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 $144.54 Median $177.83 Typical High $177.83 | Facility | None | $144.54 | $177.83 | $177.83 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $109.65 Median $131.83 Typical High $275.42 | Facility | TC · Technical part | $109.65 | $131.83 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $144.54 Typical High $177.83 | Professional | None (both parts) | $134.90 | $144.54 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $36.31 Typical High $45.71 | Professional | 26 · Professional part | $34.67 | $36.31 | $45.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $109.65 Typical High $131.83 | Professional | TC · Technical part | $100.00 | $109.65 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $5.37 Median $5.37 Typical High $19.05 | Professional | 26 · Professional part | $5.37 | $5.37 | $19.05 |
AmeriHealth Setting Facility Modifier None Typical Low $1,148.15 Median $2,187.76 Typical High $2,884.03 | Facility | None | $1,148.15 | $2,187.76 | $2,884.03 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $138.04 | Professional | 26 · Professional part | $41.69 | $42.66 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $77.62 Typical High $85.11 | Facility | None | $66.07 | $77.62 | $85.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $75.86 Typical High $239.88 | Professional | None (both parts) | $72.44 | $75.86 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.50 Typical High $61.66 | Professional | 26 · Professional part | $19.05 | $19.50 | $61.66 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $57.54 Typical High $177.83 | Professional | TC · Technical part | $53.70 | $57.54 | $177.83 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $199.53 | $331.13 | $331.13 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $41.69 | Professional | 26 · Professional part | $30.20 | $38.02 | $41.69 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $288.40 Typical High $288.40 | Professional | TC · Technical part | $177.83 | $288.40 | $288.40 |
Horizon BCBS Setting Facility Modifier None Typical Low $234.42 Median $269.15 Typical High $2,454.71 | Facility | None | $234.42 | $269.15 | $2,454.71 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $190.55 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $190.55 | $218.78 | $251.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $46.77 Typical High $58.88 | Professional | 26 · Professional part | $43.65 | $46.77 | $58.88 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $151.36 Typical High $181.97 | Professional | TC · Technical part | $144.54 | $151.36 | $181.97 |
United Setting Professional Modifier None (both parts) Typical Low $138.04 Median $181.97 Typical High $263.03 | Professional | None (both parts) | $138.04 | $181.97 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $33.11 Typical High $51.29 | Professional | 26 · Professional part | $19.95 | $33.11 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $158.49 Typical High $208.93 | Professional | TC · Technical part | $104.71 | $158.49 | $208.93 |
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 $67.61 Median $72.44 Typical High $89.13 | Professional | 52 · Reduced service | $67.61 | $72.44 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $29.51 Typical High $35.48 | Professional | 53 · Discontinued | $26.92 | $29.51 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | FX · Film X-ray | $117.49 | $117.49 | $144.54 |
Where New Jersey sits
The same service costs 4.2 times more in Nebraska 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· 21st of 51
$182
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.