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 $512.86 Median $524.81 Typical High $933.25 | Facility | None | $512.86 | $524.81 | $933.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $79.43 | Facility | 26 · Professional part | $74.13 | $79.43 | $79.43 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $446.68 Typical High $1,096.48 | Facility | TC · Technical part | $436.52 | $446.68 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $512.86 Typical High $912.01 | Professional | None (both parts) | $478.63 | $512.86 | $912.01 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $79.43 | $151.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $398.11 Median $436.52 Typical High $758.58 | Professional | TC · Technical part | $398.11 | $436.52 | $758.58 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $338.84 | Professional | None (both parts) | $316.23 | $316.23 | $338.84 |
AmeriHealth Setting Facility Modifier None Typical Low $954.99 Median $24,547.09 Typical High $35,481.34 | Facility | None | $954.99 | $24,547.09 | $35,481.34 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $181.97 | Professional | 26 · Professional part | $70.79 | $70.79 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $3,981.07 | Facility | None | $912.01 | $912.01 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $389.05 Median $575.44 Typical High $1,348.96 | Professional | None (both parts) | $389.05 | $575.44 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $89.13 Typical High $199.53 | Professional | 26 · Professional part | $66.07 | $89.13 | $199.53 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $323.59 Median $467.74 Typical High $1,148.15 | Professional | TC · Technical part | $323.59 | $467.74 | $1,148.15 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $630.96 Typical High $645.65 | Professional | None (both parts) | $562.34 | $630.96 | $645.65 |
Horizon BCBS Setting Facility Modifier None Typical Low $831.76 Median $1,380.38 Typical High $1,737.80 | Facility | None | $831.76 | $1,380.38 | $1,737.80 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $512.86 Median $602.56 Typical High $1,071.52 | Professional | None (both parts) | $512.86 | $602.56 | $1,071.52 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $93.33 Typical High $181.97 | Professional | 26 · Professional part | $81.28 | $93.33 | $181.97 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $501.19 Typical High $912.01 | Professional | TC · Technical part | $436.52 | $501.19 | $912.01 |
United Setting Facility Modifier None Typical Low $724.44 Median $724.44 Typical High $1,584.89 | Facility | None | $724.44 | $724.44 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $537.03 Typical High $1,071.52 | Professional | None (both parts) | $338.84 | $537.03 | $1,071.52 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $91.20 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $91.20 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $295.12 Median $446.68 Typical High $912.01 | Professional | TC · Technical part | $295.12 | $446.68 | $912.01 |
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 $234.42 Median $257.04 Typical High $275.42 | Professional | 52 · Reduced service | $234.42 | $257.04 | $275.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $102.33 Typical High $112.20 | Professional | 53 · Discontinued | $93.33 | $102.33 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $371.54 Median $416.87 Typical High $416.87 | Professional | FX · Film X-ray | $371.54 | $416.87 | $416.87 |
Where New Jersey sits
The same service costs 4.6 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· 31st of 51
$550
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.