How much rates vary
Facilitymedian $1,023 · 10th to 90th $245 to $13,490Professionalmedian $234 · 10th to 90th $39 to $1,738
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 $245.47 Median $245.47 Typical High $776.25 | Facility | None | $245.47 | $245.47 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $2,630.27 | Professional | None (both parts) | $245.47 | $245.47 | $2,630.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $30.90 | $33.11 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $2,630.27 | Professional | TC · Technical part | $208.93 | $208.93 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $616.60 Typical High $1,122.02 | Facility | None | $120.23 | $616.60 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $208.93 Typical High $549.54 | Professional | None (both parts) | $186.21 | $208.93 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.84 Typical High $75.86 | Professional | 26 · Professional part | $25.70 | $28.84 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $177.83 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $177.83 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $575.44 Typical High $4,677.35 | Professional | None (both parts) | $363.08 | $575.44 | $4,677.35 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $53.70 | Professional | 26 · Professional part | $44.67 | $51.29 | $53.70 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $512.86 Typical High $4,677.35 | Professional | TC · Technical part | $323.59 | $512.86 | $4,677.35 |
Horizon BCBS Setting Facility Modifier None Typical Low $331.13 Median $10,000.00 Typical High $18,197.01 | Facility | None | $331.13 | $10,000.00 | $18,197.01 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $363.08 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $38.02 Median $41.69 Typical High $223.87 | Professional | None (both parts) | $38.02 | $41.69 | $223.87 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $43.65 | $64.57 | $131.83 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $338.84 Typical High $10,715.19 | Professional | TC · Technical part | $44.67 | $338.84 | $10,715.19 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $13,182.57 | Facility | None | $6,025.60 | $6,025.60 | $13,182.57 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $1,288.25 Typical High $3,235.94 | Professional | None (both parts) | $199.53 | $1,288.25 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $69.18 | Professional | 26 · Professional part | $28.18 | $37.15 | $69.18 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $1,380.38 Typical High $3,162.28 | Professional | TC · Technical part | $169.82 | $1,380.38 | $3,162.28 |
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 $120.23 Median $120.23 Typical High $1,318.26 | Professional | 52 · Reduced service | $120.23 | $120.23 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $48.98 Typical High $524.81 | Professional | 53 · Discontinued | $48.98 | $48.98 | $524.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $194.98 Typical High $1,819.70 | Professional | FX · Film X-ray | $194.98 | $194.98 | $1,819.70 |
Where New Jersey sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 51st of 51
$245
CO $3,715NJ $245
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.