How much rates vary
Facilitymedian $977 · 10th to 90th $316 to $2,630Professionalmedian $295 · 10th to 90th $191 to $550
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 $190.55 Median $190.55 Typical High $239.88 | Facility | None | $190.55 | $190.55 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $269.15 | Professional | None (both parts) | $190.55 | $190.55 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $40.74 | Professional | 26 · Professional part | $33.11 | $33.11 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $263.03 | Professional | TC · Technical part | $158.49 | $158.49 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $831.76 Typical High $1,174.90 | Facility | None | $524.81 | $831.76 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $501.19 | Professional | None (both parts) | $199.53 | $331.13 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $46.77 Typical High $81.28 | Professional | 26 · Professional part | $25.70 | $46.77 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $269.15 Typical High $416.87 | Professional | TC · Technical part | $162.18 | $269.15 | $416.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $346.74 | $346.74 | $346.74 |
Horizon BCBS Setting Facility Modifier None Typical Low $316.23 Median $1,621.81 Typical High $11,748.98 | Facility | None | $316.23 | $1,621.81 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $1,479.11 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $1,479.11 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $338.84 Typical High $549.54 | Professional | None (both parts) | $295.12 | $338.84 | $549.54 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $45.71 Typical High $89.13 | Professional | 26 · Professional part | $39.81 | $45.71 | $89.13 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $288.40 Typical High $457.09 | Professional | TC · Technical part | $245.47 | $288.40 | $457.09 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,659.59 | Facility | None | $776.25 | $776.25 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $208.93 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $208.93 | $316.23 | $602.56 |
United Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $46.77 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $46.77 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $275.42 Typical High $524.81 | Professional | TC · Technical part | $194.98 | $275.42 | $524.81 |
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 $95.50 Median $95.50 Typical High $131.83 | Professional | 52 · Reduced service | $95.50 | $95.50 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $52.48 | Professional | 53 · Discontinued | $38.02 | $38.02 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $208.93 | Professional | FX · Film X-ray | $151.36 | $151.36 | $208.93 |
Where New Jersey sits
The same service costs 5.0 times more in Alaska than in Kentucky. 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· 33rd of 51
$302
AK $1,000KY $200
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.