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 $74.13 Median $107.15 Typical High $107.15 | Facility | None | $74.13 | $107.15 | $107.15 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $83.18 Median $83.18 Typical High $134.90 | Facility | TC · Technical part | $83.18 | $83.18 | $134.90 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $107.15 | Professional | None (both parts) | $74.13 | $74.13 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.62 Typical High $23.44 | Professional | 26 · Professional part | $18.20 | $18.62 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | TC · Technical part | $54.95 | $54.95 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $204.17 Typical High $316.23 | Facility | None | $147.91 | $204.17 | $316.23 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $64.57 Typical High $181.97 | Professional | None (both parts) | $57.54 | $64.57 | $181.97 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $17.38 Typical High $43.65 | Professional | 26 · Professional part | $15.14 | $17.38 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $47.86 Typical High $134.90 | Professional | TC · Technical part | $41.69 | $47.86 | $134.90 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $120.23 Typical High $120.23 | Professional | None (both parts) | $102.33 | $120.23 | $120.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $31.62 | Professional | 26 · Professional part | $27.54 | $31.62 | $31.62 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $74.13 | $89.13 | $89.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $114.82 Median $426.58 Typical High $11,748.98 | Facility | None | $114.82 | $426.58 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $117.49 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $117.49 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $93.33 Median $107.15 Typical High $158.49 | Professional | None (both parts) | $93.33 | $107.15 | $158.49 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $37.15 | Professional | 26 · Professional part | $22.91 | $26.30 | $37.15 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $81.28 Typical High $117.49 | Professional | TC · Technical part | $70.79 | $81.28 | $117.49 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $57.54 Median $85.11 Typical High $165.96 | Professional | None (both parts) | $57.54 | $85.11 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $21.38 Typical High $40.74 | Professional | 26 · Professional part | $17.78 | $21.38 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $66.07 Typical High $125.89 | Professional | TC · Technical part | $45.71 | $66.07 | $125.89 |
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 $37.15 Median $37.15 Typical High $53.70 | Professional | 52 · Reduced service | $37.15 | $37.15 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $21.38 | Professional | 53 · Discontinued | $14.79 | $14.79 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $85.11 | Professional | FX · Film X-ray | $58.88 | $58.88 | $85.11 |
Where New Jersey sits
The same service costs 3.8 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· 33rd of 51
$93.33
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.