How much rates vary
Facilitymedian $135 · 10th to 90th $100 to $3,981Professionalmedian $132 · 10th to 90th $83 to $224
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $109.65 Median $109.65 Typical High $131.83 | Facility | None | $109.65 | $109.65 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | None (both parts) | $109.65 | $109.65 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $43.65 | Professional | 26 · Professional part | $36.31 | $36.31 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $87.10 | Professional | TC · Technical part | $74.13 | $74.13 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $117.49 Typical High $128.82 | Facility | None | $75.86 | $117.49 | $128.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $83.18 Typical High $208.93 | Professional | None (both parts) | $81.28 | $83.18 | $208.93 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $27.54 Typical High $64.57 | Professional | 26 · Professional part | $26.92 | $27.54 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $56.23 Typical High $138.04 | Professional | TC · Technical part | $53.70 | $56.23 | $138.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $269.15 Typical High $446.68 | Professional | None (both parts) | $269.15 | $269.15 | $446.68 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $52.48 Typical High $57.54 | Professional | 26 · Professional part | $42.66 | $52.48 | $57.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $218.78 | $389.05 |
Horizon BCBS Setting Facility Modifier None Typical Low $134.90 Median $537.03 Typical High $4,265.80 | Facility | None | $134.90 | $537.03 | $4,265.80 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $204.17 | Professional | None (both parts) | $131.83 | $151.36 | $204.17 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $57.54 | Professional | 26 · Professional part | $41.69 | $47.86 | $57.54 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $95.50 Typical High $125.89 | Professional | TC · Technical part | $91.20 | $95.50 | $125.89 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $125.89 | $147.91 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $56.23 | Professional | 26 · Professional part | $27.54 | $32.36 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $120.23 Typical High $199.53 | Professional | TC · Technical part | $85.11 | $120.23 | $199.53 |
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 $54.95 Median $54.95 Typical High $66.07 | Professional | 52 · Reduced service | $54.95 | $54.95 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $21.88 Typical High $26.30 | Professional | 53 · Discontinued | $21.88 | $21.88 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $104.71 | Professional | FX · Film X-ray | $87.10 | $87.10 | $104.71 |
Where New Jersey sits
The same service costs 5.2 times more in North Dakota than in Florida. 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· 41st of 51
$132
ND $457FL $87.10
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.