How much rates vary
Facilitymedian $417 · 10th to 90th $95 to $891Professionalmedian $148 · 10th to 90th $95 to $257
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 $95.50 Median $95.50 Typical High $114.82 | Facility | None | $95.50 | $95.50 | $114.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $33.88 | Facility | 26 · Professional part | $28.84 | $33.88 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $213.80 | Facility | TC · Technical part | $61.66 | $85.11 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $223.87 | Professional | None (both parts) | $95.50 | $114.82 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $30.90 Typical High $57.54 | Professional | 26 · Professional part | $28.84 | $30.90 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $85.11 Typical High $158.49 | Professional | TC · Technical part | $61.66 | $85.11 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
AmeriHealth Setting Facility Modifier None Typical Low $338.84 Median $776.25 Typical High $1,122.02 | Facility | None | $338.84 | $776.25 | $1,122.02 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $38.02 Typical High $85.11 | Professional | 26 · Professional part | $38.02 | $38.02 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $851.14 | Facility | None | $354.81 | $562.34 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $162.18 Typical High $295.12 | Professional | None (both parts) | $107.15 | $162.18 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $23.99 Typical High $60.26 | Professional | 26 · Professional part | $21.38 | $23.99 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $69.18 | $131.83 | $218.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $204.17 | Professional | None (both parts) | $144.54 | $169.82 | $204.17 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $43.65 | $51.29 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $151.36 | Professional | TC · Technical part | $107.15 | $128.82 | $151.36 |
Horizon BCBS Setting Facility Modifier None Typical Low $181.97 Median $323.59 Typical High $1,479.11 | Facility | None | $181.97 | $323.59 | $1,479.11 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $218.78 | Professional | None (both parts) | $147.91 | $169.82 | $218.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $32.36 | $37.15 | $54.95 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $162.18 | Professional | TC · Technical part | $114.82 | $134.90 | $162.18 |
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 $91.20 Median $138.04 Typical High $302.00 | Professional | None (both parts) | $91.20 | $138.04 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $23.99 | $30.20 | $61.66 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $112.20 Typical High $245.47 | Professional | TC · Technical part | $69.18 | $112.20 | $245.47 |
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 $43.65 Median $57.54 Typical High $58.88 | Professional | 52 · Reduced service | $43.65 | $57.54 | $58.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.78 Median $22.91 Typical High $23.44 | Professional | 53 · Discontinued | $17.78 | $22.91 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $75.86 | $91.20 | $91.20 |
Where New Jersey sits
The same service costs 4.9 times more in Wyoming 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· 37th of 51
$148
WY $501UT $102
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.