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 $70.79 Median $70.79 Typical High $199.53 | Facility | None | $70.79 | $70.79 | $199.53 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $70.79 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $26.30 Typical High $36.31 | Professional | 26 · Professional part | $26.30 | $26.30 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $44.67 Typical High $63.10 | Professional | TC · Technical part | $44.67 | $44.67 | $63.10 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $302.00 | Professional | None (both parts) | $257.04 | $257.04 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $151.36 Typical High $223.87 | Facility | None | $107.15 | $151.36 | $223.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $95.50 Typical High $190.55 | Professional | None (both parts) | $58.88 | $95.50 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $25.12 Typical High $60.26 | Professional | 26 · Professional part | $21.38 | $25.12 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $57.54 Typical High $117.49 | Professional | TC · Technical part | $34.67 | $57.54 | $117.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $91.20 Median $109.65 Typical High $128.82 | Professional | None (both parts) | $91.20 | $109.65 | $128.82 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $44.67 Typical High $52.48 | Professional | 26 · Professional part | $38.02 | $44.67 | $52.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $64.57 Typical High $75.86 | Professional | TC · Technical part | $53.70 | $64.57 | $75.86 |
Horizon BCBS Setting Facility Modifier None Typical Low $234.42 Median $389.05 Typical High $489.78 | Facility | None | $234.42 | $389.05 | $489.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $102.33 Median $117.49 Typical High $165.96 | Professional | None (both parts) | $102.33 | $117.49 | $165.96 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $39.81 | $60.26 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $77.62 Typical High $107.15 | Professional | TC · Technical part | $66.07 | $77.62 | $107.15 |
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 $58.88 Median $89.13 Typical High $186.21 | Professional | None (both parts) | $58.88 | $89.13 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $31.62 Typical High $64.57 | Professional | 26 · Professional part | $24.55 | $31.62 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $56.23 Typical High $120.23 | Professional | TC · Technical part | $34.67 | $56.23 | $120.23 |
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 $35.48 Median $35.48 Typical High $48.98 | Professional | 52 · Reduced service | $35.48 | $35.48 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $14.13 Typical High $19.95 | Professional | 53 · Discontinued | $14.13 | $14.13 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $79.43 | Professional | FX · Film X-ray | $56.23 | $56.23 | $79.43 |
Where New Jersey sits
The same service costs 3.7 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· 26th of 51
$97.72
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.