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 $87.10 Median $114.82 Typical High $114.82 | Facility | None | $87.10 | $114.82 | $114.82 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $87.10 Typical High $162.18 | Facility | TC · Technical part | $64.57 | $87.10 | $162.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $144.54 | Professional | None (both parts) | $87.10 | $87.10 | $144.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $21.88 Typical High $29.51 | Professional | 26 · Professional part | $21.88 | $21.88 | $29.51 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $64.57 Typical High $114.82 | Professional | TC · Technical part | $64.57 | $64.57 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $371.54 Typical High $537.03 | Facility | None | $269.15 | $371.54 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $89.13 | $109.65 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $20.89 Typical High $51.29 | Professional | 26 · Professional part | $18.20 | $20.89 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $89.13 Typical High $165.96 | Professional | TC · Technical part | $63.10 | $89.13 | $165.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $158.49 | $190.55 | $190.55 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $38.02 | Professional | 26 · Professional part | $31.62 | $37.15 | $38.02 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $128.82 | $154.88 | $154.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $128.82 Median $912.01 Typical High $1,513.56 | Facility | None | $128.82 | $912.01 | $1,513.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $128.82 Median $151.36 Typical High $213.80 | Professional | None (both parts) | $128.82 | $151.36 | $213.80 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $26.92 | $31.62 | $44.67 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $117.49 Typical High $169.82 | Professional | TC · Technical part | $102.33 | $117.49 | $169.82 |
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 $83.18 Median $114.82 Typical High $229.09 | Professional | None (both parts) | $83.18 | $114.82 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $25.70 Typical High $47.86 | Professional | 26 · Professional part | $20.42 | $25.70 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $91.20 | $186.21 |
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 $41.69 Median $42.66 Typical High $64.57 | Professional | 52 · Reduced service | $41.69 | $42.66 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $17.38 Typical High $25.70 | Professional | 53 · Discontinued | $16.60 | $17.38 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $69.18 Median $69.18 Typical High $93.33 | Professional | FX · Film X-ray | $69.18 | $69.18 | $93.33 |
Where New Jersey sits
The same service costs 4.2 times more in Alaska than in New York. 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
$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.