How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $26.30 Median $26.30 Typical High $32.36 | Facility | None | $26.30 | $26.30 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $23.99 Median $26.30 Typical High $32.36 | Professional | None (both parts) | $23.99 | $26.30 | $32.36 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.51 Typical High $10.72 | Professional | 26 · Professional part | $8.13 | $8.51 | $10.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $16.22 Median $17.78 Typical High $21.38 | Professional | TC · Technical part | $16.22 | $17.78 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $28.18 Typical High $30.90 | Facility | None | $18.62 | $28.18 | $30.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $23.44 Typical High $58.88 | Professional | None (both parts) | $19.95 | $23.44 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $19.50 | Professional | 26 · Professional part | $6.76 | $7.59 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.49 Typical High $40.74 | Professional | TC · Technical part | $13.80 | $15.49 | $40.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $37.15 Median $39.81 Typical High $56.23 | Professional | None (both parts) | $37.15 | $39.81 | $56.23 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $12.59 Typical High $13.80 | Professional | 26 · Professional part | $10.96 | $12.59 | $13.80 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $30.20 Typical High $41.69 | Professional | TC · Technical part | $24.55 | $30.20 | $41.69 |
Horizon BCBS Setting Facility Modifier None Typical Low $19.05 Median $190.55 Typical High $7,079.46 | Facility | None | $19.05 | $190.55 | $7,079.46 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $10.00 Median $11.75 Typical High $25.12 | Professional | None (both parts) | $10.00 | $11.75 | $25.12 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $18.20 Typical High $23.99 | Professional | 26 · Professional part | $13.18 | $18.20 | $23.99 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $45.71 Typical High $190.55 | Professional | TC · Technical part | $25.70 | $45.71 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $20.42 Median $41.69 Typical High $85.11 | Professional | None (both parts) | $20.42 | $41.69 | $85.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.77 Typical High $18.20 | Professional | 26 · Professional part | $7.08 | $9.77 | $18.20 |
United Setting Professional Modifier TC · Technical part Typical Low $13.18 Median $33.11 Typical High $66.07 | Professional | TC · Technical part | $13.18 | $33.11 | $66.07 |
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 $12.02 Median $13.18 Typical High $16.22 | Professional | 52 · Reduced service | $12.02 | $13.18 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $5.25 Typical High $6.46 | Professional | 53 · Discontinued | $4.79 | $5.25 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $19.50 Median $20.89 Typical High $25.70 | Professional | FX · Film X-ray | $19.50 | $20.89 | $25.70 |
Where New Jersey sits
The same service costs 4.7 times more in Alaska than in Florida. 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· 50th of 51
$24.55
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.