How much rates vary
Facilitymedian $158 · 10th to 90th $74 to $589Professionalmedian $74 · 10th to 90th $44 to $170
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 $74.13 Median $97.72 Typical High $537.03 | Facility | None | $74.13 | $97.72 | $537.03 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.92 Median $33.11 Typical High $38.90 | Facility | 26 · Professional part | $26.92 | $33.11 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $41.69 Median $131.83 Typical High $331.13 | Facility | TC · Technical part | $41.69 | $131.83 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $154.88 Typical High $204.17 | Professional | None (both parts) | $57.54 | $154.88 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $26.92 | $30.90 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $83.18 Typical High $169.82 | Professional | TC · Technical part | $28.18 | $83.18 | $169.82 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $138.04 | Professional | None (both parts) | $43.65 | $51.29 | $138.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $44.67 | Professional | 26 · Professional part | $28.84 | $28.84 | $44.67 |
AmeriHealth Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $263.03 | Professional | None (both parts) | $70.79 | $70.79 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $95.50 Typical High $131.83 | Facility | None | $74.13 | $95.50 | $131.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $190.55 | Professional | None (both parts) | $40.74 | $51.29 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $23.99 Typical High $57.54 | Professional | 26 · Professional part | $19.95 | $23.99 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $23.44 Typical High $147.91 | Professional | TC · Technical part | $20.42 | $23.44 | $147.91 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $75.86 Median $91.20 Typical High $107.15 | Professional | None (both parts) | $75.86 | $91.20 | $107.15 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $51.29 | Professional | 26 · Professional part | $37.15 | $42.66 | $51.29 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $56.23 | Professional | TC · Technical part | $39.81 | $47.86 | $56.23 |
Horizon BCBS Setting Facility Modifier None Typical Low $38.02 Median $281.84 Typical High $2,344.23 | Facility | None | $38.02 | $281.84 | $2,344.23 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $66.07 Typical High $131.83 | Professional | None (both parts) | $57.54 | $66.07 | $131.83 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $34.67 Typical High $50.12 | Professional | 26 · Professional part | $30.20 | $34.67 | $50.12 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.90 Typical High $50.12 | Professional | TC · Technical part | $26.92 | $30.90 | $50.12 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $52.48 | $109.65 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $28.18 Typical High $58.88 | Professional | 26 · Professional part | $22.91 | $28.18 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $26.30 Typical High $95.50 | Professional | TC · Technical part | $22.91 | $26.30 | $95.50 |
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 $23.44 Median $79.43 Typical High $79.43 | Professional | 52 · Reduced service | $23.44 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $9.33 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $43.65 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $43.65 | $125.89 | $125.89 |
Where New Jersey sits
The same service costs 4.6 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
$75.86
AK $209TX $45.71
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.