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 $58.88 Median $67.61 Typical High $338.84 | Facility | None | $58.88 | $67.61 | $338.84 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $19.05 | Facility | 26 · Professional part | $14.45 | $16.98 | $19.05 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $44.67 Median $50.12 Typical High $112.20 | Facility | TC · Technical part | $44.67 | $50.12 | $112.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $66.07 Typical High $114.82 | Professional | None (both parts) | $53.70 | $66.07 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $14.45 Typical High $26.92 | Professional | 26 · Professional part | $13.49 | $14.45 | $26.92 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $50.12 Typical High $91.20 | Professional | TC · Technical part | $40.74 | $50.12 | $91.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $38.02 Median $61.66 Typical High $85.11 | Professional | None (both parts) | $38.02 | $61.66 | $85.11 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $77.62 Median $81.28 Typical High $177.83 | Professional | None (both parts) | $77.62 | $81.28 | $177.83 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $33.11 | Professional | 26 · Professional part | $16.98 | $16.98 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $158.49 Typical High $239.88 | Facility | None | $114.82 | $158.49 | $239.88 |
Cigna Setting Professional Modifier None (both parts) Typical Low $46.77 Median $70.79 Typical High $131.83 | Professional | None (both parts) | $46.77 | $70.79 | $131.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $11.48 Typical High $31.62 | Professional | 26 · Professional part | $9.77 | $11.48 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $95.50 | Professional | TC · Technical part | $36.31 | $46.77 | $95.50 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $74.13 Median $89.13 Typical High $95.50 | Professional | None (both parts) | $74.13 | $89.13 | $95.50 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $19.50 Typical High $21.88 | Professional | 26 · Professional part | $16.98 | $19.50 | $21.88 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $69.18 Typical High $74.13 | Professional | TC · Technical part | $57.54 | $69.18 | $74.13 |
Horizon BCBS Setting Facility Modifier None Typical Low $95.50 Median $1,122.02 Typical High $3,090.30 | Facility | None | $95.50 | $1,122.02 | $3,090.30 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $112.20 | Professional | None (both parts) | $60.26 | $69.18 | $112.20 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.98 Typical High $26.92 | Professional | 26 · Professional part | $14.45 | $16.98 | $26.92 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $85.11 | Professional | TC · Technical part | $46.77 | $53.70 | $85.11 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $48.98 Median $57.54 Typical High $112.20 | Professional | None (both parts) | $48.98 | $57.54 | $112.20 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.45 Typical High $27.54 | Professional | 26 · Professional part | $10.96 | $14.45 | $27.54 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $42.66 Typical High $87.10 | Professional | TC · Technical part | $36.31 | $42.66 | $87.10 |
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 $23.99 Median $29.51 Typical High $33.88 | Professional | 52 · Reduced service | $23.99 | $29.51 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $12.02 Typical High $13.49 | Professional | 53 · Discontinued | $9.77 | $12.02 | $13.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $47.86 Typical High $53.70 | Professional | FX · Film X-ray | $40.74 | $47.86 | $53.70 |
Where New Jersey sits
The same service costs 3.6 times more in Alaska than in Texas. 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· 41st of 51
$66.07
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.