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 $478.63 Median $602.56 Typical High $602.56 | Facility | None | $478.63 | $602.56 | $602.56 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $436.52 Median $549.54 Typical High $1,096.48 | Facility | TC · Technical part | $436.52 | $549.54 | $1,096.48 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $1,230.27 | Professional | None (both parts) | $478.63 | $478.63 | $1,230.27 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $87.10 | Professional | 26 · Professional part | $43.65 | $43.65 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $436.52 Median $436.52 Typical High $1,148.15 | Professional | TC · Technical part | $436.52 | $436.52 | $1,148.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | 26 · Professional part | $41.69 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $1,318.26 Median $2,089.30 Typical High $3,019.95 | Facility | None | $1,318.26 | $2,089.30 | $3,019.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $436.52 Median $812.83 Typical High $1,230.27 | Professional | None (both parts) | $436.52 | $812.83 | $1,230.27 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $58.88 Typical High $102.33 | Professional | 26 · Professional part | $30.90 | $58.88 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $389.05 Median $758.58 Typical High $1,122.02 | Professional | TC · Technical part | $389.05 | $758.58 | $1,122.02 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $812.83 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $812.83 | $812.83 | $812.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $870.96 Median $1,995.26 Typical High $11,748.98 | Facility | None | $870.96 | $1,995.26 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $1,122.02 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $1,122.02 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $691.83 Median $812.83 Typical High $1,348.96 | Professional | None (both parts) | $691.83 | $812.83 | $1,348.96 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $97.72 | Professional | 26 · Professional part | $47.86 | $54.95 | $97.72 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $741.31 Typical High $1,122.02 | Professional | TC · Technical part | $630.96 | $741.31 | $1,122.02 |
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 $501.19 Median $724.44 Typical High $1,445.44 | Professional | None (both parts) | $501.19 | $724.44 | $1,445.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $56.23 Typical High $97.72 | Professional | 26 · Professional part | $41.69 | $56.23 | $97.72 |
United Setting Professional Modifier TC · Technical part Typical Low $512.86 Median $691.83 Typical High $1,348.96 | Professional | TC · Technical part | $512.86 | $691.83 | $1,348.96 |
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 $239.88 Median $239.88 Typical High $316.23 | Professional | 52 · Reduced service | $239.88 | $239.88 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $125.89 | Professional | 53 · Discontinued | $95.50 | $95.50 | $125.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $389.05 Median $389.05 Typical High $501.19 | Professional | FX · Film X-ray | $389.05 | $389.05 | $501.19 |
Where New Jersey sits
The same service costs 4.4 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
$724
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.