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 $489.78 Median $707.95 Typical High $3,162.28 | Facility | None | $489.78 | $707.95 | $3,162.28 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | 26 · Professional part | $218.78 | $218.78 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $275.42 Median $489.78 Typical High $1,412.54 | Facility | TC · Technical part | $275.42 | $489.78 | $1,412.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $489.78 Median $707.95 Typical High $933.25 | Professional | None (both parts) | $489.78 | $707.95 | $933.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $218.78 Typical High $416.87 | Professional | 26 · Professional part | $218.78 | $218.78 | $416.87 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $489.78 Typical High $524.81 | Professional | TC · Technical part | $275.42 | $489.78 | $524.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None (both parts) | $380.19 | $380.19 | $380.19 |
AmeriHealth Setting Facility Modifier None Typical Low $4,570.88 Median $24,547.09 Typical High $34,673.69 | Facility | None | $4,570.88 | $24,547.09 | $34,673.69 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $194.98 Median $194.98 Typical High $501.19 | Professional | 26 · Professional part | $194.98 | $194.98 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $691.83 Typical High $9,772.37 | Facility | None | $630.96 | $691.83 | $9,772.37 |
Cigna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $645.65 Typical High $1,348.96 | Professional | None (both parts) | $398.11 | $645.65 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $257.04 Typical High $549.54 | Professional | 26 · Professional part | $181.97 | $257.04 | $549.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $363.08 Typical High $891.25 | Professional | TC · Technical part | $213.80 | $363.08 | $891.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $630.96 Median $691.83 Typical High $707.95 | Professional | None (both parts) | $630.96 | $691.83 | $707.95 |
Horizon BCBS Setting Facility Modifier None Typical Low $3,090.30 Median $5,128.61 Typical High $6,456.54 | Facility | None | $3,090.30 | $5,128.61 | $6,456.54 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $489.78 Median $562.34 Typical High $1,698.24 | Professional | None (both parts) | $489.78 | $562.34 | $1,698.24 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $218.78 Median $251.19 Typical High $457.09 | Professional | 26 · Professional part | $218.78 | $251.19 | $457.09 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $316.23 Typical High $851.14 | Professional | TC · Technical part | $275.42 | $316.23 | $851.14 |
United Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $5,754.40 | Facility | None | $2,630.27 | $2,630.27 | $5,754.40 |
United Setting Professional Modifier None (both parts) Typical Low $380.19 Median $588.84 Typical High $1,174.90 | Professional | None (both parts) | $380.19 | $588.84 | $1,174.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $173.78 Median $251.19 Typical High $457.09 | Professional | 26 · Professional part | $173.78 | $251.19 | $457.09 |
United Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $323.59 Typical High $676.08 | Professional | TC · Technical part | $208.93 | $323.59 | $676.08 |
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 $354.81 Typical High $354.81 | Professional | 52 · Reduced service | $234.42 | $354.81 | $354.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $141.25 Typical High $141.25 | Professional | 53 · Discontinued | $95.50 | $141.25 | $141.25 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $562.34 Typical High $562.34 | Professional | FX · Film X-ray | $380.19 | $562.34 | $562.34 |
Where New Jersey sits
The same service costs 4.9 times more in Alaska than in Florida. 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· 28th of 51
$676
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.