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 $398.11 Median $3,890.45 Typical High $4,786.30 | Facility | None | $398.11 | $3,890.45 | $4,786.30 |
Aetna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $398.11 Typical High $446.68 | Professional | None (both parts) | $371.54 | $398.11 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $120.23 Typical High $125.89 | Professional | 26 · Professional part | $112.20 | $120.23 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $281.84 Typical High $302.00 | Professional | TC · Technical part | $257.04 | $281.84 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $1,000.00 | Facility | None | $575.44 | $741.31 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $407.38 Typical High $933.25 | Professional | None (both parts) | $263.03 | $407.38 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $60.26 Typical High $151.36 | Professional | 26 · Professional part | $53.70 | $60.26 | $151.36 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $204.17 | $323.59 | $741.31 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $371.54 Median $446.68 Typical High $489.78 | Professional | None (both parts) | $371.54 | $446.68 | $489.78 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $100.00 Typical High $112.20 | Professional | 26 · Professional part | $85.11 | $100.00 | $112.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $346.74 Typical High $380.19 | Professional | TC · Technical part | $288.40 | $346.74 | $380.19 |
Horizon BCBS Setting Facility Modifier None Typical Low $457.09 Median $812.83 Typical High $2,238.72 | Facility | None | $457.09 | $812.83 | $2,238.72 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $316.23 Median $363.08 Typical High $588.84 | Professional | None (both parts) | $316.23 | $363.08 | $588.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $114.82 | Professional | 26 · Professional part | $77.62 | $89.13 | $114.82 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $426.58 | Professional | TC · Technical part | $239.88 | $275.42 | $426.58 |
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 $281.84 Median $407.38 Typical High $776.25 | Professional | None (both parts) | $281.84 | $407.38 | $776.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $74.13 Typical High $154.88 | Professional | 26 · Professional part | $60.26 | $74.13 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $302.00 Typical High $616.60 | Professional | TC · Technical part | $213.80 | $302.00 | $616.60 |
2 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 FX · Film X-ray Typical Low $295.12 Median $323.59 Typical High $338.84 | Professional | FX · Film X-ray | $295.12 | $323.59 | $338.84 |
Emblem Health Setting Professional Modifier GL · Free upgrade Typical Low $398.11 Median $630.96 Typical High $691.83 | Professional | GL · Free upgrade | $398.11 | $630.96 | $691.83 |
Where New Jersey sits
The same service costs 5.6 times more in Wyoming 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· 40th of 51
$398
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.