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 $102.33 Median $102.33 Typical High $131.83 | Facility | None | $102.33 | $102.33 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $131.83 | Professional | None (both parts) | $102.33 | $102.33 | $131.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $52.48 Typical High $69.18 | Professional | 26 · Professional part | $52.48 | $52.48 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $50.12 Median $50.12 Typical High $63.10 | Professional | TC · Technical part | $50.12 | $50.12 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $181.97 Typical High $199.53 | Facility | None | $120.23 | $181.97 | $199.53 |
Cigna Setting Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $190.55 | Professional | None (both parts) | $79.43 | $83.18 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $100.00 | Professional | 26 · Professional part | $41.69 | $42.66 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $39.81 Typical High $91.20 | Professional | TC · Technical part | $38.02 | $39.81 | $91.20 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $213.80 | Professional | None (both parts) | $151.36 | $158.49 | $213.80 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $87.10 Typical High $95.50 | Professional | 26 · Professional part | $69.18 | $87.10 | $95.50 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $117.49 | Professional | TC · Technical part | $72.44 | $72.44 | $117.49 |
Horizon BCBS Setting Facility Modifier None Typical Low $61.66 Median $131.83 Typical High $4,897.79 | Facility | None | $61.66 | $131.83 | $4,897.79 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $181.97 | Professional | None (both parts) | $131.83 | $151.36 | $181.97 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $74.13 Typical High $91.20 | Professional | 26 · Professional part | $64.57 | $74.13 | $91.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $91.20 | Professional | TC · Technical part | $66.07 | $75.86 | $91.20 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $102.33 Typical High $186.21 | Professional | None (both parts) | $89.13 | $102.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $93.33 | Professional | 26 · Professional part | $46.77 | $53.70 | $93.33 |
United Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $51.29 Typical High $93.33 | Professional | TC · Technical part | $39.81 | $51.29 | $93.33 |
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 $51.29 Median $51.29 Typical High $66.07 | Professional | 52 · Reduced service | $51.29 | $51.29 | $66.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $26.30 | Professional | 53 · Discontinued | $20.42 | $20.42 | $26.30 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | FX · Film X-ray | $81.28 | $81.28 | $104.71 |
Where New Jersey sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 40th of 51
$123
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.