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 $61.66 Median $79.43 Typical High $79.43 | Facility | None | $61.66 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $44.67 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $44.67 | $79.43 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $17.78 Typical High $17.78 | Professional | 26 · Professional part | $13.49 | $17.78 | $17.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $31.62 | $61.66 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $125.89 Typical High $190.55 | Facility | None | $91.20 | $125.89 | $190.55 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $45.71 Typical High $120.23 | Professional | None (both parts) | $38.02 | $45.71 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $12.88 Typical High $32.36 | Professional | 26 · Professional part | $11.48 | $12.88 | $32.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.20 Typical High $87.10 | Professional | TC · Technical part | $26.92 | $30.20 | $87.10 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $63.10 Median $75.86 Typical High $83.18 | Professional | None (both parts) | $63.10 | $75.86 | $83.18 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $22.91 Typical High $25.70 | Professional | 26 · Professional part | $19.50 | $22.91 | $25.70 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $52.48 Typical High $57.54 | Professional | TC · Technical part | $43.65 | $52.48 | $57.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $61.66 Median $616.60 Typical High $1,047.13 | Facility | None | $61.66 | $616.60 | $1,047.13 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $57.54 Median $66.07 Typical High $117.49 | Professional | None (both parts) | $57.54 | $66.07 | $117.49 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $17.38 Median $19.95 Typical High $28.18 | Professional | 26 · Professional part | $17.38 | $19.95 | $28.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $46.77 Typical High $77.62 | Professional | TC · Technical part | $40.74 | $46.77 | $77.62 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $57.54 Typical High $112.20 | Professional | None (both parts) | $39.81 | $57.54 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $16.60 Typical High $31.62 | Professional | 26 · Professional part | $11.75 | $16.60 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $38.90 Typical High $79.43 | Professional | TC · Technical part | $27.54 | $38.90 | $79.43 |
1 more rate 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 FX · Film X-ray Typical Low $36.31 Median $63.10 Typical High $63.10 | Professional | FX · Film X-ray | $36.31 | $63.10 | $63.10 |
Where New Jersey sits
The same service costs 4.8 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· 38th of 51
$64.57
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.