How much rates vary
Facilitymedian $309 · 10th to 90th $112 to $1,000Professionalmedian $89 · 10th to 90th $69 to $155
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 $70.79 Median $70.79 Typical High $85.11 | Facility | None | $70.79 | $70.79 | $85.11 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $70.79 Typical High $91.20 | Professional | None (both parts) | $63.10 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.49 Typical High $18.62 | Professional | 26 · Professional part | $13.49 | $15.49 | $18.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $56.23 Typical High $77.62 | Professional | TC · Technical part | $48.98 | $56.23 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $275.42 Typical High $398.11 | Facility | None | $199.53 | $275.42 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $77.62 Typical High $169.82 | Professional | None (both parts) | $69.18 | $77.62 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $13.18 Typical High $34.67 | Professional | 26 · Professional part | $11.75 | $13.18 | $34.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $131.83 | Professional | TC · Technical part | $53.70 | $64.57 | $131.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $120.23 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $120.23 | $144.54 | $158.49 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $24.55 Typical High $27.54 | Professional | 26 · Professional part | $20.89 | $24.55 | $27.54 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $128.82 | Professional | TC · Technical part | $100.00 | $120.23 | $128.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $95.50 Median $660.69 Typical High $1,122.02 | Facility | None | $95.50 | $660.69 | $1,122.02 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $95.50 | $109.65 | $158.49 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $20.42 Typical High $30.20 | Professional | 26 · Professional part | $17.78 | $20.42 | $30.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $125.89 | Professional | TC · Technical part | $77.62 | $89.13 | $125.89 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $63.10 | $85.11 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $16.98 Typical High $31.62 | Professional | 26 · Professional part | $13.49 | $16.98 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $70.79 Typical High $138.04 | Professional | TC · Technical part | $53.70 | $70.79 | $138.04 |
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 $31.62 Median $35.48 Typical High $46.77 | Professional | 52 · Reduced service | $31.62 | $35.48 | $46.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.45 Typical High $19.05 | Professional | 53 · Discontinued | $12.59 | $14.45 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | FX · Film X-ray | $57.54 | $57.54 | $69.18 |
Where New Jersey sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 42nd of 51
$91.20
AK $282KY $74.13
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.