to $234
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 $102.33 Median $199.53 Typical High $389.05 | Facility | None | $102.33 | $199.53 | $389.05 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $33.88 Typical High $33.88 | Facility | 26 · Professional part | $27.54 | $33.88 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $181.97 | Facility | TC · Technical part | $74.13 | $97.72 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $102.33 | $123.03 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $61.66 | Professional | 26 · Professional part | $27.54 | $33.11 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $177.83 | Professional | TC · Technical part | $74.13 | $89.13 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $134.90 | Professional | None (both parts) | $100.00 | $114.82 | $134.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $56.23 | Professional | 26 · Professional part | $30.20 | $30.20 | $56.23 |
AmeriHealth Setting Facility Modifier None Typical Low $128.82 Median $281.84 Typical High $2,238.72 | Facility | None | $128.82 | $281.84 | $2,238.72 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $616.60 Typical High $1,047.13 | Facility | TC · Technical part | $234.42 | $616.60 | $1,047.13 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $134.90 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $134.90 | $154.88 | $275.42 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $38.90 Typical High $74.13 | Professional | 26 · Professional part | $19.50 | $38.90 | $74.13 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $117.49 Typical High $204.17 | Professional | TC · Technical part | $66.07 | $117.49 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $295.12 Typical High $436.52 | Facility | None | $213.80 | $295.12 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $120.23 Typical High $251.19 | Professional | None (both parts) | $91.20 | $120.23 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.70 Typical High $60.26 | Professional | 26 · Professional part | $21.88 | $25.70 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $181.97 | Professional | TC · Technical part | $60.26 | $81.28 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $239.88 | Professional | None (both parts) | $141.25 | $165.96 | $239.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $52.48 | Professional | 26 · Professional part | $38.02 | $43.65 | $52.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $123.03 Typical High $147.91 | Professional | TC · Technical part | $102.33 | $123.03 | $147.91 |
Horizon BCBS Setting Facility Modifier None Typical Low $102.33 Median $288.40 Typical High $724.44 | Facility | None | $102.33 | $288.40 | $724.44 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $125.89 Median $144.54 Typical High $204.17 | Professional | None (both parts) | $125.89 | $144.54 | $204.17 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $53.70 | Professional | 26 · Professional part | $33.11 | $38.02 | $53.70 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $104.71 Typical High $138.04 | Professional | TC · Technical part | $93.33 | $104.71 | $138.04 |
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 $75.86 Median $95.50 Typical High $229.09 | Professional | None (both parts) | $75.86 | $95.50 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $30.90 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $81.28 Typical High $173.78 | Professional | TC · Technical part | $61.66 | $81.28 | $173.78 |
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 $47.86 Median $51.29 Typical High $66.07 | Professional | 52 · Reduced service | $47.86 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $20.42 Typical High $26.30 | Professional | 53 · Discontinued | $19.05 | $20.42 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | FX · Film X-ray | $81.28 | $81.28 | $104.71 |
AmeriHealth Setting Professional Modifier 52 · Reduced service Typical Low $154.88 Median $154.88 Typical High $213.80 | Professional | 52 · Reduced service | $154.88 | $154.88 | $213.80 |
Where New Jersey sits
The same service costs 3.6 times more in Alaska than in Florida. 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· 37th of 51
$126
AK $355FL $97.72
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.