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 $257.04 Median $257.04 Typical High $794.33 | Facility | None | $257.04 | $257.04 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $2,630.27 | Professional | None (both parts) | $257.04 | $257.04 | $2,630.27 |
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 $208.93 Median $208.93 Typical High $2,630.27 | Professional | TC · Technical part | $208.93 | $208.93 | $2,630.27 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $588.84 Typical High $1,071.52 | Facility | None | $162.18 | $588.84 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $213.80 Typical High $575.44 | Professional | None (both parts) | $190.55 | $213.80 | $575.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $104.71 | Professional | 26 · Professional part | $34.67 | $39.81 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $173.78 Typical High $467.74 | Professional | TC · Technical part | $154.88 | $173.78 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $346.74 Median $512.86 Typical High $4,786.30 | Professional | None (both parts) | $346.74 | $512.86 | $4,786.30 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $60.26 | $69.18 | $77.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $426.58 Typical High $4,677.35 | Professional | TC · Technical part | $288.40 | $426.58 | $4,677.35 |
Horizon BCBS Setting Facility Modifier None Typical Low $331.13 Median $8,709.64 Typical High $14,791.08 | Facility | None | $331.13 | $8,709.64 | $14,791.08 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $363.08 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $363.08 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $52.48 Median $56.23 Typical High $281.84 | Professional | None (both parts) | $52.48 | $56.23 | $281.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $58.88 | $87.10 | $177.83 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $363.08 Typical High $10,715.19 | Professional | TC · Technical part | $141.25 | $363.08 | $10,715.19 |
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 $199.53 Median $2,187.76 Typical High $5,128.61 | Professional | None (both parts) | $199.53 | $2,187.76 | $5,128.61 |
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 $162.18 Median $2,344.23 Typical High $5,128.61 | Professional | TC · Technical part | $162.18 | $2,344.23 | $5,128.61 |
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 $128.82 Median $128.82 Typical High $1,318.26 | Professional | 52 · Reduced service | $128.82 | $128.82 | $1,318.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $524.81 | Professional | 53 · Discontinued | $51.29 | $51.29 | $524.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $1,862.09 | Professional | FX · Film X-ray | $208.93 | $208.93 | $1,862.09 |
Where New Jersey sits
The same service costs 15.1 times more in Colorado than in New Jersey. 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· 51st of 51
$257
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.