How much rates vary
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 $28.18 Median $28.18 Typical High $39.81 | Facility | None | $28.18 | $28.18 | $39.81 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $39.81 | Professional | None (both parts) | $28.18 | $28.18 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.61 Typical High $7.94 | Professional | 26 · Professional part | $6.17 | $6.61 | $7.94 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $32.36 | Professional | TC · Technical part | $21.88 | $21.88 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $112.20 Typical High $169.82 | Facility | None | $81.28 | $112.20 | $169.82 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $39.81 Typical High $77.62 | Professional | None (both parts) | $26.92 | $39.81 | $77.62 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $5.89 Typical High $15.85 | Professional | 26 · Professional part | $5.13 | $5.89 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $25.70 Typical High $58.88 | Professional | TC · Technical part | $16.22 | $25.70 | $58.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $51.29 Median $61.66 Typical High $66.07 | Professional | None (both parts) | $51.29 | $61.66 | $66.07 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.96 Typical High $12.30 | Professional | 26 · Professional part | $9.33 | $10.96 | $12.30 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $50.12 Typical High $54.95 | Professional | TC · Technical part | $41.69 | $50.12 | $54.95 |
Horizon BCBS Setting Facility Modifier None Typical Low $39.81 Median $812.83 Typical High $2,691.53 | Facility | None | $39.81 | $812.83 | $2,691.53 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $39.81 Median $45.71 Typical High $67.61 | Professional | None (both parts) | $39.81 | $45.71 | $67.61 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.51 Typical High $13.18 | Professional | 26 · Professional part | $7.41 | $8.51 | $13.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $33.11 Median $38.02 Typical High $51.29 | Professional | TC · Technical part | $33.11 | $38.02 | $51.29 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $25.70 | $36.31 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $7.24 Typical High $13.80 | Professional | 26 · Professional part | $6.03 | $7.24 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $30.20 Typical High $57.54 | Professional | TC · Technical part | $23.44 | $30.20 | $57.54 |
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 $14.13 Median $14.13 Typical High $19.95 | Professional | 52 · Reduced service | $14.13 | $14.13 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.62 Median $5.62 Typical High $7.94 | Professional | 53 · Discontinued | $5.62 | $5.62 | $7.94 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $22.91 Typical High $32.36 | Professional | FX · Film X-ray | $22.91 | $22.91 | $32.36 |
Where New Jersey sits
The same service costs 3.6 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· 36th of 51
$39.81
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.