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 $173.78 Median $239.88 Typical High $239.88 | Facility | None | $173.78 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $117.49 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $117.49 | $239.88 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $56.23 | Professional | 26 · Professional part | $42.66 | $46.77 | $56.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $194.98 Typical High $194.98 | Professional | TC · Technical part | $75.86 | $194.98 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $281.84 Typical High $426.58 | Facility | None | $204.17 | $281.84 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $467.74 | Professional | None (both parts) | $95.50 | $114.82 | $467.74 |
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 $60.26 Median $70.79 Typical High $338.84 | Professional | TC · Technical part | $60.26 | $70.79 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $190.55 Typical High $194.98 | Professional | None (both parts) | $158.49 | $190.55 | $194.98 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $72.44 | Professional | 26 · Professional part | $60.26 | $69.18 | $72.44 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $123.03 | Professional | TC · Technical part | $100.00 | $120.23 | $123.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $316.23 Median $8,709.64 Typical High $13,803.84 | Facility | None | $316.23 | $8,709.64 | $13,803.84 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $16,982.44 Typical High $27,542.29 | Facility | TC · Technical part | $398.11 | $16,982.44 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $147.91 | $169.82 | $389.05 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $60.26 Typical High $89.13 | Professional | 26 · Professional part | $52.48 | $60.26 | $89.13 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $107.15 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $107.15 | $177.83 |
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 $104.71 Median $147.91 Typical High $446.68 | Professional | None (both parts) | $104.71 | $147.91 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $51.29 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $91.20 Typical High $229.09 | Professional | TC · Technical part | $66.07 | $91.20 | $229.09 |
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 $58.88 Median $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $58.88 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $47.86 Typical High $47.86 | Professional | 53 · Discontinued | $23.44 | $47.86 | $47.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $95.50 | $190.55 | $190.55 |
Where New Jersey sits
The same service costs 4.3 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· 36th of 51
$170
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.