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 $77.62 Median $87.10 Typical High $87.10 | Facility | None | $77.62 | $87.10 | $87.10 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $13.80 Median $15.85 Typical High $15.85 | Facility | 26 · Professional part | $13.80 | $15.85 | $15.85 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $158.49 | Facility | TC · Technical part | $64.57 | $72.44 | $158.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $85.11 Typical High $177.83 | Professional | None (both parts) | $77.62 | $85.11 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $13.80 Typical High $27.54 | Professional | 26 · Professional part | $13.18 | $13.80 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $147.91 | Professional | TC · Technical part | $64.57 | $72.44 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $37.15 | Professional | 26 · Professional part | $23.99 | $23.99 | $37.15 |
AmeriHealth Setting Facility Modifier None Typical Low $549.54 Median $2,041.74 Typical High $3,019.95 | Facility | None | $549.54 | $2,041.74 | $3,019.95 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $33.88 | Professional | 26 · Professional part | $17.78 | $17.78 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $302.00 Typical High $446.68 | Facility | None | $218.78 | $302.00 | $446.68 |
Cigna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $85.11 Typical High $169.82 | Professional | None (both parts) | $74.13 | $85.11 | $169.82 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.23 Median $11.48 Typical High $30.20 | Professional | 26 · Professional part | $10.23 | $11.48 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $74.13 Typical High $138.04 | Professional | TC · Technical part | $63.10 | $74.13 | $138.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $151.36 | Professional | None (both parts) | $125.89 | $151.36 | $151.36 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $21.38 Typical High $21.38 | Professional | 26 · Professional part | $18.20 | $21.38 | $21.38 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $107.15 | $128.82 | $128.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $123.03 Median $741.31 Typical High $1,230.27 | Facility | None | $123.03 | $741.31 | $1,230.27 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $165.96 | Professional | None (both parts) | $100.00 | $114.82 | $165.96 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $17.78 Typical High $26.30 | Professional | 26 · Professional part | $15.49 | $17.78 | $26.30 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $85.11 | $97.72 | $141.25 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $91.20 Typical High $177.83 | Professional | None (both parts) | $70.79 | $91.20 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $14.79 Typical High $28.18 | Professional | 26 · Professional part | $11.75 | $14.79 | $28.18 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $77.62 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $77.62 | $151.36 |
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 $31.62 Median $38.90 Typical High $51.29 | Professional | 52 · Reduced service | $31.62 | $38.90 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $15.49 Typical High $20.42 | Professional | 53 · Discontinued | $12.59 | $15.49 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $61.66 Median $61.66 Typical High $72.44 | Professional | FX · Film X-ray | $61.66 | $61.66 | $72.44 |
Where New Jersey sits
The same service costs 3.8 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
$97.72
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.