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 $398.11 Median $426.58 Typical High $3,890.45 | Facility | None | $398.11 | $426.58 | $3,890.45 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $120.23 Median $125.89 Typical High $125.89 | Facility | 26 · Professional part | $120.23 | $125.89 | $125.89 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $281.84 Median $302.00 Typical High $691.83 | Facility | TC · Technical part | $281.84 | $302.00 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $363.08 Median $398.11 Typical High $575.44 | Professional | None (both parts) | $363.08 | $398.11 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $162.18 | Professional | 26 · Professional part | $112.20 | $120.23 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $281.84 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $281.84 | $389.05 |
AmeriHealth Setting Facility Modifier None Typical Low $660.69 Median $1,258.93 Typical High $4,786.30 | Facility | None | $660.69 | $1,258.93 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $524.81 Typical High $707.95 | Facility | None | $398.11 | $524.81 | $707.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $363.08 Typical High $741.31 | Professional | None (both parts) | $229.09 | $363.08 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $85.11 Typical High $218.78 | Professional | 26 · Professional part | $77.62 | $85.11 | $218.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $251.19 Typical High $501.19 | Professional | TC · Technical part | $144.54 | $251.19 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $398.11 Typical High $436.52 | Professional | None (both parts) | $331.13 | $398.11 | $436.52 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $147.91 Typical High $162.18 | Professional | 26 · Professional part | $125.89 | $147.91 | $162.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $251.19 | $269.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $398.11 Median $758.58 Typical High $1,584.89 | Facility | None | $398.11 | $758.58 | $1,584.89 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $323.59 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $323.59 | $371.54 | $630.96 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $128.82 Typical High $173.78 | Professional | 26 · Professional part | $112.20 | $128.82 | $173.78 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $213.80 | $245.47 | $389.05 |
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 $245.47 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $245.47 | $346.74 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $107.15 Typical High $223.87 | Professional | 26 · Professional part | $87.10 | $107.15 | $223.87 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $426.58 | Professional | TC · Technical part | $154.88 | $208.93 | $426.58 |
2 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 FX · Film X-ray Typical Low $295.12 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $295.12 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $398.11 Median $630.96 Typical High $707.95 | Professional | GL · Free upgrade | $398.11 | $630.96 | $707.95 |
Where New Jersey sits
The same service costs 6.8 times more in Wyoming 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· 35th of 51
$398
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.