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 $204.17 Median $245.47 Typical High $245.47 | Facility | None | $204.17 | $245.47 | $245.47 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $45.71 | Facility | 26 · Professional part | $38.90 | $45.71 | $45.71 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $407.38 | Facility | TC · Technical part | $162.18 | $194.98 | $407.38 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $204.17 | $223.87 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $42.66 Typical High $81.28 | Professional | 26 · Professional part | $38.90 | $42.66 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $177.83 Typical High $354.81 | Professional | TC · Technical part | $162.18 | $177.83 | $354.81 |
AmeriHealth Setting Facility Modifier None Typical Low $245.47 Median $380.19 Typical High $2,630.27 | Facility | None | $245.47 | $380.19 | $2,630.27 |
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 $173.78 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $173.78 | $316.23 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $53.70 Typical High $91.20 | Professional | 26 · Professional part | $29.51 | $53.70 | $91.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $141.25 | $257.04 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Horizon BCBS Setting Facility Modifier None Typical Low $316.23 Median $1,698.24 Typical High $11,748.98 | Facility | None | $316.23 | $1,698.24 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $354.81 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $354.81 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $549.54 | Professional | None (both parts) | $245.47 | $281.84 | $549.54 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $51.29 Typical High $87.10 | Professional | 26 · Professional part | $44.67 | $51.29 | $87.10 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $199.53 | $229.09 | $446.68 |
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 $199.53 Median $269.15 Typical High $501.19 | Professional | None (both parts) | $199.53 | $269.15 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $52.48 Typical High $93.33 | Professional | 26 · Professional part | $39.81 | $52.48 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $223.87 Typical High $416.87 | Professional | TC · Technical part | $162.18 | $223.87 | $416.87 |
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 $102.33 Median $102.33 Typical High $120.23 | Professional | 52 · Reduced service | $102.33 | $102.33 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $48.98 | Professional | 53 · Discontinued | $40.74 | $40.74 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | FX · Film X-ray | $162.18 | $162.18 | $194.98 |
Where New Jersey sits
The same service costs 3.8 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· 33rd of 51
$263
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.