How much rates vary
Facilitymedian $186 · 10th to 90th $79 to $372Professionalmedian $107 · 10th to 90th $78 to $186
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 $79.43 Median $109.65 Typical High $109.65 | Facility | None | $79.43 | $109.65 | $109.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $24.55 Median $30.20 Typical High $30.20 | Facility | 26 · Professional part | $24.55 | $30.20 | $30.20 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $54.95 Median $81.28 Typical High $134.90 | Facility | TC · Technical part | $54.95 | $81.28 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $120.23 | Professional | None (both parts) | $79.43 | $83.18 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $33.11 | Professional | 26 · Professional part | $24.55 | $24.55 | $33.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $58.88 Typical High $83.18 | Professional | TC · Technical part | $54.95 | $58.88 | $83.18 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $43.65 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $363.08 | Facility | None | $173.78 | $239.88 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $102.33 Typical High $223.87 | Professional | None (both parts) | $75.86 | $102.33 | $223.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $53.70 | Professional | 26 · Professional part | $19.95 | $22.39 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $165.96 | Professional | TC · Technical part | $54.95 | $72.44 | $165.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $117.49 Median $138.04 Typical High $165.96 | Professional | None (both parts) | $117.49 | $138.04 | $165.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $46.77 | Professional | 26 · Professional part | $33.88 | $38.90 | $46.77 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $117.49 | Professional | TC · Technical part | $83.18 | $100.00 | $117.49 |
Horizon BCBS Setting Facility Modifier None Typical Low $89.13 Median $269.15 Typical High $1,047.13 | Facility | None | $89.13 | $269.15 | $1,047.13 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $173.78 | Professional | None (both parts) | $107.15 | $123.03 | $173.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $47.86 | Professional | 26 · Professional part | $29.51 | $34.67 | $47.86 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $89.13 Typical High $114.82 | Professional | TC · Technical part | $77.62 | $89.13 | $114.82 |
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 $74.13 Median $95.50 Typical High $199.53 | Professional | None (both parts) | $74.13 | $95.50 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $27.54 Typical High $56.23 | Professional | 26 · Professional part | $21.38 | $27.54 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $69.18 Typical High $144.54 | Professional | TC · Technical part | $52.48 | $69.18 | $144.54 |
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 $39.81 Median $39.81 Typical High $54.95 | Professional | 52 · Reduced service | $39.81 | $39.81 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $21.88 | Professional | 53 · Discontinued | $15.85 | $15.85 | $21.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $63.10 Median $63.10 Typical High $89.13 | Professional | FX · Film X-ray | $63.10 | $63.10 | $89.13 |
Where New Jersey sits
The same service costs 4.2 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· 34th of 51
$107
AK $302UT $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.