How much rates vary
Facilitymedian $437 · 10th to 90th $191 to $759Professionalmedian $155 · 10th to 90th $110 to $257
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 $112.20 Median $112.20 Typical High $144.54 | Facility | None | $112.20 | $112.20 | $144.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $151.36 | Professional | None (both parts) | $107.15 | $112.20 | $151.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $19.50 Typical High $24.55 | Professional | 26 · Professional part | $18.62 | $19.50 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $93.33 Typical High $128.82 | Professional | TC · Technical part | $87.10 | $93.33 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $316.23 Median $436.52 Typical High $660.69 | Facility | None | $316.23 | $436.52 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $107.15 | $131.83 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.38 Typical High $44.67 | Professional | 26 · Professional part | $15.14 | $17.38 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $109.65 Typical High $234.42 | Professional | TC · Technical part | $83.18 | $109.65 | $234.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $218.78 Typical High $234.42 | Professional | None (both parts) | $181.97 | $218.78 | $234.42 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.90 Typical High $34.67 | Professional | 26 · Professional part | $26.30 | $30.90 | $34.67 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $186.21 Typical High $204.17 | Professional | TC · Technical part | $154.88 | $186.21 | $204.17 |
Horizon BCBS Setting Facility Modifier None Typical Low $147.91 Median $489.78 Typical High $1,202.26 | Facility | None | $147.91 | $489.78 | $1,202.26 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $257.04 | Professional | None (both parts) | $158.49 | $181.97 | $257.04 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $38.02 | Professional | 26 · Professional part | $23.44 | $26.92 | $38.02 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $154.88 Typical High $208.93 | Professional | TC · Technical part | $134.90 | $154.88 | $208.93 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $741.31 | Facility | None | $338.84 | $338.84 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $102.33 Median $138.04 Typical High $281.84 | Professional | None (both parts) | $102.33 | $138.04 | $281.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $22.39 Typical High $41.69 | Professional | 26 · Professional part | $16.98 | $22.39 | $41.69 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $89.13 | $123.03 | $239.88 |
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 $53.70 Median $56.23 Typical High $75.86 | Professional | 52 · Reduced service | $53.70 | $56.23 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $30.20 | Professional | 53 · Discontinued | $21.38 | $22.39 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $117.49 | Professional | FX · Film X-ray | $91.20 | $91.20 | $117.49 |
Where New Jersey sits
The same service costs 3.8 times more in Alaska 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· 38th of 51
$155
AK $447FL $117
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.