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 $173.78 Median $245.47 Typical High $245.47 | Facility | None | $173.78 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $123.03 | $245.47 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $58.88 Typical High $69.18 | Professional | 26 · Professional part | $52.48 | $58.88 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $70.79 | $186.21 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $251.19 Typical High $380.19 | Facility | None | $181.97 | $251.19 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $120.23 Typical High $457.09 | Professional | None (both parts) | $97.72 | $120.23 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $128.82 | Professional | 26 · Professional part | $42.66 | $50.12 | $128.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $63.10 Typical High $316.23 | Professional | TC · Technical part | $53.70 | $63.10 | $316.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $190.55 Typical High $199.53 | Professional | None (both parts) | $162.18 | $190.55 | $199.53 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $85.11 Typical High $91.20 | Professional | 26 · Professional part | $74.13 | $85.11 | $91.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $104.71 Typical High $107.15 | Professional | TC · Technical part | $87.10 | $104.71 | $107.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $302.00 Median $8,128.31 Typical High $13,803.84 | Facility | None | $302.00 | $8,128.31 | $13,803.84 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $309.03 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $151.36 Median $173.78 Typical High $389.05 | Professional | None (both parts) | $151.36 | $173.78 | $389.05 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $109.65 | Professional | 26 · Professional part | $66.07 | $75.86 | $109.65 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $158.49 | Professional | TC · Technical part | $85.11 | $97.72 | $158.49 |
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 $104.71 Median $151.36 Typical High $457.09 | Professional | None (both parts) | $104.71 | $151.36 | $457.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $63.10 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $83.18 Typical High $208.93 | Professional | TC · Technical part | $57.54 | $83.18 | $208.93 |
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 $120.23 Typical High $120.23 | Professional | 52 · Reduced service | $61.66 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $48.98 Typical High $48.98 | Professional | 53 · Discontinued | $24.55 | $48.98 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $97.72 | $194.98 | $194.98 |
Where New Jersey sits
The same service costs 4.5 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· 36th of 51
$174
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.