How much rates vary
Facilitymedian $178 · 10th to 90th $69 to $2,239Professionalmedian $76 · 10th to 90th $42 to $676
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 $64.57 Median $776.25 Typical High $776.25 | Facility | None | $64.57 | $776.25 | $776.25 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $45.71 Median $776.25 Typical High $776.25 | Facility | TC · Technical part | $45.71 | $776.25 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $776.25 | Professional | None (both parts) | $64.57 | $64.57 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $23.44 | Professional | 26 · Professional part | $17.78 | $19.50 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $45.71 Typical High $776.25 | Professional | TC · Technical part | $45.71 | $45.71 | $776.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $21.38 | $21.38 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $93.33 Typical High $169.82 | Facility | None | $61.66 | $93.33 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.90 Median $47.86 Typical High $117.49 | Professional | None (both parts) | $38.90 | $47.86 | $117.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $43.65 | Professional | 26 · Professional part | $14.79 | $16.60 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $27.54 Typical High $75.86 | Professional | TC · Technical part | $24.55 | $27.54 | $75.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $93.33 Median $144.54 Typical High $831.76 | Professional | None (both parts) | $93.33 | $144.54 | $831.76 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $29.51 Typical High $33.11 | Professional | 26 · Professional part | $25.70 | $29.51 | $33.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $109.65 Typical High $812.83 | Professional | TC · Technical part | $69.18 | $109.65 | $812.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $87.10 Median $1,288.25 Typical High $2,570.40 | Facility | None | $87.10 | $1,288.25 | $2,570.40 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $173.78 | Professional | None (both parts) | $75.86 | $87.10 | $173.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $25.70 | $36.31 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $114.82 | Professional | TC · Technical part | $52.48 | $60.26 | $114.82 |
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 $42.66 Median $416.87 Typical High $912.01 | Professional | None (both parts) | $42.66 | $416.87 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $21.38 Typical High $39.81 | Professional | 26 · Professional part | $16.22 | $21.38 | $39.81 |
United Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $416.87 Typical High $912.01 | Professional | TC · Technical part | $25.70 | $416.87 | $912.01 |
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 $32.36 Median $32.36 Typical High $389.05 | Professional | 52 · Reduced service | $32.36 | $32.36 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $154.88 | Professional | 53 · Discontinued | $13.18 | $13.18 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $616.60 | Professional | FX · Film X-ray | $52.48 | $52.48 | $616.60 |
Where New Jersey sits
The same service costs 11.2 times more in Colorado than in Michigan. 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· 50th of 51
$75.86
CO $661MI $58.88
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.