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 $3,890.45 Typical High $4,786.30 | Facility | None | $398.11 | $3,890.45 | $4,786.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $467.74 | Professional | None (both parts) | $371.54 | $398.11 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $112.20 | $120.23 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $302.00 | Professional | TC · Technical part | $257.04 | $281.84 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $724.44 Typical High $1,000.00 | Facility | None | $562.34 | $724.44 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $489.78 Typical High $1,023.29 | Professional | None (both parts) | $309.03 | $489.78 | $1,023.29 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $104.71 Typical High $275.42 | Professional | 26 · Professional part | $97.72 | $104.71 | $275.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $199.53 | $346.74 | $741.31 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $457.09 Median $537.03 Typical High $588.84 | Professional | None (both parts) | $457.09 | $537.03 | $588.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $186.21 Typical High $204.17 | Professional | 26 · Professional part | $158.49 | $186.21 | $204.17 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $354.81 Typical High $380.19 | Professional | TC · Technical part | $295.12 | $354.81 | $380.19 |
Horizon BCBS Setting Facility Modifier None Typical Low $891.25 Median $1,737.80 Typical High $7,585.78 | Facility | None | $891.25 | $1,737.80 | $7,585.78 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $933.25 Median $2,290.87 Typical High $8,912.51 | Facility | TC · Technical part | $933.25 | $2,290.87 | $8,912.51 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $457.09 Median $524.81 Typical High $758.58 | Professional | None (both parts) | $457.09 | $524.81 | $758.58 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $158.49 Typical High $218.78 | Professional | 26 · Professional part | $138.04 | $158.49 | $218.78 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $363.08 Typical High $512.86 | Professional | TC · Technical part | $316.23 | $363.08 | $512.86 |
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 $338.84 Median $478.63 Typical High $912.01 | Professional | None (both parts) | $338.84 | $478.63 | $912.01 |
United Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $275.42 | Professional | 26 · Professional part | $107.15 | $131.83 | $275.42 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $309.03 Typical High $630.96 | Professional | TC · Technical part | $218.78 | $309.03 | $630.96 |
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 $316.23 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $316.23 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $398.11 Median $630.96 Typical High $691.83 | Professional | GL · Free upgrade | $398.11 | $630.96 | $691.83 |
Where New Jersey sits
The same service costs 6.6 times more in Wyoming 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· 42nd of 51
$457
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.