How much rates vary
Facilitymedian $372 · 10th to 90th $102 to $1,380Professionalmedian $123 · 10th to 90th $91 to $224
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 $128.82 Typical High $263.03 | Facility | None | $102.33 | $128.82 | $263.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $36.31 | Facility | 26 · Professional part | $27.54 | $36.31 | $36.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $181.97 | Facility | TC · Technical part | $74.13 | $91.20 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $177.83 | Professional | None (both parts) | $102.33 | $102.33 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $27.54 | $28.84 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $74.13 | $74.13 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $91.20 Typical High $199.53 | Professional | None (both parts) | $79.43 | $91.20 | $199.53 |
AmeriHealth Setting Facility Modifier None Typical Low $575.44 Median $1,122.02 Typical High $1,737.80 | Facility | None | $575.44 | $1,122.02 | $1,737.80 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $138.04 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $138.04 | $151.36 | $213.80 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $40.74 | $40.74 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $416.87 | Facility | None | $204.17 | $281.84 | $416.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $89.13 | $125.89 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $64.57 | Professional | 26 · Professional part | $23.44 | $27.54 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $177.83 | Professional | TC · Technical part | $60.26 | $77.62 | $177.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $234.42 | Professional | None (both parts) | $141.25 | $165.96 | $234.42 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $56.23 | Professional | 26 · Professional part | $40.74 | $47.86 | $56.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $141.25 | Professional | TC · Technical part | $100.00 | $120.23 | $141.25 |
Horizon BCBS Setting Facility Modifier None Typical Low $100.00 Median $660.69 Typical High $1,122.02 | Facility | None | $100.00 | $660.69 | $1,122.02 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $199.53 | Professional | None (both parts) | $123.03 | $141.25 | $199.53 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $56.23 | Professional | 26 · Professional part | $34.67 | $39.81 | $56.23 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $131.83 | Professional | TC · Technical part | $87.10 | $100.00 | $131.83 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $229.09 | Professional | None (both parts) | $87.10 | $107.15 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $32.36 Typical High $66.07 | Professional | 26 · Professional part | $26.30 | $32.36 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $77.62 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $77.62 | $165.96 |
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 $46.77 Median $51.29 Typical High $64.57 | Professional | 52 · Reduced service | $46.77 | $51.29 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $20.42 Typical High $25.70 | Professional | 53 · Discontinued | $18.62 | $20.42 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $102.33 | Professional | FX · Film X-ray | $81.28 | $81.28 | $102.33 |
Where New Jersey sits
The same service costs 3.9 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· 33rd of 51
$126
AK $347TX $89.13
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.