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 $158.49 Median $158.49 Typical High $204.17 | Facility | None | $158.49 | $158.49 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $204.17 | Professional | None (both parts) | $158.49 | $158.49 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $37.15 | Professional | 26 · Professional part | $30.90 | $30.90 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $128.82 Typical High $165.96 | Professional | TC · Technical part | $123.03 | $128.82 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $691.83 | Facility | None | $295.12 | $478.63 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $389.05 | Professional | None (both parts) | $134.90 | $234.42 | $389.05 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $24.55 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $190.55 Typical High $316.23 | Professional | TC · Technical part | $104.71 | $190.55 | $316.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $257.04 Median $1,698.24 Typical High $11,748.98 | Facility | None | $257.04 | $1,698.24 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $323.59 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $467.74 | Professional | None (both parts) | $181.97 | $208.93 | $467.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $41.69 Typical High $83.18 | Professional | 26 · Professional part | $35.48 | $41.69 | $83.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $169.82 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $169.82 | $380.19 |
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 $141.25 Median $204.17 Typical High $380.19 | Professional | None (both parts) | $141.25 | $204.17 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $31.62 | $41.69 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $169.82 Typical High $309.03 | Professional | TC · Technical part | $123.03 | $169.82 | $309.03 |
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 $79.43 Median $79.43 Typical High $102.33 | Professional | 52 · Reduced service | $79.43 | $79.43 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | 53 · Discontinued | $31.62 | $31.62 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $162.18 | Professional | FX · Film X-ray | $128.82 | $128.82 | $162.18 |
Where New Jersey sits
The same service costs 4.8 times more in Alabama than in Texas. 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· 36th of 51
$204
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.