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 $83.18 Median $83.18 Typical High $91.20 | Facility | None | $83.18 | $83.18 | $91.20 |
Aetna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $95.50 | Professional | None (both parts) | $79.43 | $83.18 | $95.50 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $34.67 | Professional | 26 · Professional part | $28.84 | $28.84 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $54.95 Typical High $61.66 | Professional | TC · Technical part | $48.98 | $54.95 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $102.33 Typical High $112.20 | Facility | None | $87.10 | $102.33 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $91.20 Typical High $186.21 | Professional | None (both parts) | $64.57 | $91.20 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $33.11 Typical High $66.07 | Professional | 26 · Professional part | $22.91 | $33.11 | $66.07 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $58.88 Typical High $120.23 | Professional | TC · Technical part | $41.69 | $58.88 | $120.23 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $114.82 Median $120.23 Typical High $165.96 | Professional | None (both parts) | $114.82 | $120.23 | $165.96 |
Horizon BCBS Setting Facility Modifier None Typical Low $57.54 Median $234.42 Typical High $2,041.74 | Facility | None | $57.54 | $234.42 | $2,041.74 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $97.72 Median $112.20 Typical High $190.55 | Professional | None (both parts) | $97.72 | $112.20 | $190.55 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.02 Typical High $57.54 | Professional | 26 · Professional part | $33.11 | $38.02 | $57.54 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $72.44 Typical High $144.54 | Professional | TC · Technical part | $63.10 | $72.44 | $144.54 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $95.50 Typical High $194.98 | Professional | None (both parts) | $66.07 | $95.50 | $194.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $32.36 Typical High $67.61 | Professional | 26 · Professional part | $25.70 | $32.36 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $61.66 Typical High $128.82 | Professional | TC · Technical part | $39.81 | $61.66 | $128.82 |
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 $39.81 Median $41.69 Typical High $47.86 | Professional | 52 · Reduced service | $39.81 | $41.69 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $16.60 Typical High $19.05 | Professional | 53 · Discontinued | $15.85 | $16.60 | $19.05 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $66.07 Median $66.07 Typical High $75.86 | Professional | FX · Film X-ray | $66.07 | $66.07 | $75.86 |
Where New Jersey sits
The same service costs 4.6 times more in Alaska than in Oregon. 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· 43rd of 51
$97.72
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.