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 $147.91 Median $147.91 Typical High $186.21 | Facility | None | $147.91 | $147.91 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $147.91 | $147.91 | $245.47 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | 26 · Professional part | $19.50 | $19.50 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $257.04 | Professional | TC · Technical part | $128.82 | $128.82 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,047.13 | Facility | None | $537.03 | $707.95 | $1,047.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $416.87 | Professional | None (both parts) | $169.82 | $199.53 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $20.42 Typical High $45.71 | Professional | 26 · Professional part | $14.79 | $20.42 | $45.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $177.83 Typical High $380.19 | Professional | TC · Technical part | $154.88 | $177.83 | $380.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $245.47 Median $331.13 Typical High $354.81 | Professional | None (both parts) | $245.47 | $331.13 | $354.81 |
Horizon BCBS Setting Facility Modifier None Typical Low $229.09 Median $1,737.80 Typical High $13,489.63 | Facility | None | $229.09 | $1,737.80 | $13,489.63 |
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 $229.09 Median $263.03 Typical High $416.87 | Professional | None (both parts) | $229.09 | $263.03 | $416.87 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $22.39 | $25.70 | $52.48 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $204.17 | $234.42 | $371.54 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $154.88 | $213.80 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $21.88 Typical High $40.74 | Professional | 26 · Professional part | $14.79 | $21.88 | $40.74 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $363.08 | Professional | TC · Technical part | $141.25 | $190.55 | $363.08 |
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 $74.13 Median $74.13 Typical High $120.23 | Professional | 52 · Reduced service | $74.13 | $74.13 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $48.98 | Professional | 53 · Discontinued | $29.51 | $29.51 | $48.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $181.97 | Professional | FX · Film X-ray | $117.49 | $117.49 | $181.97 |
Where New Jersey sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 28th of 51
$229
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.