How much rates vary
Facilitymedian $355 · 10th to 90th $195 to $3,311Professionalmedian $166 · 10th to 90th $115 to $288
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 $194.98 Median $194.98 Typical High $204.17 | Facility | None | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $97.72 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $53.70 Typical High $66.07 | Professional | 26 · Professional part | $51.29 | $53.70 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $141.25 Typical High $141.25 | Professional | TC · Technical part | $48.98 | $141.25 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $309.03 Typical High $446.68 | Facility | None | $218.78 | $309.03 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $331.13 | Professional | None (both parts) | $114.82 | $131.83 | $331.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $48.98 Typical High $120.23 | Professional | 26 · Professional part | $44.67 | $48.98 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $81.28 Typical High $239.88 | Professional | TC · Technical part | $72.44 | $81.28 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $186.21 Typical High $218.78 | Professional | None (both parts) | $158.49 | $186.21 | $218.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $93.33 | Professional | 26 · Professional part | $70.79 | $81.28 | $93.33 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $125.89 | Professional | TC · Technical part | $89.13 | $107.15 | $125.89 |
Horizon BCBS Setting Facility Modifier None Typical Low $257.04 Median $2,187.76 Typical High $3,388.44 | Facility | None | $257.04 | $2,187.76 | $3,388.44 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $141.25 | $165.96 | $346.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $104.71 | Professional | 26 · Professional part | $64.57 | $74.13 | $104.71 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $190.55 | Professional | TC · Technical part | $77.62 | $89.13 | $190.55 |
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 $104.71 Median $154.88 Typical High $275.42 | Professional | None (both parts) | $104.71 | $154.88 | $275.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $63.10 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $75.86 Typical High $190.55 | Professional | TC · Technical part | $57.54 | $75.86 | $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 $48.98 Median $97.72 Typical High $102.33 | Professional | 52 · Reduced service | $48.98 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $38.90 Typical High $40.74 | Professional | 53 · Discontinued | $19.50 | $38.90 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $154.88 Typical High $162.18 | Professional | FX · Film X-ray | $112.20 | $154.88 | $162.18 |
Where New Jersey sits
The same service costs 4.6 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· 44th of 51
$166
AK $447UT $97.72
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.