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 $158.49 Median $208.93 Typical High $208.93 | Facility | None | $158.49 | $208.93 | $208.93 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $112.20 Median $112.20 Typical High $190.55 | Facility | TC · Technical part | $112.20 | $112.20 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $208.93 | Professional | None (both parts) | $158.49 | $158.49 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $97.72 | Professional | 26 · Professional part | $81.28 | $81.28 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $77.62 Typical High $112.20 | Professional | TC · Technical part | $77.62 | $77.62 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $223.87 Typical High $758.58 | Facility | None | $117.49 | $223.87 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $147.91 | $281.84 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $67.61 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $67.61 | $154.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $147.91 Typical High $281.84 | Professional | TC · Technical part | $72.44 | $147.91 | $281.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $398.11 Typical High $426.58 | Professional | None (both parts) | $309.03 | $398.11 | $426.58 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $141.25 Typical High $154.88 | Professional | 26 · Professional part | $112.20 | $141.25 | $154.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $257.04 Typical High $275.42 | Professional | TC · Technical part | $208.93 | $257.04 | $275.42 |
Horizon BCBS Setting Facility Modifier None Typical Low $181.97 Median $549.54 Typical High $1,513.56 | Facility | None | $181.97 | $549.54 | $1,513.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $251.19 | $288.40 | $346.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $100.00 Median $114.82 Typical High $141.25 | Professional | 26 · Professional part | $100.00 | $114.82 | $141.25 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $158.49 Typical High $194.98 | Professional | TC · Technical part | $151.36 | $158.49 | $194.98 |
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 $162.18 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $162.18 | $218.78 | $338.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $83.18 Typical High $134.90 | Professional | 26 · Professional part | $74.13 | $83.18 | $134.90 |
United Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $141.25 Typical High $199.53 | Professional | TC · Technical part | $89.13 | $141.25 | $199.53 |
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 $79.43 Median $79.43 Typical High $104.71 | Professional | 52 · Reduced service | $79.43 | $79.43 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $41.69 | Professional | 53 · Discontinued | $31.62 | $31.62 | $41.69 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | FX · Film X-ray | $125.89 | $125.89 | $165.96 |
Where New Jersey sits
The same service costs 5.4 times more in Alaska 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· 34th of 51
$240
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.