How much rates vary
Facilitymedian $37 · 10th to 90th $31 to $324Professionalmedian $37 · 10th to 90th $28 to $68
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 $30.90 Median $37.15 Typical High $489.78 | Facility | None | $30.90 | $37.15 | $489.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $14.79 | Facility | 26 · Professional part | $12.59 | $14.79 | $14.79 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $18.20 Median $21.88 Typical High $44.67 | Facility | TC · Technical part | $18.20 | $21.88 | $44.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.90 Median $35.48 Typical High $74.13 | Professional | None (both parts) | $30.90 | $35.48 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $13.80 Typical High $25.12 | Professional | 26 · Professional part | $12.59 | $13.80 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.42 Typical High $44.67 | Professional | TC · Technical part | $18.20 | $20.42 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $29.51 Median $29.51 Typical High $38.90 | Professional | None (both parts) | $29.51 | $29.51 | $38.90 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $11.75 Typical High $22.91 | Professional | 26 · Professional part | $10.00 | $11.75 | $22.91 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $40.74 Median $79.43 Typical High $114.82 | Facility | TC · Technical part | $40.74 | $79.43 | $114.82 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $47.86 Median $100.00 Typical High $100.00 | Professional | None (both parts) | $47.86 | $100.00 | $100.00 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $15.85 Typical High $37.15 | Professional | 26 · Professional part | $15.85 | $15.85 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $120.23 | Facility | None | $64.57 | $83.18 | $120.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.90 Typical High $64.57 | Professional | None (both parts) | $26.92 | $30.90 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.00 Typical High $26.30 | Professional | 26 · Professional part | $8.91 | $10.00 | $26.30 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $20.89 Typical High $39.81 | Professional | TC · Technical part | $16.22 | $20.89 | $39.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $57.54 Typical High $63.10 | Professional | None (both parts) | $47.86 | $57.54 | $63.10 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $20.89 | Professional | 26 · Professional part | $15.85 | $18.62 | $20.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $38.90 Typical High $42.66 | Professional | TC · Technical part | $32.36 | $38.90 | $42.66 |
Horizon BCBS Setting Facility Modifier None Typical Low $30.90 Median $36.31 Typical High $1,230.27 | Facility | None | $30.90 | $36.31 | $1,230.27 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $60.26 | Professional | None (both parts) | $37.15 | $42.66 | $60.26 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.85 Typical High $23.44 | Professional | 26 · Professional part | $13.80 | $15.85 | $23.44 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.92 Typical High $37.15 | Professional | TC · Technical part | $22.91 | $26.92 | $37.15 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $70.79 | Professional | None (both parts) | $28.18 | $33.11 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $12.88 Typical High $26.30 | Professional | 26 · Professional part | $10.23 | $12.88 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $44.67 | Professional | TC · Technical part | $17.78 | $21.38 | $44.67 |
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 $12.30 Median $15.49 Typical High $18.62 | Professional | 52 · Reduced service | $12.30 | $15.49 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $6.17 Typical High $7.41 | Professional | 53 · Discontinued | $4.90 | $6.17 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | FX · Film X-ray | $24.55 | $24.55 | $29.51 |
Where New Jersey sits
The same service costs 4.1 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· 43rd of 51
$37.15
AK $117FL $28.84
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.