How much rates vary
Facilitymedian $316 · 10th to 90th $191 to $759Professionalmedian $295 · 10th to 90th $191 to $575
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 $190.55 Median $281.84 Typical High $371.54 | Facility | None | $190.55 | $281.84 | $371.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $35.48 | Facility | 26 · Professional part | $33.88 | $35.48 | $35.48 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $389.05 | Facility | TC · Technical part | $158.49 | $245.47 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $190.55 | $281.84 | $537.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $35.48 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $245.47 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $245.47 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $79.43 | $208.93 | $208.93 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $112.20 | Professional | 26 · Professional part | $33.11 | $33.11 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $616.60 Typical High $2,041.74 | Facility | None | $575.44 | $616.60 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $275.42 Typical High $691.83 | Professional | None (both parts) | $218.78 | $275.42 | $691.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $40.74 Typical High $89.13 | Professional | 26 · Professional part | $30.20 | $40.74 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $229.09 Typical High $602.56 | Professional | TC · Technical part | $181.97 | $229.09 | $602.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $389.05 Typical High $398.11 | Professional | None (both parts) | $346.74 | $389.05 | $398.11 |
Horizon BCBS Setting Facility Modifier None Typical Low $302.00 Median $489.78 Typical High $630.96 | Facility | None | $302.00 | $489.78 | $630.96 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $288.40 Median $331.13 Typical High $588.84 | Professional | None (both parts) | $288.40 | $331.13 | $588.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $81.28 | Professional | 26 · Professional part | $36.31 | $41.69 | $81.28 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $288.40 Typical High $512.86 | Professional | TC · Technical part | $251.19 | $288.40 | $512.86 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $288.40 Typical High $602.56 | Professional | None (both parts) | $173.78 | $288.40 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $40.74 Typical High $75.86 | Professional | 26 · Professional part | $27.54 | $40.74 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $257.04 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $257.04 | $524.81 |
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 $95.50 Median $95.50 Typical High $162.18 | Professional | 52 · Reduced service | $95.50 | $95.50 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $64.57 | Professional | 53 · Discontinued | $38.90 | $38.90 | $64.57 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $223.87 | Professional | FX · Film X-ray | $154.88 | $154.88 | $223.87 |
Where New Jersey sits
The same service costs 4.4 times more in Alaska than in Kentucky. 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· 31st of 51
$295
AK $977KY $224
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.