How much rates vary
Facilitymedian $251 · 10th to 90th $85 to $525Professionalmedian $123 · 10th to 90th $85 to $240
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 $85.11 Median $131.83 Typical High $208.93 | Facility | None | $85.11 | $131.83 | $208.93 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $36.31 Typical High $36.31 | Facility | 26 · Professional part | $29.51 | $36.31 | $36.31 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $93.33 Typical High $134.90 | Facility | TC · Technical part | $54.95 | $93.33 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $100.00 Typical High $218.78 | Professional | None (both parts) | $85.11 | $100.00 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $63.10 | Professional | 26 · Professional part | $29.51 | $31.62 | $63.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $72.44 | $141.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $26.30 | $26.30 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $346.74 Typical High $524.81 | Facility | None | $251.19 | $346.74 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $131.83 Typical High $295.12 | Professional | None (both parts) | $97.72 | $131.83 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $64.57 | Professional | 26 · Professional part | $23.44 | $26.92 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $93.33 Typical High $218.78 | Professional | TC · Technical part | $66.07 | $93.33 | $218.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $208.93 | Professional | None (both parts) | $125.89 | $173.78 | $208.93 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $46.77 Typical High $54.95 | Professional | 26 · Professional part | $33.88 | $46.77 | $54.95 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $128.82 Typical High $154.88 | Professional | TC · Technical part | $91.20 | $128.82 | $154.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $117.49 Median $269.15 Typical High $831.76 | Facility | None | $117.49 | $269.15 | $831.76 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $190.55 | Professional | None (both parts) | $117.49 | $134.90 | $190.55 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $57.54 | Professional | 26 · Professional part | $35.48 | $40.74 | $57.54 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $95.50 Typical High $134.90 | Professional | TC · Technical part | $83.18 | $95.50 | $134.90 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $363.08 | Facility | None | $165.96 | $165.96 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $269.15 | Professional | None (both parts) | $95.50 | $125.89 | $269.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $33.11 Typical High $66.07 | Professional | 26 · Professional part | $25.70 | $33.11 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $74.13 | $97.72 | $204.17 |
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 $42.66 Median $42.66 Typical High $64.57 | Professional | 52 · Reduced service | $42.66 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $26.30 | Professional | 53 · Discontinued | $16.98 | $16.98 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $104.71 | Professional | FX · Film X-ray | $67.61 | $67.61 | $104.71 |
Where New Jersey sits
The same service costs 3.7 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· 41st of 51
$126
AK $363TX $97.72
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.