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 $134.90 Median $144.54 Typical High $144.54 | Facility | None | $134.90 | $144.54 | $144.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $17.78 Median $19.05 Typical High $19.05 | Facility | 26 · Professional part | $17.78 | $19.05 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $125.89 Typical High $288.40 | Facility | TC · Technical part | $114.82 | $125.89 | $288.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $169.82 | Professional | None (both parts) | $134.90 | $134.90 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $17.78 Typical High $21.38 | Professional | 26 · Professional part | $17.78 | $17.78 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $114.82 Typical High $147.91 | Professional | TC · Technical part | $114.82 | $114.82 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $562.34 Typical High $758.58 | Facility | None | $354.81 | $562.34 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $213.80 Typical High $380.19 | Professional | None (both parts) | $125.89 | $213.80 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $14.13 | $25.70 | $44.67 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $186.21 Typical High $338.84 | Professional | TC · Technical part | $100.00 | $186.21 | $338.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Horizon BCBS Setting Facility Modifier None Typical Low $234.42 Median $1,288.25 Typical High $11,748.98 | Facility | None | $234.42 | $1,288.25 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $316.23 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $316.23 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $338.84 | Professional | None (both parts) | $181.97 | $213.80 | $338.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $25.12 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $25.12 | $41.69 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $186.21 Typical High $288.40 | Professional | TC · Technical part | $158.49 | $186.21 | $288.40 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,659.59 | Facility | None | $776.25 | $776.25 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $134.90 | $199.53 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $25.70 Typical High $44.67 | Professional | 26 · Professional part | $19.05 | $25.70 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $177.83 Typical High $338.84 | Professional | TC · Technical part | $131.83 | $177.83 | $338.84 |
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 $66.07 Median $66.07 Typical High $85.11 | Professional | 52 · Reduced service | $66.07 | $66.07 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $33.88 | Professional | 53 · Discontinued | $26.92 | $26.92 | $33.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $107.15 Median $107.15 Typical High $134.90 | Professional | FX · Film X-ray | $107.15 | $107.15 | $134.90 |
Where New Jersey sits
The same service costs 4.7 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· 34th of 51
$186
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.