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 $154.88 Median $199.53 Typical High $199.53 | Facility | None | $154.88 | $199.53 | $199.53 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $26.30 Median $33.11 Typical High $33.11 | Facility | 26 · Professional part | $26.30 | $33.11 | $33.11 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $316.23 | Facility | TC · Technical part | $128.82 | $165.96 | $316.23 |
Aetna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $478.63 | Professional | None (both parts) | $154.88 | $199.53 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $57.54 | Professional | 26 · Professional part | $26.30 | $30.20 | $57.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $165.96 Typical High $416.87 | Professional | TC · Technical part | $128.82 | $165.96 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $794.33 Typical High $1,071.52 | Facility | None | $489.78 | $794.33 | $1,071.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $275.42 Typical High $416.87 | Professional | None (both parts) | $173.78 | $275.42 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $37.15 Typical High $66.07 | Professional | 26 · Professional part | $20.42 | $37.15 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $239.88 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $239.88 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None (both parts) | $331.13 | $331.13 | $331.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $257.04 Median $1,513.56 Typical High $11,748.98 | Facility | None | $257.04 | $1,513.56 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $16,982.44 Typical High $26,915.35 | Facility | TC · Technical part | $323.59 | $16,982.44 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $489.78 | Professional | None (both parts) | $275.42 | $316.23 | $489.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $72.44 | Professional | 26 · Professional part | $30.90 | $35.48 | $72.44 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $275.42 Typical High $407.38 | Professional | TC · Technical part | $234.42 | $275.42 | $407.38 |
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 $190.55 Median $281.84 Typical High $562.34 | Professional | None (both parts) | $190.55 | $281.84 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $36.31 Typical High $64.57 | Professional | 26 · Professional part | $27.54 | $36.31 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $177.83 | $257.04 | $501.19 |
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 $77.62 Median $77.62 Typical High $123.03 | Professional | 52 · Reduced service | $77.62 | $77.62 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $30.90 Typical High $48.98 | Professional | 53 · Discontinued | $30.90 | $30.90 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $194.98 | Professional | FX · Film X-ray | $123.03 | $123.03 | $194.98 |
Where New Jersey sits
The same service costs 5.2 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· 27th of 51
$275
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.