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 $102.33 Median $134.90 Typical High $177.83 | Facility | None | $102.33 | $134.90 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $75.86 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $75.86 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $42.66 | Professional | 26 · Professional part | $32.36 | $32.36 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $44.67 | $102.33 | $102.33 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | None (both parts) | $117.49 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $245.47 Typical High $371.54 | Facility | None | $177.83 | $245.47 | $371.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $323.59 | Professional | None (both parts) | $77.62 | $91.20 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $30.20 Typical High $77.62 | Professional | 26 · Professional part | $26.92 | $30.20 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $229.09 | Professional | TC · Technical part | $51.29 | $58.88 | $229.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $173.78 Typical High $181.97 | Professional | None (both parts) | $144.54 | $173.78 | $181.97 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $47.86 | $54.95 | $61.66 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $117.49 Typical High $120.23 | Professional | TC · Technical part | $97.72 | $117.49 | $120.23 |
Horizon BCBS Setting Facility Modifier None Typical Low $112.20 Median $3,981.07 Typical High $8,511.38 | Facility | None | $112.20 | $3,981.07 | $8,511.38 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $109.65 Median $125.89 Typical High $229.09 | Professional | None (both parts) | $109.65 | $125.89 | $229.09 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $66.07 | Professional | 26 · Professional part | $40.74 | $46.77 | $66.07 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $77.62 Typical High $128.82 | Professional | TC · Technical part | $67.61 | $77.62 | $128.82 |
United Setting Facility Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $8,128.31 | Facility | None | $3,715.35 | $3,715.35 | $8,128.31 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $288.40 | Professional | None (both parts) | $91.20 | $109.65 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $74.13 | Professional | 26 · Professional part | $30.20 | $39.81 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $158.49 | Professional | TC · Technical part | $56.23 | $70.79 | $158.49 |
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 $38.02 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $38.02 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $15.14 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $74.13 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $74.13 | $107.15 | $107.15 |
Where New Jersey sits
The same service costs 4.0 times more in Alaska 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· 42nd of 51
$126
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.