How much rates vary
Facilitymedian $2,239 · 10th to 90th $562 to $6,761Professionalmedian $2,239 · 10th to 90th $1,698 to $4,169
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 $1,995.26 Median $2,238.72 Typical High $4,466.84 | Facility | None | $1,995.26 | $2,238.72 | $4,466.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $380.19 Median $407.38 Typical High $407.38 | Facility | 26 · Professional part | $380.19 | $407.38 | $407.38 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $1,621.81 Median $1,862.09 Typical High $4,570.88 | Facility | TC · Technical part | $1,621.81 | $1,862.09 | $4,570.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,238.72 Typical High $3,548.13 | Professional | None (both parts) | $1,995.26 | $2,238.72 | $3,548.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $380.19 Median $407.38 Typical High $776.25 | Professional | 26 · Professional part | $380.19 | $407.38 | $776.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,548.82 Median $1,862.09 Typical High $2,818.38 | Professional | TC · Technical part | $1,548.82 | $1,862.09 | $2,818.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,412.54 Median $1,513.56 Typical High $1,548.82 | Professional | None (both parts) | $1,412.54 | $1,513.56 | $1,548.82 |
AmeriHealth Setting Facility Modifier None Typical Low $288.40 Median $588.84 Typical High $1,096.48 | Facility | None | $288.40 | $588.84 | $1,096.48 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | None (both parts) | $1,778.28 | $1,778.28 | $1,778.28 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $363.08 Typical High $933.25 | Professional | 26 · Professional part | $363.08 | $363.08 | $933.25 |
Cigna Setting Facility Modifier None Typical Low $3,548.13 Median $3,548.13 Typical High $8,128.31 | Facility | None | $3,548.13 | $3,548.13 | $8,128.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $2,290.87 Typical High $5,128.61 | Professional | None (both parts) | $1,548.82 | $2,290.87 | $5,128.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $331.13 Median $457.09 Typical High $1,023.29 | Professional | 26 · Professional part | $331.13 | $457.09 | $1,023.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,202.26 Median $1,819.70 Typical High $4,168.69 | Professional | TC · Technical part | $1,202.26 | $1,819.70 | $4,168.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $2,511.89 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $2,511.89 | $2,818.38 | $2,818.38 |
Horizon BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $5,128.61 Typical High $6,456.54 | Facility | None | $3,090.30 | $5,128.61 | $6,456.54 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $2,290.87 Typical High $4,073.80 | Professional | None (both parts) | $1,995.26 | $2,290.87 | $4,073.80 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $407.38 Median $467.74 Typical High $870.96 | Professional | 26 · Professional part | $407.38 | $467.74 | $870.96 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $1,584.89 Median $1,819.70 Typical High $3,311.31 | Professional | TC · Technical part | $1,584.89 | $1,819.70 | $3,311.31 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $5,754.40 | Facility | None | $2,630.27 | $2,630.27 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $1,479.11 Median $2,137.96 Typical High $4,168.69 | Professional | None (both parts) | $1,479.11 | $2,137.96 | $4,168.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $309.03 Median $457.09 Typical High $851.14 | Professional | 26 · Professional part | $309.03 | $457.09 | $851.14 |
United Setting Professional Modifier TC · Technical part Typical Low $1,174.90 Median $1,737.80 Typical High $3,311.31 | Professional | TC · Technical part | $1,174.90 | $1,737.80 | $3,311.31 |
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 $912.01 Median $1,122.02 Typical High $1,122.02 | Professional | 52 · Reduced service | $912.01 | $1,122.02 | $1,122.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $371.54 Median $446.68 Typical High $446.68 | Professional | 53 · Discontinued | $371.54 | $446.68 | $446.68 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,479.11 Median $1,819.70 Typical High $1,819.70 | Professional | FX · Film X-ray | $1,479.11 | $1,819.70 | $1,819.70 |
Where New Jersey sits
The same service costs 4.4 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· 28th of 51
$2,239
AK $6,918FL $1,585
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.