How much rates vary
Facilitymedian $1,000 · 10th to 90th $427 to $4,074Professionalmedian $427 · 10th to 90th $288 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 $398.11 Median $3,890.45 Typical High $4,786.30 | Facility | None | $398.11 | $3,890.45 | $4,786.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $371.54 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $112.20 | $120.23 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $302.00 | Professional | TC · Technical part | $257.04 | $281.84 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $794.33 Typical High $1,071.52 | Facility | None | $616.60 | $794.33 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $446.68 Typical High $977.24 | Professional | None (both parts) | $288.40 | $446.68 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $66.07 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $354.81 Typical High $776.25 | Professional | TC · Technical part | $218.78 | $354.81 | $776.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $407.38 Median $478.63 Typical High $524.81 | Professional | None (both parts) | $407.38 | $478.63 | $524.81 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | 26 · Professional part | $95.50 | $112.20 | $125.89 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $371.54 Typical High $398.11 | Professional | TC · Technical part | $309.03 | $371.54 | $398.11 |
Horizon BCBS Setting Facility Modifier None Typical Low $295.12 Median $1,230.27 Typical High $8,128.31 | Facility | None | $295.12 | $1,230.27 | $8,128.31 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $407.38 Median $467.74 Typical High $776.25 | Professional | None (both parts) | $407.38 | $467.74 | $776.25 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $128.82 | Professional | 26 · Professional part | $87.10 | $100.00 | $128.82 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $602.56 | Professional | TC · Technical part | $323.59 | $371.54 | $602.56 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $426.58 Typical High $812.83 | Professional | None (both parts) | $257.04 | $426.58 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $83.18 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $83.18 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $316.23 Typical High $630.96 | Professional | TC · Technical part | $194.98 | $316.23 | $630.96 |
4 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 $186.21 Median $199.53 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $199.53 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $74.13 Median $81.28 Typical High $85.11 | Professional | 53 · Discontinued | $74.13 | $81.28 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $295.12 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $426.58 Median $691.83 Typical High $1,230.27 | Professional | GL · Free upgrade | $426.58 | $691.83 | $1,230.27 |
Where New Jersey sits
The same service costs 5.4 times more in Wyoming than in Texas. 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· 43rd of 51
$427
WY $1,380TX $257
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.