How much rates vary
Facilitymedian $832 · 10th to 90th $417 to $9,772Professionalmedian $537 · 10th to 90th $309 to $912
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 $416.87 Median $478.63 Typical High $478.63 | Facility | None | $416.87 | $478.63 | $478.63 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $954.99 | Facility | TC · Technical part | $436.52 | $436.52 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $416.87 Typical High $478.63 | Professional | None (both parts) | $363.08 | $416.87 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $33.88 Typical High $40.74 | Professional | 26 · Professional part | $32.36 | $33.88 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $331.13 Median $380.19 Typical High $436.52 | Professional | TC · Technical part | $331.13 | $380.19 | $436.52 |
AmeriHealth Setting Facility Modifier None Typical Low $831.76 Median $1,479.11 Typical High $2,137.96 | Facility | None | $831.76 | $1,479.11 | $2,137.96 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $107.15 Typical High $117.49 | Facility | None | $70.79 | $107.15 | $117.49 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $407.38 Typical High $933.25 | Professional | None (both parts) | $288.40 | $407.38 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $24.55 | $33.88 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $371.54 Typical High $870.96 | Professional | TC · Technical part | $263.03 | $371.54 | $870.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $630.96 Typical High $933.25 | Professional | None (both parts) | $630.96 | $630.96 | $933.25 |
Horizon BCBS Setting Facility Modifier None Typical Low $467.74 Median $3,467.37 Typical High $14,454.40 | Facility | None | $467.74 | $3,467.37 | $14,454.40 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $891.25 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $891.25 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $549.54 Median $630.96 Typical High $912.01 | Professional | None (both parts) | $549.54 | $630.96 | $912.01 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $43.65 Typical High $67.61 | Professional | 26 · Professional part | $38.02 | $43.65 | $67.61 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $501.19 Median $575.44 Typical High $851.14 | Professional | TC · Technical part | $501.19 | $575.44 | $851.14 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $537.03 Typical High $954.99 | Professional | None (both parts) | $309.03 | $537.03 | $954.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $37.15 Typical High $67.61 | Professional | 26 · Professional part | $24.55 | $37.15 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $489.78 Typical High $891.25 | Professional | TC · Technical part | $288.40 | $489.78 | $891.25 |
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 $181.97 Median $208.93 Typical High $239.88 | Professional | 52 · Reduced service | $181.97 | $208.93 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $83.18 Typical High $95.50 | Professional | 53 · Discontinued | $72.44 | $83.18 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $331.13 Typical High $389.05 | Professional | FX · Film X-ray | $302.00 | $331.13 | $389.05 |
Where New Jersey sits
The same service costs 16.6 times more in Wisconsin than in Oregon. 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· 25th of 51
$537
WI $1,202OR $72.44
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.