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 $162.18 Median $162.18 Typical High $229.09 | Facility | None | $162.18 | $162.18 | $229.09 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $104.71 Median $104.71 Typical High $457.09 | Facility | TC · Technical part | $104.71 | $104.71 | $457.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $114.82 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $45.71 Typical High $57.54 | Professional | 26 · Professional part | $43.65 | $45.71 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $331.13 Typical High $549.54 | Facility | None | $239.88 | $331.13 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $512.86 | Professional | None (both parts) | $114.82 | $131.83 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $104.71 | Professional | 26 · Professional part | $38.90 | $45.71 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $346.74 | Professional | TC · Technical part | $75.86 | $87.10 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $218.78 | $263.03 | $263.03 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $89.13 | Professional | 26 · Professional part | $74.13 | $85.11 | $89.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $147.91 | $177.83 | $177.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $302.00 Median $8,709.64 Typical High $13,803.84 | Facility | None | $302.00 | $8,709.64 | $13,803.84 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $16,982.44 Typical High $26,915.35 | Facility | TC · Technical part | $316.23 | $16,982.44 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $186.21 Median $213.80 Typical High $363.08 | Professional | None (both parts) | $186.21 | $213.80 | $363.08 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $93.33 | Professional | 26 · Professional part | $60.26 | $69.18 | $93.33 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $239.88 | Professional | TC · Technical part | $125.89 | $144.54 | $239.88 |
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 $144.54 Median $186.21 Typical High $457.09 | Professional | None (both parts) | $144.54 | $186.21 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $57.54 Typical High $107.15 | Professional | 26 · Professional part | $42.66 | $57.54 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $269.15 | Professional | TC · Technical part | $93.33 | $120.23 | $269.15 |
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 $57.54 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $57.54 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $22.91 | $45.71 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $186.21 Typical High $186.21 | Professional | FX · Film X-ray | $107.15 | $186.21 | $186.21 |
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· 36th of 51
$200
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.