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 $67.61 Median $72.44 Typical High $1,174.90 | Facility | None | $67.61 | $72.44 | $1,174.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $31.62 | Facility | 26 · Professional part | $29.51 | $31.62 | $31.62 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $107.15 | Facility | TC · Technical part | $36.31 | $42.66 | $107.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $67.61 Median $72.44 Typical High $125.89 | Professional | None (both parts) | $67.61 | $72.44 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $29.51 | $31.62 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $42.66 | $67.61 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $50.12 Median $52.48 Typical High $53.70 | Professional | None (both parts) | $50.12 | $52.48 | $53.70 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $10,964.78 Typical High $15,848.93 | Facility | TC · Technical part | $181.97 | $10,964.78 | $15,848.93 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $61.66 Median $61.66 Typical High $158.49 | Professional | None (both parts) | $61.66 | $61.66 | $158.49 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $28.18 Typical High $87.10 | Professional | 26 · Professional part | $28.18 | $28.18 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $831.76 | Facility | None | $83.18 | $83.18 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $83.18 Typical High $173.78 | Professional | None (both parts) | $53.70 | $83.18 | $173.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $79.43 | Professional | 26 · Professional part | $26.30 | $36.31 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $44.67 Typical High $91.20 | Professional | TC · Technical part | $28.18 | $44.67 | $91.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $95.50 Typical High $97.72 | Professional | None (both parts) | $87.10 | $95.50 | $97.72 |
Horizon BCBS Setting Facility Modifier None Typical Low $302.00 Median $457.09 Typical High $630.96 | Facility | None | $302.00 | $457.09 | $630.96 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $77.62 Typical High $154.88 | Professional | None (both parts) | $67.61 | $77.62 | $154.88 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $36.31 Typical High $67.61 | Professional | 26 · Professional part | $31.62 | $36.31 | $67.61 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $40.74 Typical High $93.33 | Professional | TC · Technical part | $35.48 | $40.74 | $93.33 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $562.34 | Facility | None | $257.04 | $257.04 | $562.34 |
United Setting Professional Modifier None (both parts) Typical Low $52.48 Median $75.86 Typical High $141.25 | Professional | None (both parts) | $52.48 | $75.86 | $141.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $35.48 Typical High $66.07 | Professional | 26 · Professional part | $24.55 | $35.48 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $41.69 Typical High $74.13 | Professional | TC · Technical part | $27.54 | $41.69 | $74.13 |
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 $32.36 Median $36.31 Typical High $39.81 | Professional | 52 · Reduced service | $32.36 | $36.31 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $14.45 Typical High $16.22 | Professional | 53 · Discontinued | $12.88 | $14.45 | $16.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $57.54 Typical High $57.54 | Professional | FX · Film X-ray | $51.29 | $57.54 | $57.54 |
Where New Jersey sits
The same service costs 4.7 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· 37th of 51
$75.86
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.