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 $107.15 Median $131.83 Typical High $154.88 | Facility | None | $107.15 | $131.83 | $154.88 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $27.54 Median $34.67 Typical High $34.67 | Facility | 26 · Professional part | $27.54 | $34.67 | $34.67 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $194.98 | Facility | TC · Technical part | $79.43 | $97.72 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $125.89 Typical High $186.21 | Professional | None (both parts) | $107.15 | $125.89 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $33.11 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $33.11 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $93.33 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $93.33 | $131.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $112.20 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $112.20 | $257.04 | $257.04 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $77.62 Typical High $81.28 | Professional | 26 · Professional part | $35.48 | $77.62 | $81.28 |
AmeriHealth Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $346.74 | Facility | None | $125.89 | $125.89 | $346.74 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $21.38 Median $36.31 Typical High $56.23 | Facility | TC · Technical part | $21.38 | $36.31 | $56.23 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | None (both parts) | $162.18 | $162.18 | $204.17 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $93.33 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $93.33 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $363.08 Typical High $575.44 | Facility | None | $275.42 | $363.08 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $123.03 Typical High $281.84 | Professional | None (both parts) | $109.65 | $123.03 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $34.67 Typical High $75.86 | Professional | 26 · Professional part | $30.90 | $34.67 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $89.13 Typical High $204.17 | Professional | TC · Technical part | $79.43 | $89.13 | $204.17 |
Horizon BCBS Setting Facility Modifier None Typical Low $47.86 Median $128.82 Typical High $1,023.29 | Facility | None | $47.86 | $128.82 | $1,023.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $380.19 | Professional | None (both parts) | $147.91 | $147.91 | $380.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $95.50 | Professional | 26 · Professional part | $41.69 | $41.69 | $95.50 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $263.03 | Professional | TC · Technical part | $107.15 | $107.15 | $263.03 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $158.49 Typical High $309.03 | Professional | None (both parts) | $109.65 | $158.49 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $28.84 | $44.67 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $114.82 Typical High $229.09 | Professional | TC · Technical part | $79.43 | $114.82 | $229.09 |
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 $85.11 Median $85.11 Typical High $107.15 | Professional | FX · Film X-ray | $85.11 | $85.11 | $107.15 |
Where New Jersey sits
The same service costs 5.2 times more in Alaska than in New York. 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· 42nd of 51
$135
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.