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 $114.82 Median $114.82 Typical High $138.04 | Facility | None | $114.82 | $114.82 | $138.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $114.82 Typical High $138.04 | Professional | None (both parts) | $95.50 | $114.82 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $66.07 Typical High $81.28 | Professional | 26 · Professional part | $57.54 | $66.07 | $81.28 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $48.98 Typical High $57.54 | Professional | TC · Technical part | $38.90 | $48.98 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $165.96 Typical High $234.42 | Facility | None | $102.33 | $165.96 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $141.25 Typical High $269.15 | Professional | None (both parts) | $72.44 | $141.25 | $269.15 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $83.18 Typical High $158.49 | Professional | 26 · Professional part | $41.69 | $83.18 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $58.88 Typical High $114.82 | Professional | TC · Technical part | $30.90 | $58.88 | $114.82 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $537.03 | Professional | None (both parts) | $380.19 | $380.19 | $537.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $524.81 Median $794.33 Typical High $1,096.48 | Facility | None | $524.81 | $794.33 | $1,096.48 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $61.66 Median $72.44 Typical High $436.52 | Professional | None (both parts) | $61.66 | $72.44 | $436.52 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $131.83 Typical High $218.78 | Professional | 26 · Professional part | $107.15 | $131.83 | $218.78 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $316.23 Typical High $512.86 | Professional | TC · Technical part | $75.86 | $316.23 | $512.86 |
United Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $977.24 | Facility | None | $446.68 | $446.68 | $977.24 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $213.80 Typical High $354.81 | Professional | None (both parts) | $107.15 | $213.80 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $74.13 Typical High $131.83 | Professional | 26 · Professional part | $54.95 | $74.13 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $97.72 Typical High $257.04 | Professional | TC · Technical part | $43.65 | $97.72 | $257.04 |
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 $47.86 Median $57.54 Typical High $69.18 | Professional | 52 · Reduced service | $47.86 | $57.54 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $22.91 Typical High $27.54 | Professional | 53 · Discontinued | $19.05 | $22.91 | $27.54 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $83.18 Median $91.20 Typical High $109.65 | Professional | FX · Film X-ray | $83.18 | $91.20 | $109.65 |
Where New Jersey sits
The same service costs 4.7 times more in Nebraska than in New Jersey. 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· 51st of 51
$115
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.