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 $398.11 Median $426.58 Typical High $4,073.80 | Facility | None | $398.11 | $426.58 | $4,073.80 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $125.89 | Facility | 26 · Professional part | $120.23 | $125.89 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $691.83 | Facility | TC · Technical part | $281.84 | $302.00 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $478.63 | Professional | None (both parts) | $371.54 | $398.11 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $112.20 | $120.23 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $309.03 | Professional | TC · Technical part | $257.04 | $281.84 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $1,148.15 | Facility | None | $676.08 | $870.96 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $478.63 Typical High $1,071.52 | Professional | None (both parts) | $316.23 | $478.63 | $1,071.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $79.43 Typical High $199.53 | Professional | 26 · Professional part | $70.79 | $79.43 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $398.11 Typical High $831.76 | Professional | TC · Technical part | $234.42 | $398.11 | $831.76 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $537.03 Typical High $588.84 | Professional | None (both parts) | $380.19 | $537.03 | $588.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $131.83 Typical High $147.91 | Professional | 26 · Professional part | $97.72 | $131.83 | $147.91 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $407.38 Typical High $436.52 | Professional | TC · Technical part | $288.40 | $407.38 | $436.52 |
Horizon BCBS Setting Facility Modifier None Typical Low $323.59 Median $812.83 Typical High $2,398.83 | Facility | None | $323.59 | $812.83 | $2,398.83 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $446.68 Median $512.86 Typical High $831.76 | Professional | None (both parts) | $446.68 | $512.86 | $831.76 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $117.49 | $154.88 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $398.11 Typical High $630.96 | Professional | TC · Technical part | $338.84 | $398.11 | $630.96 |
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 $331.13 Median $478.63 Typical High $891.25 | Professional | None (both parts) | $331.13 | $478.63 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $97.72 Typical High $204.17 | Professional | 26 · Professional part | $77.62 | $97.72 | $204.17 |
United Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $338.84 Typical High $691.83 | Professional | TC · Technical part | $251.19 | $338.84 | $691.83 |
2 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 FX · Film X-ray Typical Low $316.23 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $316.23 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $398.11 Median $630.96 Typical High $707.95 | Professional | GL · Free upgrade | $398.11 | $630.96 | $707.95 |
Where New Jersey sits
The same service costs 6.2 times more in Wyoming 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· 41st of 51
$447
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.