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 $81.28 Median $107.15 Typical High $107.15 | Facility | None | $81.28 | $107.15 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $147.91 | Facility | TC · Technical part | $60.26 | $77.62 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $81.28 Median $81.28 Typical High $120.23 | Professional | None (both parts) | $81.28 | $81.28 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.88 Typical High $28.84 | Professional | 26 · Professional part | $21.38 | $21.88 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | TC · Technical part | $60.26 | $60.26 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $281.84 Typical High $398.11 | Facility | None | $186.21 | $281.84 | $398.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $199.53 | Professional | None (both parts) | $79.43 | $89.13 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $20.89 Typical High $50.12 | Professional | 26 · Professional part | $18.62 | $20.89 | $50.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $69.18 Typical High $141.25 | Professional | TC · Technical part | $61.66 | $69.18 | $141.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $138.04 Typical High $144.54 | Professional | None (both parts) | $114.82 | $138.04 | $144.54 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $35.48 | Professional | 26 · Professional part | $29.51 | $33.88 | $35.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $107.15 | Professional | TC · Technical part | $85.11 | $102.33 | $107.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $117.49 Median $891.25 Typical High $1,513.56 | Facility | None | $117.49 | $891.25 | $1,513.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $114.82 | $131.83 | $190.55 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $32.36 Typical High $44.67 | Professional | 26 · Professional part | $28.18 | $32.36 | $44.67 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $134.90 | Professional | TC · Technical part | $87.10 | $100.00 | $134.90 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $1,445.44 | Facility | None | $676.08 | $676.08 | $1,445.44 |
United Setting Professional Modifier None (both parts) Typical Low $75.86 Median $104.71 Typical High $204.17 | Professional | None (both parts) | $75.86 | $104.71 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $26.92 Typical High $50.12 | Professional | 26 · Professional part | $19.05 | $26.92 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $56.23 | $81.28 | $154.88 |
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 $40.74 Typical High $53.70 | Professional | 52 · Reduced service | $38.02 | $40.74 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.14 Median $16.22 Typical High $21.38 | Professional | 53 · Discontinued | $15.14 | $16.22 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $64.57 Median $64.57 Typical High $85.11 | Professional | FX · Film X-ray | $64.57 | $64.57 | $85.11 |
Where New Jersey sits
The same service costs 4.2 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· 37th of 51
$110
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.