How much rates vary
Facilitymedian $661 · 10th to 90th $398 to $3,890Professionalmedian $372 · 10th to 90th $263 to $724
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 $426.58 Typical High $4,073.80 | Facility | None | $398.11 | $426.58 | $4,073.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $125.89 | Facility | 26 · Professional part | $120.23 | $125.89 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $691.83 | Facility | TC · Technical part | $281.84 | $302.00 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $398.11 Typical High $562.34 | Professional | None (both parts) | $288.40 | $398.11 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $120.23 Typical High $154.88 | Professional | 26 · Professional part | $81.28 | $120.23 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $281.84 Typical High $407.38 | Professional | TC · Technical part | $204.17 | $281.84 | $407.38 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $575.44 Typical High $776.25 | Facility | None | $446.68 | $575.44 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $426.58 Typical High $977.24 | Professional | None (both parts) | $223.87 | $426.58 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $64.57 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $331.13 Typical High $776.25 | Professional | TC · Technical part | $162.18 | $331.13 | $776.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $323.59 Median $380.19 Typical High $398.11 | Professional | None (both parts) | $323.59 | $380.19 | $398.11 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $107.15 Typical High $112.20 | Professional | 26 · Professional part | $93.33 | $107.15 | $112.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $275.42 Typical High $281.84 | Professional | TC · Technical part | $229.09 | $275.42 | $281.84 |
Horizon BCBS Setting Facility Modifier None Typical Low $676.08 Median $1,122.02 Typical High $3,981.07 | Facility | None | $676.08 | $1,122.02 | $3,981.07 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $316.23 | $363.08 | $691.83 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $95.50 | $123.03 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $269.15 Typical High $501.19 | Professional | TC · Technical part | $234.42 | $269.15 | $501.19 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,445.44 | Facility | None | $676.08 | $676.08 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $239.88 | $338.84 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $81.28 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $229.09 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $229.09 | $524.81 |
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 $977.24 | Professional | GL · Free upgrade | $426.58 | $691.83 | $977.24 |
Where New Jersey sits
The same service costs 5.6 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· 38th of 51
$398
WY $1,072TX $191
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.