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 $162.18 Median $177.83 Typical High $1,288.25 | Facility | None | $162.18 | $177.83 | $1,288.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $57.54 | Facility | 26 · Professional part | $48.98 | $57.54 | $57.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $281.84 | Facility | TC · Technical part | $114.82 | $120.23 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $177.83 Typical High $371.54 | Professional | None (both parts) | $162.18 | $177.83 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $56.23 Typical High $104.71 | Professional | 26 · Professional part | $48.98 | $56.23 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $120.23 Typical High $251.19 | Professional | TC · Technical part | $114.82 | $120.23 | $251.19 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | None (both parts) | $281.84 | $281.84 | $281.84 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $66.07 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $478.63 Typical High $660.69 | Facility | None | $295.12 | $478.63 | $660.69 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $251.19 Typical High $407.38 | Professional | None (both parts) | $134.90 | $251.19 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $67.61 Typical High $114.82 | Professional | 26 · Professional part | $37.15 | $67.61 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $173.78 Typical High $288.40 | Professional | TC · Technical part | $95.50 | $173.78 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $245.47 | $245.47 | $245.47 |
Horizon BCBS Setting Facility Modifier None Typical Low $208.93 Median $1,737.80 Typical High $12,882.50 | Facility | None | $208.93 | $1,737.80 | $12,882.50 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $288.40 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $181.97 | $208.93 | $407.38 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $64.57 | $109.65 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $144.54 Typical High $275.42 | Professional | TC · Technical part | $125.89 | $144.54 | $275.42 |
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 $208.93 Typical High $380.19 | Professional | None (both parts) | $162.18 | $208.93 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $117.49 | Professional | 26 · Professional part | $50.12 | $66.07 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $147.91 Typical High $263.03 | Professional | TC · Technical part | $109.65 | $147.91 | $263.03 |
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 $81.28 Median $81.28 Typical High $91.20 | Professional | 52 · Reduced service | $81.28 | $81.28 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $36.31 | Professional | 53 · Discontinued | $32.36 | $32.36 | $36.31 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $144.54 | Professional | FX · Film X-ray | $131.83 | $131.83 | $144.54 |
Where New Jersey sits
The same service costs 4.4 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· 36th of 51
$209
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.