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 $154.88 Median $234.42 Typical High $234.42 | Facility | None | $154.88 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $234.42 Typical High $234.42 | Professional | None (both parts) | $107.15 | $234.42 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $47.86 Typical High $58.88 | Professional | 26 · Professional part | $44.67 | $47.86 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $165.96 Typical High $190.55 | Professional | TC · Technical part | $64.57 | $165.96 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $354.81 | Facility | None | $169.82 | $234.42 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $426.58 | Professional | None (both parts) | $85.11 | $104.71 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $39.81 Typical High $104.71 | Professional | 26 · Professional part | $35.48 | $39.81 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $58.88 Typical High $316.23 | Professional | TC · Technical part | $50.12 | $58.88 | $316.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $144.54 Median $169.82 Typical High $186.21 | Professional | None (both parts) | $144.54 | $169.82 | $186.21 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $79.43 | Professional | 26 · Professional part | $61.66 | $70.79 | $79.43 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $100.00 | $107.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $309.03 Median $11,481.54 Typical High $23,988.33 | Facility | None | $309.03 | $11,481.54 | $23,988.33 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $338.84 Median $16,982.44 Typical High $27,542.29 | Facility | TC · Technical part | $338.84 | $16,982.44 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $354.81 | Professional | None (both parts) | $131.83 | $151.36 | $354.81 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $60.26 | $91.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $151.36 | Professional | TC · Technical part | $79.43 | $91.20 | $151.36 |
United Setting Facility Modifier None Typical Low $10,715.19 Median $10,715.19 Typical High $23,442.29 | Facility | None | $10,715.19 | $10,715.19 | $23,442.29 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $131.83 Typical High $446.68 | Professional | None (both parts) | $93.33 | $131.83 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $50.12 Typical High $97.72 | Professional | 26 · Professional part | $38.90 | $50.12 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $199.53 | Professional | TC · Technical part | $54.95 | $77.62 | $199.53 |
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 $53.70 Median $117.49 Typical High $117.49 | Professional | 52 · Reduced service | $53.70 | $117.49 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $21.38 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $87.10 | $190.55 | $190.55 |
Where New Jersey sits
The same service costs 4.9 times more in Alaska 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· 37th of 51
$151
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.