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 $125.89 Median $125.89 Typical High $131.83 | Facility | None | $125.89 | $125.89 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $72.44 Median $125.89 Typical High $134.90 | Professional | None (both parts) | $72.44 | $125.89 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $33.11 Typical High $41.69 | Professional | 26 · Professional part | $31.62 | $33.11 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $46.77 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $239.88 Typical High $354.81 | Facility | None | $173.78 | $239.88 | $354.81 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $89.13 Typical High $229.09 | Professional | None (both parts) | $79.43 | $89.13 | $229.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $75.86 | Professional | 26 · Professional part | $26.30 | $30.20 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $56.23 Typical High $162.18 | Professional | TC · Technical part | $50.12 | $56.23 | $162.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $131.83 Median $154.88 Typical High $169.82 | Professional | None (both parts) | $131.83 | $154.88 | $169.82 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $54.95 Typical High $61.66 | Professional | 26 · Professional part | $46.77 | $54.95 | $61.66 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $102.33 Typical High $109.65 | Professional | TC · Technical part | $85.11 | $102.33 | $109.65 |
Horizon BCBS Setting Facility Modifier None Typical Low $114.82 Median $1,819.70 Typical High $3,630.78 | Facility | None | $114.82 | $1,819.70 | $3,630.78 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $104.71 Median $120.23 Typical High $239.88 | Professional | None (both parts) | $104.71 | $120.23 | $239.88 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $44.67 Typical High $64.57 | Professional | 26 · Professional part | $38.90 | $44.67 | $64.57 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $131.83 | Professional | TC · Technical part | $64.57 | $74.13 | $131.83 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,513.56 | $1,513.56 | $3,311.31 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $107.15 Typical High $194.98 | Professional | None (both parts) | $85.11 | $107.15 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $38.02 Typical High $70.79 | Professional | 26 · Professional part | $30.20 | $38.02 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $63.10 Typical High $134.90 | Professional | TC · Technical part | $52.48 | $63.10 | $134.90 |
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 $35.48 Median $63.10 Typical High $66.07 | Professional | 52 · Reduced service | $35.48 | $63.10 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.13 Median $25.12 Typical High $26.30 | Professional | 53 · Discontinued | $14.13 | $25.12 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $100.00 Typical High $104.71 | Professional | FX · Film X-ray | $72.44 | $100.00 | $104.71 |
Where New Jersey sits
The same service costs 4.3 times more in Alaska than in Utah. 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· 42nd of 51
$120
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.