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 $74.13 Median $74.13 Typical High $275.42 | Facility | None | $74.13 | $74.13 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $74.13 Median $74.13 Typical High $275.42 | Professional | None (both parts) | $74.13 | $74.13 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $23.44 | $25.12 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $48.98 Typical High $269.15 | Professional | TC · Technical part | $48.98 | $48.98 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $147.91 Typical High $269.15 | Facility | None | $83.18 | $147.91 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $87.10 Typical High $177.83 | Professional | None (both parts) | $60.26 | $87.10 | $177.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $22.39 Typical High $57.54 | Professional | 26 · Professional part | $19.95 | $22.39 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $57.54 Typical High $117.49 | Professional | TC · Technical part | $39.81 | $57.54 | $117.49 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $389.05 | Professional | None (both parts) | $109.65 | $169.82 | $389.05 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $40.74 | Professional | 26 · Professional part | $33.88 | $38.90 | $40.74 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $123.03 Typical High $354.81 | Professional | TC · Technical part | $75.86 | $123.03 | $354.81 |
Horizon BCBS Setting Facility Modifier None Typical Low $269.15 Median $741.31 Typical High $2,238.72 | Facility | None | $269.15 | $741.31 | $2,238.72 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $95.50 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $95.50 | $109.65 | $218.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $34.67 Typical High $46.77 | Professional | 26 · Professional part | $29.51 | $34.67 | $46.77 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $66.07 | $75.86 | $144.54 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $63.10 Median $213.80 Typical High $457.09 | Professional | None (both parts) | $63.10 | $213.80 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $28.84 Typical High $52.48 | Professional | 26 · Professional part | $21.38 | $28.84 | $52.48 |
United Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $199.53 Typical High $407.38 | Professional | TC · Technical part | $40.74 | $199.53 | $407.38 |
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 $37.15 Median $37.15 Typical High $138.04 | Professional | 52 · Reduced service | $37.15 | $37.15 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $56.23 | Professional | 53 · Discontinued | $14.79 | $14.79 | $56.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $58.88 Median $58.88 Typical High $223.87 | Professional | FX · Film X-ray | $58.88 | $58.88 | $223.87 |
Where New Jersey sits
The same service costs 5.9 times more in Nebraska than in Hawaii. 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· 46th of 51
$110
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.