How much rates vary
Facilitymedian $115 · 10th to 90th $60 to $447Professionalmedian $56 · 10th to 90th $37 to $105
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 $56.23 Median $56.23 Typical High $81.28 | Facility | None | $56.23 | $56.23 | $81.28 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $56.23 Typical High $81.28 | Professional | None (both parts) | $53.70 | $56.23 | $81.28 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $30.90 | Professional | 26 · Professional part | $21.88 | $21.88 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $34.67 Typical High $50.12 | Professional | TC · Technical part | $29.51 | $34.67 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $91.20 Typical High $125.89 | Facility | None | $60.26 | $91.20 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $35.48 Median $66.07 Typical High $141.25 | Professional | None (both parts) | $35.48 | $66.07 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $17.38 Typical High $47.86 | Professional | 26 · Professional part | $14.79 | $17.38 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $38.02 Typical High $89.13 | Professional | TC · Technical part | $19.50 | $38.02 | $89.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $47.86 Median $67.61 Typical High $81.28 | Professional | None (both parts) | $47.86 | $67.61 | $81.28 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $30.90 Typical High $36.31 | Professional | 26 · Professional part | $22.39 | $30.90 | $36.31 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $37.15 Typical High $43.65 | Professional | TC · Technical part | $26.30 | $37.15 | $43.65 |
Horizon BCBS Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $489.78 | Facility | None | $234.42 | $354.81 | $489.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $123.03 | Professional | None (both parts) | $48.98 | $56.23 | $123.03 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $45.71 | Professional | 26 · Professional part | $22.39 | $25.70 | $45.71 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $70.79 | Professional | TC · Technical part | $26.30 | $30.20 | $70.79 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $47.86 Typical High $100.00 | Professional | None (both parts) | $36.31 | $47.86 | $100.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $21.88 Typical High $42.66 | Professional | 26 · Professional part | $16.98 | $21.88 | $42.66 |
United Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $25.70 Typical High $53.70 | Professional | TC · Technical part | $19.95 | $25.70 | $53.70 |
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 $23.44 Median $28.18 Typical High $40.74 | Professional | 52 · Reduced service | $23.44 | $28.18 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $11.22 Typical High $16.22 | Professional | 53 · Discontinued | $9.33 | $11.22 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $44.67 Median $44.67 Typical High $64.57 | Professional | FX · Film X-ray | $44.67 | $44.67 | $64.57 |
Where New Jersey sits
The same service costs 4.5 times more in Alaska than in Utah. 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
$56.23
AK $141UT $31.62
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.