How much rates vary
Facilitymedian $174 · 10th to 90th $52 to $562Professionalmedian $129 · 10th to 90th $66 to $251
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 $52.48 Median $69.18 Typical High $302.00 | Facility | None | $52.48 | $69.18 | $302.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $42.66 Typical High $42.66 | Facility | 26 · Professional part | $40.74 | $42.66 | $42.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $9.77 Median $28.84 Typical High $70.79 | Facility | TC · Technical part | $9.77 | $28.84 | $70.79 |
Aetna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $69.18 Typical High $169.82 | Professional | None (both parts) | $52.48 | $69.18 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $40.74 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $40.74 | $64.57 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.77 Median $28.84 Typical High $125.89 | Professional | TC · Technical part | $9.77 | $28.84 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
AmeriHealth Setting Facility Modifier None Typical Low $77.62 Median $158.49 Typical High $331.13 | Facility | None | $77.62 | $158.49 | $331.13 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $87.10 | Professional | 26 · Professional part | $34.67 | $34.67 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $239.88 Typical High $524.81 | Facility | None | $151.36 | $239.88 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $128.82 Typical High $251.19 | Professional | None (both parts) | $81.28 | $128.82 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $31.62 | $46.77 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $93.33 Typical High $154.88 | Professional | TC · Technical part | $19.50 | $93.33 | $154.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $177.83 Median $194.98 Typical High $199.53 | Professional | None (both parts) | $177.83 | $194.98 | $199.53 |
Horizon BCBS Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $630.96 | Facility | None | $302.00 | $457.09 | $630.96 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $123.03 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $123.03 | $141.25 | $251.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $85.11 | Professional | 26 · Professional part | $38.90 | $44.67 | $85.11 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $83.18 | $97.72 | $181.97 |
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 $87.10 Median $125.89 Typical High $263.03 | Professional | None (both parts) | $87.10 | $125.89 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $44.67 Typical High $81.28 | Professional | 26 · Professional part | $30.20 | $44.67 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $87.10 Typical High $194.98 | Professional | TC · Technical part | $57.54 | $87.10 | $194.98 |
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 $26.30 Median $34.67 Typical High $69.18 | Professional | 52 · Reduced service | $26.30 | $34.67 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.47 Median $13.80 Typical High $27.54 | Professional | 53 · Discontinued | $10.47 | $13.80 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $41.69 Median $54.95 Typical High $91.20 | Professional | FX · Film X-ray | $41.69 | $54.95 | $91.20 |
Where New Jersey sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 38th of 51
$129
AK $525MI $75.86
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.