How much rates vary
Facilitymedian $1,047 · 10th to 90th $302 to $2,344Professionalmedian $380 · 10th to 90th $282 to $776
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 $281.84 Median $371.54 Typical High $489.78 | Facility | None | $281.84 | $371.54 | $489.78 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $57.54 | Facility | 26 · Professional part | $48.98 | $57.54 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $575.44 | Facility | TC · Technical part | $229.09 | $316.23 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $660.69 | Professional | None (both parts) | $281.84 | $338.84 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $54.95 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $281.84 Typical High $562.34 | Professional | TC · Technical part | $229.09 | $281.84 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $48.98 | $89.13 |
AmeriHealth Setting Facility Modifier None Typical Low $794.33 Median $1,288.25 Typical High $2,187.76 | Facility | None | $794.33 | $1,288.25 | $2,187.76 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $64.57 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,445.44 | Facility | None | $660.69 | $1,047.13 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $426.58 Typical High $776.25 | Professional | None (both parts) | $251.19 | $426.58 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $37.15 | $67.61 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $371.54 Typical High $660.69 | Professional | TC · Technical part | $181.97 | $371.54 | $660.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None (both parts) | $446.68 | $446.68 | $446.68 |
Horizon BCBS Setting Facility Modifier None Typical Low $478.63 Median $2,041.74 Typical High $12,882.50 | Facility | None | $478.63 | $2,041.74 | $12,882.50 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $588.84 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $588.84 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $371.54 Median $426.58 Typical High $851.14 | Professional | None (both parts) | $371.54 | $426.58 | $851.14 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $64.57 | $109.65 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $309.03 | $363.08 | $724.44 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,047.13 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $776.25 | Professional | None (both parts) | $269.15 | $407.38 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $48.98 | $66.07 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $354.81 Typical High $660.69 | Professional | TC · Technical part | $245.47 | $354.81 | $660.69 |
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 $141.25 Median $141.25 Typical High $186.21 | Professional | 52 · Reduced service | $141.25 | $141.25 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $75.86 | Professional | 53 · Discontinued | $56.23 | $56.23 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $223.87 Median $223.87 Typical High $302.00 | Professional | FX · Film X-ray | $223.87 | $223.87 | $302.00 |
Where New Jersey sits
The same service costs 4.0 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· 32nd of 51
$389
AK $1,047KY $263
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.