How much rates vary
Facilitymedian $204 · 10th to 90th $71 to $1,778Professionalmedian $135 · 10th to 90th $63 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 $75.86 Median $75.86 Typical High $93.33 | Facility | None | $75.86 | $75.86 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $75.86 Typical High $93.33 | Professional | None (both parts) | $67.61 | $75.86 | $93.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $22.39 | $24.55 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $50.12 Typical High $61.66 | Professional | TC · Technical part | $44.67 | $50.12 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $83.18 Typical High $91.20 | Facility | None | $53.70 | $83.18 | $91.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $67.61 Typical High $173.78 | Professional | None (both parts) | $58.88 | $67.61 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.39 Typical High $56.23 | Professional | 26 · Professional part | $19.50 | $22.39 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $44.67 Typical High $120.23 | Professional | TC · Technical part | $39.81 | $44.67 | $120.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $263.03 Typical High $331.13 | Professional | None (both parts) | $181.97 | $263.03 | $331.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $39.81 | Professional | 26 · Professional part | $33.11 | $38.02 | $39.81 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $147.91 | $218.78 | $295.12 |
Horizon BCBS Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $2,187.76 | Facility | None | $204.17 | $204.17 | $2,187.76 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $154.88 Median $177.83 Typical High $251.19 | Professional | None (both parts) | $154.88 | $177.83 | $251.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $33.88 | $47.86 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $141.25 Typical High $204.17 | Professional | TC · Technical part | $123.03 | $141.25 | $204.17 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $169.82 Typical High $288.40 | Professional | None (both parts) | $120.23 | $169.82 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.18 Typical High $52.48 | Professional | 26 · Professional part | $20.89 | $28.18 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $147.91 Typical High $234.42 | Professional | TC · Technical part | $97.72 | $147.91 | $234.42 |
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 $33.11 Median $37.15 Typical High $45.71 | Professional | 52 · Reduced service | $33.11 | $37.15 | $45.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $15.14 Typical High $18.62 | Professional | 53 · Discontinued | $13.49 | $15.14 | $18.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $60.26 Typical High $74.13 | Professional | FX · Film X-ray | $54.95 | $60.26 | $74.13 |
Where New Jersey sits
The same service costs 4.4 times more in Alaska than in Texas. 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· 28th of 51
$135
AK $331TX $75.86
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.