How much rates vary
Facilitymedian $1,230 · 10th to 90th $275 to $4,786Professionalmedian $363 · 10th to 90th $257 to $759
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 $257.04 Median $363.08 Typical High $446.68 | Facility | None | $257.04 | $363.08 | $446.68 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $48.98 | Facility | 26 · Professional part | $40.74 | $48.98 | $48.98 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $213.80 Median $316.23 Typical High $537.03 | Facility | TC · Technical part | $213.80 | $316.23 | $537.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $331.13 Typical High $660.69 | Professional | None (both parts) | $257.04 | $331.13 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $87.10 | Professional | 26 · Professional part | $40.74 | $47.86 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $281.84 Typical High $562.34 | Professional | TC · Technical part | $213.80 | $281.84 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $44.67 Typical High $77.62 | Professional | 26 · Professional part | $42.66 | $44.67 | $77.62 |
AmeriHealth Setting Facility Modifier None Typical Low $1,479.11 Median $3,311.31 Typical High $5,128.61 | Facility | None | $1,479.11 | $3,311.31 | $5,128.61 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $56.23 Typical High $128.82 | Professional | 26 · Professional part | $51.29 | $56.23 | $128.82 |
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 $436.52 Typical High $758.58 | Professional | None (both parts) | $251.19 | $436.52 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $57.54 Typical High $97.72 | Professional | 26 · Professional part | $31.62 | $57.54 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $380.19 Typical High $660.69 | Professional | TC · Technical part | $204.17 | $380.19 | $660.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $436.52 | $436.52 | $436.52 |
Horizon BCBS Setting Facility Modifier None Typical Low $478.63 Median $1,621.81 Typical High $12,882.50 | Facility | None | $478.63 | $1,621.81 | $12,882.50 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $616.60 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $831.76 | Professional | None (both parts) | $363.08 | $416.87 | $831.76 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $47.86 | $56.23 | $93.33 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $724.44 | Professional | TC · Technical part | $316.23 | $363.08 | $724.44 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,659.59 | Facility | None | $776.25 | $776.25 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $269.15 | $398.11 | $758.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $56.23 Typical High $100.00 | Professional | 26 · Professional part | $42.66 | $56.23 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $363.08 Typical High $660.69 | Professional | TC · Technical part | $245.47 | $363.08 | $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 $128.82 Median $128.82 Typical High $181.97 | Professional | 52 · Reduced service | $128.82 | $128.82 | $181.97 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $74.13 | Professional | 53 · Discontinued | $51.29 | $51.29 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $204.17 Median $204.17 Typical High $295.12 | Professional | FX · Film X-ray | $204.17 | $204.17 | $295.12 |
Where New Jersey sits
The same service costs 4.7 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 $1,288KY $275
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.