How much rates vary
Facilitymedian $1,549 · 10th to 90th $851 to $11,749Professionalmedian $1,349 · 10th to 90th $417 to $2,692
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 $1,000.00 Median $1,000.00 Typical High $3,162.28 | Facility | None | $1,000.00 | $1,000.00 | $3,162.28 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $2,187.76 | Facility | TC · Technical part | $870.96 | $870.96 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $1,584.89 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $1,584.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | 26 · Professional part | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,513.56 | Professional | TC · Technical part | $870.96 | $870.96 | $1,513.56 |
Cigna Setting Facility Modifier None Typical Low $831.76 Median $933.25 Typical High $2,630.27 | Facility | None | $831.76 | $933.25 | $2,630.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $512.86 Typical High $1,000.00 | Professional | None (both parts) | $281.84 | $512.86 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $85.11 Typical High $154.88 | Professional | 26 · Professional part | $51.29 | $85.11 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $416.87 Typical High $831.76 | Professional | TC · Technical part | $194.98 | $416.87 | $831.76 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,995.26 Median $1,995.26 Typical High $1,995.26 | Professional | None (both parts) | $1,995.26 | $1,995.26 | $1,995.26 |
Horizon BCBS Setting Facility Modifier None Typical Low $2,511.89 Median $5,248.07 Typical High $14,454.40 | Facility | None | $2,511.89 | $5,248.07 | $14,454.40 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $3,801.89 Median $19,952.62 Typical High $33,113.11 | Facility | TC · Technical part | $3,801.89 | $19,952.62 | $33,113.11 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,380.38 Median $1,584.89 Typical High $3,019.95 | Professional | None (both parts) | $1,380.38 | $1,584.89 | $3,019.95 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $72.44 | $83.18 | $134.90 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $1,318.26 Median $1,513.56 Typical High $2,884.03 | Professional | TC · Technical part | $1,318.26 | $1,513.56 | $2,884.03 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $5,370.32 | Facility | None | $2,511.89 | $2,511.89 | $5,370.32 |
United Setting Professional Modifier None (both parts) Typical Low $416.87 Median $1,513.56 Typical High $2,818.38 | Professional | None (both parts) | $416.87 | $1,513.56 | $2,818.38 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $83.18 Typical High $147.91 | Professional | 26 · Professional part | $54.95 | $83.18 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $346.74 Median $1,412.54 Typical High $2,691.53 | Professional | TC · Technical part | $346.74 | $1,412.54 | $2,691.53 |
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 $501.19 Median $501.19 Typical High $794.33 | Professional | 52 · Reduced service | $501.19 | $501.19 | $794.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $323.59 | Professional | 53 · Discontinued | $199.53 | $199.53 | $323.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | FX · Film X-ray | $794.33 | $794.33 | $954.99 |
Where New Jersey sits
The same service costs 4.4 times more in Nebraska than in Washington. 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· 29th of 51
$1,349
NE $2,512WA $575
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.