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 $162.18 Median $162.18 Typical High $229.09 | Facility | None | $162.18 | $162.18 | $229.09 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $60.26 Typical High $60.26 | Facility | 26 · Professional part | $45.71 | $60.26 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $102.33 Median $181.97 Typical High $446.68 | Facility | TC · Technical part | $102.33 | $181.97 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $109.65 | $229.09 | $229.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $45.71 Typical High $60.26 | Professional | 26 · Professional part | $42.66 | $45.71 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $181.97 Typical High $181.97 | Professional | TC · Technical part | $67.61 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | 26 · Professional part | $74.13 | $74.13 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $169.82 Median $234.42 Typical High $363.08 | Facility | None | $169.82 | $234.42 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $104.71 Typical High $446.68 | Professional | None (both parts) | $85.11 | $104.71 | $446.68 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $39.81 Typical High $102.33 | Professional | 26 · Professional part | $33.88 | $39.81 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $58.88 Typical High $309.03 | Professional | TC · Technical part | $51.29 | $58.88 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $141.25 Median $165.96 Typical High $186.21 | Professional | None (both parts) | $141.25 | $165.96 | $186.21 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $75.86 | Professional | 26 · Professional part | $58.88 | $67.61 | $75.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $100.00 Typical High $107.15 | Professional | TC · Technical part | $83.18 | $100.00 | $107.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $295.12 Median $7,244.36 Typical High $13,803.84 | Facility | None | $295.12 | $7,244.36 | $13,803.84 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $398.11 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $363.08 | Professional | None (both parts) | $131.83 | $151.36 | $363.08 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $58.88 Typical High $89.13 | Professional | 26 · Professional part | $51.29 | $58.88 | $89.13 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $93.33 Typical High $151.36 | Professional | TC · Technical part | $81.28 | $93.33 | $151.36 |
United Setting Facility Modifier None Typical Low $6,025.60 Median $6,025.60 Typical High $13,182.57 | Facility | None | $6,025.60 | $6,025.60 | $13,182.57 |
United Setting Professional Modifier None (both parts) Typical Low $93.33 Median $134.90 Typical High $446.68 | Professional | None (both parts) | $93.33 | $134.90 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $37.15 | $50.12 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $79.43 Typical High $204.17 | Professional | TC · Technical part | $54.95 | $79.43 | $204.17 |
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 $54.95 Median $114.82 Typical High $114.82 | Professional | 52 · Reduced service | $54.95 | $114.82 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $45.71 Typical High $45.71 | Professional | 53 · Discontinued | $21.88 | $45.71 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $87.10 | $181.97 | $181.97 |
Where New Jersey sits
The same service costs 4.9 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· 37th of 51
$151
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.