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 $169.82 Median $213.80 Typical High $213.80 | Facility | None | $169.82 | $213.80 | $213.80 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $147.91 Median $190.55 Typical High $371.54 | Facility | TC · Technical part | $147.91 | $190.55 | $371.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $213.80 | Professional | None (both parts) | $169.82 | $169.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $23.44 | Professional | 26 · Professional part | $20.42 | $20.42 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | TC · Technical part | $147.91 | $147.91 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $426.58 Median $676.08 Typical High $912.01 | Facility | None | $426.58 | $676.08 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $257.04 Typical High $436.52 | Professional | None (both parts) | $151.36 | $257.04 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $27.54 Typical High $45.71 | Professional | 26 · Professional part | $15.49 | $27.54 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $223.87 Typical High $389.05 | Professional | TC · Technical part | $128.82 | $223.87 | $389.05 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $275.42 | $275.42 | $275.42 |
Horizon BCBS Setting Facility Modifier None Typical Low $295.12 Median $1,819.70 Typical High $11,748.98 | Facility | None | $295.12 | $1,819.70 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $575.44 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $575.44 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $489.78 | Professional | None (both parts) | $218.78 | $251.19 | $489.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $51.29 | Professional | 26 · Professional part | $22.91 | $26.30 | $51.29 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $436.52 | Professional | TC · Technical part | $190.55 | $223.87 | $436.52 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,047.13 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $162.18 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $162.18 | $234.42 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $48.98 | Professional | 26 · Professional part | $20.42 | $26.92 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $213.80 Typical High $398.11 | Professional | TC · Technical part | $158.49 | $213.80 | $398.11 |
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 $85.11 Median $85.11 Typical High $107.15 | Professional | 52 · Reduced service | $85.11 | $85.11 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $33.88 Typical High $42.66 | Professional | 53 · Discontinued | $33.88 | $33.88 | $42.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | FX · Film X-ray | $134.90 | $134.90 | $169.82 |
Where New Jersey sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 38th of 51
$224
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.