How much rates vary
Facilitymedian $501 · 10th to 90th $158 to $3,311Professionalmedian $158 · 10th to 90th $120 to $269
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 $120.23 Median $120.23 Typical High $158.49 | Facility | None | $120.23 | $120.23 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $162.18 | Professional | None (both parts) | $120.23 | $120.23 | $162.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $48.98 Typical High $58.88 | Professional | 26 · Professional part | $47.86 | $48.98 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $107.15 | Professional | TC · Technical part | $70.79 | $70.79 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $380.19 Typical High $562.34 | Facility | None | $275.42 | $380.19 | $562.34 |
Cigna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $302.00 | Professional | None (both parts) | $117.49 | $134.90 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $109.65 | Professional | 26 · Professional part | $38.02 | $42.66 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $91.20 Typical High $190.55 | Professional | TC · Technical part | $74.13 | $91.20 | $190.55 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $190.55 Median $229.09 Typical High $251.19 | Professional | None (both parts) | $190.55 | $229.09 | $251.19 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $83.18 | Professional | 26 · Professional part | $64.57 | $74.13 | $83.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $151.36 Typical High $165.96 | Professional | TC · Technical part | $125.89 | $151.36 | $165.96 |
Horizon BCBS Setting Facility Modifier None Typical Low $123.03 Median $2,187.76 Typical High $3,388.44 | Facility | None | $123.03 | $2,187.76 | $3,388.44 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $275.42 | Professional | None (both parts) | $165.96 | $190.55 | $275.42 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $57.54 | $66.07 | $95.50 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $177.83 | Professional | TC · Technical part | $109.65 | $125.89 | $177.83 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,513.56 | $1,513.56 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $147.91 Typical High $295.12 | Professional | None (both parts) | $107.15 | $147.91 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $40.74 | $54.95 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $95.50 Typical High $190.55 | Professional | TC · Technical part | $72.44 | $95.50 | $190.55 |
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 $60.26 Median $60.26 Typical High $81.28 | Professional | 52 · Reduced service | $60.26 | $60.26 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $23.99 Typical High $32.36 | Professional | 53 · Discontinued | $23.99 | $23.99 | $32.36 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $125.89 | Professional | FX · Film X-ray | $95.50 | $95.50 | $125.89 |
Where New Jersey sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 40th of 51
$158
AK $513UT $120
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.