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 $64.57 Median $64.57 Typical High $776.25 | Facility | None | $64.57 | $64.57 | $776.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $64.57 Typical High $776.25 | Professional | None (both parts) | $64.57 | $64.57 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $21.88 Typical High $26.30 | Professional | 26 · Professional part | $19.95 | $21.88 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $776.25 | Professional | TC · Technical part | $43.65 | $43.65 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $125.89 Typical High $229.09 | Facility | None | $69.18 | $125.89 | $229.09 |
Cigna Setting Professional Modifier None (both parts) Typical Low $48.98 Median $56.23 Typical High $144.54 | Professional | None (both parts) | $48.98 | $56.23 | $144.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.60 Median $18.62 Typical High $48.98 | Professional | 26 · Professional part | $16.60 | $18.62 | $48.98 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $32.36 Median $36.31 Typical High $97.72 | Professional | TC · Technical part | $32.36 | $36.31 | $97.72 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $95.50 Median $144.54 Typical High $851.14 | Professional | None (both parts) | $95.50 | $144.54 | $851.14 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $33.88 Typical High $38.02 | Professional | 26 · Professional part | $28.84 | $33.88 | $38.02 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $104.71 Typical High $812.83 | Professional | TC · Technical part | $66.07 | $104.71 | $812.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $190.55 Median $1,513.56 Typical High $3,090.30 | Facility | None | $190.55 | $1,513.56 | $3,090.30 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $75.86 Median $87.10 Typical High $173.78 | Professional | None (both parts) | $75.86 | $87.10 | $173.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $41.69 | Professional | 26 · Professional part | $25.12 | $28.84 | $41.69 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $109.65 | Professional | TC · Technical part | $51.29 | $58.88 | $109.65 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,047.13 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $416.87 Typical High $933.25 | Professional | None (both parts) | $53.70 | $416.87 | $933.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $45.71 | Professional | 26 · Professional part | $18.62 | $24.55 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $407.38 Typical High $912.01 | Professional | TC · Technical part | $34.67 | $407.38 | $912.01 |
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 $32.36 Median $32.36 Typical High $389.05 | Professional | 52 · Reduced service | $32.36 | $32.36 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $154.88 | Professional | 53 · Discontinued | $13.18 | $13.18 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $616.60 | Professional | FX · Film X-ray | $52.48 | $52.48 | $616.60 |
Where New Jersey sits
The same service costs 8.7 times more in Colorado than in Michigan. 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· 49th of 51
$81.28
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.