How much rates vary
Facilitymedian $479 · 10th to 90th $224 to $2,291Professionalmedian $257 · 10th to 90th $204 to $490
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 $223.87 Median $239.88 Typical High $239.88 | Facility | None | $223.87 | $239.88 | $239.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $46.77 | Facility | 26 · Professional part | $40.74 | $46.77 | $46.77 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $194.98 Typical High $446.68 | Facility | TC · Technical part | $181.97 | $194.98 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $218.78 | $223.87 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $40.74 | $45.71 | $85.11 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $181.97 Typical High $346.74 | Professional | TC · Technical part | $173.78 | $181.97 | $346.74 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $891.25 | Facility | None | $407.38 | $645.65 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $323.59 Typical High $524.81 | Professional | None (both parts) | $169.82 | $323.59 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $56.23 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $263.03 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Horizon BCBS Setting Facility Modifier None Typical Low $346.74 Median $1,513.56 Typical High $12,882.50 | Facility | None | $346.74 | $1,513.56 | $12,882.50 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $380.19 Median $16,982.44 Typical High $26,915.35 | Facility | TC · Technical part | $380.19 | $16,982.44 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $239.88 | $275.42 | $478.63 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $53.70 | $89.13 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $380.19 | Professional | TC · Technical part | $190.55 | $218.78 | $380.19 |
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 $177.83 Median $263.03 Typical High $489.78 | Professional | None (both parts) | $177.83 | $263.03 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $54.95 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $223.87 Typical High $398.11 | Professional | TC · Technical part | $154.88 | $223.87 | $398.11 |
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 $107.15 Median $112.20 Typical High $128.82 | Professional | 52 · Reduced service | $107.15 | $112.20 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $44.67 Typical High $51.29 | Professional | 53 · Discontinued | $42.66 | $44.67 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $173.78 Median $177.83 Typical High $190.55 | Professional | FX · Film X-ray | $173.78 | $177.83 | $190.55 |
Where New Jersey sits
The same service costs 3.5 times more in Wisconsin 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· 33rd of 51
$263
WI $676TX $191
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.