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 $123.03 Median $123.03 Typical High $147.91 | Facility | None | $123.03 | $123.03 | $147.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $147.91 | Professional | None (both parts) | $123.03 | $123.03 | $147.91 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $30.90 Typical High $38.02 | Professional | 26 · Professional part | $30.90 | $30.90 | $38.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $109.65 | Professional | TC · Technical part | $93.33 | $93.33 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $102.33 Typical High $112.20 | Facility | None | $66.07 | $102.33 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $95.50 Typical High $218.78 | Professional | None (both parts) | $93.33 | $95.50 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $24.55 Typical High $56.23 | Professional | 26 · Professional part | $23.99 | $24.55 | $56.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $72.44 | $162.18 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $251.19 | Professional | None (both parts) | $154.88 | $154.88 | $251.19 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $47.86 Typical High $52.48 | Professional | 26 · Professional part | $37.15 | $47.86 | $52.48 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $107.15 Typical High $199.53 | Professional | TC · Technical part | $107.15 | $107.15 | $199.53 |
Horizon BCBS Setting Facility Modifier None Typical Low $48.98 Median $251.19 Typical High $6,918.31 | Facility | None | $48.98 | $251.19 | $6,918.31 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $36.31 Median $38.90 Typical High $51.29 | Professional | None (both parts) | $36.31 | $38.90 | $51.29 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $58.88 Typical High $85.11 | Professional | 26 · Professional part | $48.98 | $58.88 | $85.11 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $42.66 Typical High $199.53 | Professional | TC · Technical part | $37.15 | $42.66 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $85.11 Median $112.20 Typical High $186.21 | Professional | None (both parts) | $85.11 | $112.20 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.18 Typical High $50.12 | Professional | 26 · Professional part | $25.12 | $28.18 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $81.28 Typical High $141.25 | Professional | TC · Technical part | $58.88 | $81.28 | $141.25 |
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 $61.66 Median $61.66 Typical High $74.13 | Professional | 52 · Reduced service | $61.66 | $61.66 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $24.55 Typical High $29.51 | Professional | 53 · Discontinued | $24.55 | $24.55 | $29.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $120.23 | Professional | FX · Film X-ray | $97.72 | $97.72 | $120.23 |
Where New Jersey sits
The same service costs 4.5 times more in Alaska than in Washington, DC. 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· 49th of 51
$95.50
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.