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 $2,754.23 Typical High $5,370.32 | Facility | None | $1,000.00 | $2,754.23 | $5,370.32 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $2,187.76 | Facility | TC · Technical part | $870.96 | $870.96 | $2,187.76 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,000.00 Median $1,000.00 Typical High $2,454.71 | Professional | None (both parts) | $1,000.00 | $1,000.00 | $2,454.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $125.89 Typical High $263.03 | Professional | 26 · Professional part | $117.49 | $125.89 | $263.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $870.96 Median $870.96 Typical High $2,089.30 | Professional | TC · Technical part | $870.96 | $870.96 | $2,089.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $891.25 | $891.25 | $891.25 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $97.72 | $223.87 |
AmeriHealth Setting Facility Modifier None Typical Low $2,454.71 Median $11,748.98 Typical High $61,659.50 | Facility | None | $2,454.71 | $11,748.98 | $61,659.50 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $131.83 Median $131.83 Typical High $363.08 | Professional | 26 · Professional part | $131.83 | $131.83 | $363.08 |
Cigna Setting Facility Modifier None Typical Low $1,949.84 Median $2,238.72 Typical High $3,981.07 | Facility | None | $1,949.84 | $2,238.72 | $3,981.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $676.08 Median $1,348.96 Typical High $2,398.83 | Professional | None (both parts) | $676.08 | $1,348.96 | $2,398.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $138.04 Typical High $263.03 | Professional | 26 · Professional part | $79.43 | $138.04 | $263.03 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $1,202.26 Typical High $2,137.96 | Professional | TC · Technical part | $575.44 | $1,202.26 | $2,137.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $2,290.87 Median $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $2,290.87 | $2,290.87 | $2,290.87 |
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 $1,621.81 Median $1,862.09 Typical High $3,548.13 | Professional | None (both parts) | $1,621.81 | $1,862.09 | $3,548.13 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $131.83 Typical High $229.09 | Professional | 26 · Professional part | $114.82 | $131.83 | $229.09 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $1,479.11 Median $1,698.24 Typical High $3,162.28 | Professional | TC · Technical part | $1,479.11 | $1,698.24 | $3,162.28 |
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 $912.01 Median $1,819.70 Typical High $3,311.31 | Professional | None (both parts) | $912.01 | $1,819.70 | $3,311.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $131.83 Typical High $234.42 | Professional | 26 · Professional part | $89.13 | $131.83 | $234.42 |
United Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $1,737.80 Typical High $3,019.95 | Professional | TC · Technical part | $812.83 | $1,737.80 | $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 21.9 times more in Minnesota 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· 30th of 51
$1,698
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.