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 $104.71 Median $134.90 Typical High $346.74 | Facility | None | $104.71 | $134.90 | $346.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $33.88 | Facility | 26 · Professional part | $28.18 | $33.88 | $33.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $75.86 Median $100.00 Typical High $186.21 | Facility | TC · Technical part | $75.86 | $100.00 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $104.71 | $131.83 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $33.88 Typical High $77.62 | Professional | 26 · Professional part | $28.18 | $33.88 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $97.72 Typical High $190.55 | Professional | TC · Technical part | $75.86 | $97.72 | $190.55 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
AmeriHealth Setting Facility Modifier None Typical Low $257.04 Median $1,288.25 Typical High $2,398.83 | Facility | None | $257.04 | $1,288.25 | $2,398.83 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $165.96 Median $177.83 Typical High $323.59 | Professional | None (both parts) | $165.96 | $177.83 | $323.59 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $50.12 | $50.12 | $95.50 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $331.13 Typical High $489.78 | Facility | None | $239.88 | $331.13 | $489.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $97.72 | $123.03 | $263.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $30.90 Typical High $67.61 | Professional | 26 · Professional part | $27.54 | $30.90 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $83.18 Typical High $194.98 | Professional | TC · Technical part | $66.07 | $83.18 | $194.98 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $199.53 | Professional | None (both parts) | $162.18 | $190.55 | $199.53 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $58.88 | Professional | 26 · Professional part | $48.98 | $56.23 | $58.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $134.90 Typical High $141.25 | Professional | TC · Technical part | $112.20 | $134.90 | $141.25 |
Horizon BCBS Setting Facility Modifier None Typical Low $107.15 Median $562.34 Typical High $1,513.56 | Facility | None | $107.15 | $562.34 | $1,513.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $234.42 | Professional | None (both parts) | $141.25 | $162.18 | $234.42 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $66.07 | Professional | 26 · Professional part | $43.65 | $50.12 | $66.07 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $112.20 Typical High $158.49 | Professional | TC · Technical part | $97.72 | $112.20 | $158.49 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $741.31 | Facility | None | $338.84 | $338.84 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $91.20 Median $125.89 Typical High $251.19 | Professional | None (both parts) | $91.20 | $125.89 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $39.81 Typical High $75.86 | Professional | 26 · Professional part | $26.92 | $39.81 | $75.86 |
United Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $67.61 | $91.20 | $173.78 |
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 $48.98 Median $52.48 Typical High $67.61 | Professional | 52 · Reduced service | $48.98 | $52.48 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $20.89 Typical High $27.54 | Professional | 53 · Discontinued | $19.95 | $20.89 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $83.18 Typical High $107.15 | Professional | FX · Film X-ray | $83.18 | $83.18 | $107.15 |
Where New Jersey sits
The same service costs 3.9 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
$141
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.