How much rates vary
Facilitymedian $347 · 10th to 90th $151 to $2,951Professionalmedian $117 · 10th to 90th $78 to $209
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 $102.33 Median $102.33 Typical High $141.25 | Facility | None | $102.33 | $102.33 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $141.25 | Professional | None (both parts) | $102.33 | $102.33 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | 26 · Professional part | $27.54 | $27.54 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $74.13 Typical High $104.71 | Professional | TC · Technical part | $74.13 | $74.13 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $389.05 | Facility | None | $186.21 | $257.04 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $85.11 Typical High $257.04 | Professional | None (both parts) | $74.13 | $85.11 | $257.04 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.12 Typical High $66.07 | Professional | 26 · Professional part | $22.39 | $25.12 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $60.26 Typical High $194.98 | Professional | TC · Technical part | $52.48 | $60.26 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $147.91 Typical High $162.18 | Professional | None (both parts) | $125.89 | $147.91 | $162.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $48.98 | Professional | 26 · Professional part | $38.02 | $43.65 | $48.98 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $114.82 | Professional | TC · Technical part | $87.10 | $104.71 | $114.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $151.36 Median $1,737.80 Typical High $12,882.50 | Facility | None | $151.36 | $1,737.80 | $12,882.50 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $208.93 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $120.23 Median $138.04 Typical High $208.93 | Professional | None (both parts) | $120.23 | $138.04 | $208.93 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $38.90 | $54.95 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $147.91 | Professional | TC · Technical part | $87.10 | $100.00 | $147.91 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,630.27 | Facility | None | $1,202.26 | $1,202.26 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $70.79 | $109.65 | $213.80 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $32.36 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $32.36 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $54.95 | $81.28 | $154.88 |
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 $51.29 Median $51.29 Typical High $70.79 | Professional | 52 · Reduced service | $51.29 | $51.29 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $28.18 | Professional | 53 · Discontinued | $20.42 | $20.42 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $112.20 | Professional | FX · Film X-ray | $81.28 | $81.28 | $112.20 |
Where New Jersey sits
The same service costs 4.6 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· 37th of 51
$120
AK $324TX $70.79
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.