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 $186.21 Median $186.21 Typical High $251.19 | Facility | None | $186.21 | $186.21 | $251.19 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $131.83 Typical High $501.19 | Facility | TC · Technical part | $131.83 | $131.83 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $134.90 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $48.98 Typical High $56.23 | Professional | 26 · Professional part | $43.65 | $48.98 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $91.20 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $338.84 Typical High $524.81 | Facility | None | $245.47 | $338.84 | $524.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $131.83 Typical High $489.78 | Professional | None (both parts) | $107.15 | $131.83 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $107.15 | Professional | 26 · Professional part | $36.31 | $40.74 | $107.15 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $85.11 Typical High $354.81 | Professional | TC · Technical part | $72.44 | $85.11 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $234.42 | Professional | None (both parts) | $181.97 | $213.80 | $234.42 |
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 $117.49 Median $141.25 Typical High $154.88 | Professional | TC · Technical part | $117.49 | $141.25 | $154.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $331.13 Median $8,128.31 Typical High $13,803.84 | Facility | None | $331.13 | $8,128.31 | $13,803.84 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $457.09 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $457.09 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $165.96 Median $190.55 Typical High $407.38 | Professional | None (both parts) | $165.96 | $190.55 | $407.38 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $91.20 | Professional | 26 · Professional part | $54.95 | $63.10 | $91.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $112.20 | $128.82 | $257.04 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $13,182.57 | Facility | None | $6,025.60 | $6,025.60 | $13,182.57 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $162.18 Typical High $457.09 | Professional | None (both parts) | $117.49 | $162.18 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $39.81 | $52.48 | $100.00 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $109.65 Typical High $257.04 | Professional | TC · Technical part | $77.62 | $109.65 | $257.04 |
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 $67.61 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $67.61 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $26.92 | $50.12 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $204.17 Typical High $204.17 | Professional | FX · Film X-ray | $107.15 | $204.17 | $204.17 |
Where New Jersey sits
The same service costs 4.4 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· 38th of 51
$191
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.