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 $234.42 Median $302.00 Typical High $1,348.96 | Facility | None | $234.42 | $302.00 | $1,348.96 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $31.62 Median $38.90 Typical High $38.90 | Facility | 26 · Professional part | $31.62 | $38.90 | $38.90 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $501.19 | Facility | TC · Technical part | $199.53 | $263.03 | $501.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $302.00 Typical High $630.96 | Professional | None (both parts) | $234.42 | $302.00 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $38.02 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $263.03 Typical High $562.34 | Professional | TC · Technical part | $199.53 | $263.03 | $562.34 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $27.54 | $31.62 | $60.26 |
AmeriHealth Setting Facility Modifier None Typical Low $295.12 Median $660.69 Typical High $16,595.87 | Facility | None | $295.12 | $660.69 | $16,595.87 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $57.54 Typical High $100.00 | Professional | 26 · Professional part | $43.65 | $57.54 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $1,047.13 Typical High $1,445.44 | Facility | None | $660.69 | $1,047.13 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $380.19 Typical High $741.31 | Professional | None (both parts) | $229.09 | $380.19 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $75.86 | Professional | 26 · Professional part | $24.55 | $44.67 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $338.84 Typical High $660.69 | Professional | TC · Technical part | $186.21 | $338.84 | $660.69 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | None (both parts) | $416.87 | $416.87 | $416.87 |
Horizon BCBS Setting Facility Modifier None Typical Low $407.38 Median $1,513.56 Typical High $11,748.98 | Facility | None | $407.38 | $1,513.56 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $741.31 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $741.31 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $354.81 Median $407.38 Typical High $691.83 | Professional | None (both parts) | $354.81 | $407.38 | $691.83 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $87.10 | Professional | 26 · Professional part | $37.15 | $42.66 | $87.10 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $363.08 Typical High $602.56 | Professional | TC · Technical part | $309.03 | $363.08 | $602.56 |
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 $251.19 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $251.19 | $380.19 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $645.65 | Professional | TC · Technical part | $245.47 | $338.84 | $645.65 |
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 $117.49 Median $117.49 Typical High $158.49 | Professional | 52 · Reduced service | $117.49 | $117.49 | $158.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $63.10 | Professional | 53 · Discontinued | $46.77 | $46.77 | $63.10 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $186.21 Typical High $251.19 | Professional | FX · Film X-ray | $186.21 | $186.21 | $251.19 |
Where New Jersey sits
The same service costs 3.5 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· 30th of 51
$363
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.