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 $1,000.00 Median $1,000.00 Typical High $6,309.57 | Facility | None | $1,000.00 | $1,000.00 | $6,309.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $2,187.76 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $2,187.76 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $102.33 | $125.89 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $1,778.28 | Professional | TC · Technical part | $870.96 | $870.96 | $1,778.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $83.18 Typical High $144.54 | Professional | 26 · Professional part | $83.18 | $83.18 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,737.80 Typical High $3,890.45 | Facility | None | $1,513.56 | $1,737.80 | $3,890.45 |
Cigna Setting Professional Modifier None (both parts) Typical Low $524.81 Median $1,071.52 Typical High $1,862.09 | Professional | None (both parts) | $524.81 | $1,071.52 | $1,862.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $109.65 Typical High $208.93 | Professional | 26 · Professional part | $63.10 | $109.65 | $208.93 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $954.99 Typical High $1,659.59 | Professional | TC · Technical part | $457.09 | $954.99 | $1,659.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $2,238.72 Median $2,238.72 Typical High $2,238.72 | Professional | None (both parts) | $2,238.72 | $2,238.72 | $2,238.72 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,862.09 Median $5,370.32 Typical High $14,791.08 | Facility | None | $1,862.09 | $5,370.32 | $14,791.08 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $2,511.89 Median $19,498.45 Typical High $28,840.32 | Facility | TC · Technical part | $2,511.89 | $19,498.45 | $28,840.32 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,584.89 Median $1,819.70 Typical High $3,019.95 | Professional | None (both parts) | $1,584.89 | $1,819.70 | $3,019.95 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $89.13 | $102.33 | $181.97 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,698.24 Typical High $2,884.03 | Professional | TC · Technical part | $1,479.11 | $1,698.24 | $2,884.03 |
United Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $6,025.60 | Facility | None | $2,754.23 | $2,754.23 | $6,025.60 |
United Setting Professional Modifier None (both parts) Typical Low $724.44 Median $1,737.80 Typical High $3,235.94 | Professional | None (both parts) | $724.44 | $1,737.80 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $102.33 Typical High $181.97 | Professional | 26 · Professional part | $69.18 | $102.33 | $181.97 |
United Setting Professional Modifier TC · Technical part Typical Low $645.65 Median $1,584.89 Typical High $3,019.95 | Professional | TC · Technical part | $645.65 | $1,584.89 | $3,019.95 |
1 more rate 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 FX · Film X-ray Typical Low $794.33 Median $794.33 Typical High $954.99 | Professional | FX · Film X-ray | $794.33 | $794.33 | $954.99 |
Where New Jersey sits
The same service costs 16.2 times more in Nebraska than in Washington. 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· 29th of 51
$1,585
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.