How much rates vary
Facilitymedian $417 · 10th to 90th $141 to $1,862Professionalmedian $115 · 10th to 90th $85 to $229
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 $85.11 Typical High $114.82 | Facility | None | $85.11 | $85.11 | $114.82 |
Aetna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $123.03 | Professional | None (both parts) | $85.11 | $85.11 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $15.14 Typical High $19.50 | Professional | 26 · Professional part | $15.14 | $15.14 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $69.18 | $69.18 | $104.71 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $323.59 Typical High $457.09 | Facility | None | $194.98 | $323.59 | $457.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $147.91 Typical High $229.09 | Professional | None (both parts) | $85.11 | $147.91 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $20.89 Typical High $35.48 | Professional | 26 · Professional part | $11.75 | $20.89 | $35.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $123.03 Typical High $194.98 | Professional | TC · Technical part | $66.07 | $123.03 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | None (both parts) | $141.25 | $141.25 | $141.25 |
Horizon BCBS Setting Facility Modifier None Typical Low $138.04 Median $1,230.27 Typical High $11,748.98 | Facility | None | $138.04 | $1,230.27 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $173.78 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $173.78 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $257.04 | Professional | None (both parts) | $114.82 | $131.83 | $257.04 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $39.81 | Professional | 26 · Professional part | $17.38 | $19.95 | $39.81 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $112.20 Typical High $218.78 | Professional | TC · Technical part | $95.50 | $112.20 | $218.78 |
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 $85.11 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $85.11 | $123.03 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $20.42 Typical High $35.48 | Professional | 26 · Professional part | $15.14 | $20.42 | $35.48 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $199.53 | Professional | TC · Technical part | $79.43 | $104.71 | $199.53 |
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 $42.66 Median $42.66 Typical High $57.54 | Professional | 52 · Reduced service | $42.66 | $42.66 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $22.91 | Professional | 53 · Discontinued | $16.98 | $16.98 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | FX · Film X-ray | $67.61 | $67.61 | $91.20 |
Where New Jersey sits
The same service costs 5.5 times more in Alabama than in Florida. 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· 35th of 51
$123
AL $479FL $87.10
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.