How much rates vary
Facilitymedian $178 · 10th to 90th $58 to $2,291Professionalmedian $58 · 10th to 90th $39 to $95
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 $38.90 Median $38.90 Typical High $57.54 | Facility | None | $38.90 | $38.90 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $57.54 | Professional | None (both parts) | $38.90 | $38.90 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $17.78 | Professional | 26 · Professional part | $13.18 | $13.80 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $25.70 Typical High $40.74 | Professional | TC · Technical part | $25.70 | $25.70 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $154.88 Typical High $229.09 | Facility | None | $97.72 | $154.88 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $107.15 | Professional | None (both parts) | $43.65 | $51.29 | $107.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $30.90 | Professional | 26 · Professional part | $11.48 | $13.18 | $30.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $72.44 | Professional | TC · Technical part | $28.84 | $35.48 | $72.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $72.44 Median $87.10 Typical High $95.50 | Professional | None (both parts) | $72.44 | $87.10 | $95.50 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $19.50 | $22.91 | $25.70 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $69.18 | Professional | TC · Technical part | $53.70 | $64.57 | $69.18 |
Horizon BCBS Setting Facility Modifier None Typical Low $48.98 Median $1,698.24 Typical High $2,570.40 | Facility | None | $48.98 | $1,698.24 | $2,570.40 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $66.07 Typical High $95.50 | Professional | None (both parts) | $57.54 | $66.07 | $95.50 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $27.54 | Professional | 26 · Professional part | $16.98 | $19.50 | $27.54 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $70.79 | Professional | TC · Technical part | $40.74 | $46.77 | $70.79 |
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 $40.74 Median $51.29 Typical High $104.71 | Professional | None (both parts) | $40.74 | $51.29 | $104.71 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.22 Typical High $30.20 | Professional | 26 · Professional part | $12.59 | $16.22 | $30.20 |
United Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $38.02 Typical High $75.86 | Professional | TC · Technical part | $30.20 | $38.02 | $75.86 |
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 $19.50 Median $19.50 Typical High $29.51 | Professional | 52 · Reduced service | $19.50 | $19.50 | $29.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $11.75 | Professional | 53 · Discontinued | $7.76 | $7.76 | $11.75 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $31.62 Median $31.62 Typical High $45.71 | Professional | FX · Film X-ray | $31.62 | $31.62 | $45.71 |
Where New Jersey sits
The same service costs 5.6 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· 41st of 51
$57.54
AK $182UT $32.36
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.