How much rates vary
Facilitymedian $832 · 10th to 90th $427 to $3,890Professionalmedian $417 · 10th to 90th $309 to $794
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 $426.58 Median $426.58 Typical High $4,786.30 | Facility | None | $426.58 | $426.58 | $4,786.30 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $302.00 Typical High $707.95 | Facility | TC · Technical part | $302.00 | $302.00 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $676.08 | Professional | None (both parts) | $371.54 | $398.11 | $676.08 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $120.23 Typical High $144.54 | Professional | 26 · Professional part | $85.11 | $120.23 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $416.87 | Professional | TC · Technical part | $257.04 | $281.84 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $776.25 Typical High $1,047.13 | Facility | None | $602.56 | $776.25 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $275.42 Median $446.68 Typical High $954.99 | Professional | None (both parts) | $275.42 | $446.68 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $60.26 Typical High $154.88 | Professional | 26 · Professional part | $54.95 | $60.26 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $371.54 Typical High $776.25 | Professional | TC · Technical part | $218.78 | $371.54 | $776.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $398.11 Median $467.74 Typical High $512.86 | Professional | None (both parts) | $398.11 | $467.74 | $512.86 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $102.33 Typical High $114.82 | Professional | 26 · Professional part | $87.10 | $102.33 | $114.82 |
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 $676.08 Median $1,148.15 Typical High $7,079.46 | Facility | None | $676.08 | $1,148.15 | $7,079.46 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $2,290.87 Typical High $8,709.64 | Facility | TC · Technical part | $870.96 | $2,290.87 | $8,709.64 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $398.11 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $398.11 | $457.09 | $741.31 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $91.20 Typical High $114.82 | Professional | 26 · Professional part | $79.43 | $91.20 | $114.82 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $371.54 Typical High $575.44 | Professional | TC · Technical part | $323.59 | $371.54 | $575.44 |
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 $295.12 Median $426.58 Typical High $812.83 | Professional | None (both parts) | $295.12 | $426.58 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $75.86 Typical High $158.49 | Professional | 26 · Professional part | $61.66 | $75.86 | $158.49 |
United Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $316.23 Typical High $645.65 | Professional | TC · Technical part | $229.09 | $316.23 | $645.65 |
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 $1,096.48 | Professional | GL · Free upgrade | $426.58 | $691.83 | $1,096.48 |
Where New Jersey sits
The same service costs 5.4 times more in Wyoming 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· 40th of 51
$427
WY $1,318UT $245
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.