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 $154.88 Median $251.19 Typical High $251.19 | Facility | None | $154.88 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $109.65 | $251.19 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $48.98 Typical High $52.48 | Professional | 26 · Professional part | $40.74 | $48.98 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $204.17 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $257.04 Typical High $389.05 | Facility | None | $186.21 | $257.04 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $112.20 Typical High $512.86 | Professional | None (both parts) | $91.20 | $112.20 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $104.71 | Professional | 26 · Professional part | $36.31 | $40.74 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $64.57 Typical High $446.68 | Professional | TC · Technical part | $56.23 | $64.57 | $446.68 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $147.91 Median $177.83 Typical High $186.21 | Professional | None (both parts) | $147.91 | $177.83 | $186.21 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $74.13 | Professional | 26 · Professional part | $61.66 | $70.79 | $74.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $107.15 Typical High $109.65 | Professional | TC · Technical part | $89.13 | $107.15 | $109.65 |
Horizon BCBS Setting Facility Modifier None Typical Low $371.54 Median $1,995.26 Typical High $11,748.98 | Facility | None | $371.54 | $1,995.26 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $16,982.44 Typical High $26,915.35 | Facility | TC · Technical part | $398.11 | $16,982.44 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $346.74 | Professional | None (both parts) | $141.25 | $162.18 | $346.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $93.33 | Professional | 26 · Professional part | $54.95 | $63.10 | $93.33 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $169.82 | Professional | TC · Technical part | $87.10 | $100.00 | $169.82 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $2,630.27 | Facility | None | $1,202.26 | $1,202.26 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $144.54 Typical High $457.09 | Professional | None (both parts) | $97.72 | $144.54 | $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 $57.54 Median $85.11 Typical High $229.09 | Professional | TC · Technical part | $57.54 | $85.11 | $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 $54.95 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $54.95 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $21.88 | $50.12 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $199.53 Typical High $199.53 | Professional | FX · Film X-ray | $87.10 | $199.53 | $199.53 |
Where New Jersey sits
The same service costs 4.9 times more in Alaska than in Texas. 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· 39th of 51
$162
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.