How much rates vary
Facilitymedian $117 · 10th to 90th $43 to $437Professionalmedian $37 · 10th to 90th $28 to $63
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 $28.18 Median $28.18 Typical High $38.02 | Facility | None | $28.18 | $28.18 | $38.02 |
Aetna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $28.18 Typical High $38.02 | Professional | None (both parts) | $26.30 | $28.18 | $38.02 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.08 Typical High $9.12 | Professional | 26 · Professional part | $6.92 | $7.08 | $9.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $29.51 | Professional | TC · Technical part | $19.50 | $20.89 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $100.00 Typical High $154.88 | Facility | None | $72.44 | $100.00 | $154.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $33.88 Typical High $69.18 | Professional | None (both parts) | $28.84 | $33.88 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.89 Median $6.61 Typical High $16.98 | Professional | 26 · Professional part | $5.89 | $6.61 | $16.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $24.55 Typical High $51.29 | Professional | TC · Technical part | $21.88 | $24.55 | $51.29 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $39.81 Median $54.95 Typical High $60.26 | Professional | None (both parts) | $39.81 | $54.95 | $60.26 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $11.75 Typical High $13.18 | Professional | 26 · Professional part | $8.71 | $11.75 | $13.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $43.65 Typical High $46.77 | Professional | TC · Technical part | $30.90 | $43.65 | $46.77 |
Horizon BCBS Setting Facility Modifier None Typical Low $34.67 Median $323.59 Typical High $489.78 | Facility | None | $34.67 | $323.59 | $489.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $37.15 Median $42.66 Typical High $64.57 | Professional | None (both parts) | $37.15 | $42.66 | $64.57 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $10.23 Typical High $14.45 | Professional | 26 · Professional part | $8.91 | $10.23 | $14.45 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $33.11 Typical High $47.86 | Professional | TC · Technical part | $28.84 | $33.11 | $47.86 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $66.07 | Professional | None (both parts) | $27.54 | $34.67 | $66.07 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $8.32 Typical High $15.49 | Professional | 26 · Professional part | $6.46 | $8.32 | $15.49 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $26.92 Typical High $51.29 | Professional | TC · Technical part | $20.89 | $26.92 | $51.29 |
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 $13.18 Median $14.13 Typical High $19.05 | Professional | 52 · Reduced service | $13.18 | $14.13 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.62 Typical High $7.59 | Professional | 53 · Discontinued | $5.25 | $5.62 | $7.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.39 Median $22.39 Typical High $30.20 | Professional | FX · Film X-ray | $22.39 | $22.39 | $30.20 |
Where New Jersey sits
The same service costs 3.9 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· 42nd of 51
$37.15
AK $112FL $28.84
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.