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 $33.11 Median $33.11 Typical High $38.02 | Facility | None | $33.11 | $33.11 | $38.02 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $13.80 Median $13.80 Typical High $57.54 | Facility | TC · Technical part | $13.80 | $13.80 | $57.54 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.11 Median $38.02 Typical High $79.43 | Professional | None (both parts) | $33.11 | $38.02 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.60 Typical High $30.90 | Professional | 26 · Professional part | $14.79 | $16.60 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $22.91 Typical High $48.98 | Professional | TC · Technical part | $13.80 | $22.91 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $169.82 Typical High $234.42 | Facility | None | $128.82 | $169.82 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $53.70 Median $67.61 Typical High $147.91 | Professional | None (both parts) | $53.70 | $67.61 | $147.91 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $25.12 Typical High $64.57 | Professional | 26 · Professional part | $20.89 | $25.12 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $39.81 Typical High $85.11 | Professional | TC · Technical part | $30.20 | $39.81 | $85.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $87.10 Median $117.49 Typical High $125.89 | Professional | None (both parts) | $87.10 | $117.49 | $125.89 |
Horizon BCBS Setting Facility Modifier None Typical Low $38.90 Median $53.70 Typical High $2,454.71 | Facility | None | $38.90 | $53.70 | $2,454.71 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $77.62 Median $89.13 Typical High $131.83 | Professional | None (both parts) | $77.62 | $89.13 | $131.83 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $36.31 Typical High $54.95 | Professional | 26 · Professional part | $30.90 | $36.31 | $54.95 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $51.29 Typical High $79.43 | Professional | TC · Technical part | $43.65 | $51.29 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $53.70 Median $72.44 Typical High $154.88 | Professional | None (both parts) | $53.70 | $72.44 | $154.88 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $30.20 Typical High $64.57 | Professional | 26 · Professional part | $20.42 | $30.20 | $64.57 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $43.65 Typical High $91.20 | Professional | TC · Technical part | $30.90 | $43.65 | $91.20 |
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 $16.60 Median $19.05 Typical High $38.02 | Professional | 52 · Reduced service | $16.60 | $19.05 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.59 Typical High $15.14 | Professional | 53 · Discontinued | $6.61 | $7.59 | $15.14 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.92 Median $30.20 Typical High $53.70 | Professional | FX · Film X-ray | $26.92 | $30.20 | $53.70 |
Where New Jersey sits
The same service costs 5.9 times more in Alaska than in Texas. 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· 32nd of 51
$77.62
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.