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 $91.20 Median $123.03 Typical High $123.03 | Facility | None | $91.20 | $123.03 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $123.03 Typical High $125.89 | Professional | None (both parts) | $89.13 | $123.03 | $125.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $83.18 | Professional | 26 · Professional part | $54.95 | $54.95 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $52.48 Typical High $69.18 | Professional | TC · Technical part | $24.55 | $52.48 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $93.33 Typical High $125.89 | Facility | None | $72.44 | $93.33 | $125.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $109.65 Typical High $251.19 | Professional | None (both parts) | $61.66 | $109.65 | $251.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $72.44 Typical High $134.90 | Professional | 26 · Professional part | $42.66 | $72.44 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $31.62 Typical High $93.33 | Professional | TC · Technical part | $18.62 | $31.62 | $93.33 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $134.90 Typical High $144.54 | Professional | None (both parts) | $102.33 | $134.90 | $144.54 |
Horizon BCBS Setting Facility Modifier None Typical Low $30.90 Median $245.47 Typical High $9,772.37 | Facility | None | $30.90 | $245.47 | $9,772.37 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $91.20 Median $104.71 Typical High $281.84 | Professional | None (both parts) | $91.20 | $104.71 | $281.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $75.86 | $165.96 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $30.20 Typical High $93.33 | Professional | TC · Technical part | $26.30 | $30.20 | $93.33 |
United Setting Professional Modifier None (both parts) Typical Low $70.79 Median $93.33 Typical High $186.21 | Professional | None (both parts) | $70.79 | $93.33 | $186.21 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $48.98 | $64.57 | $131.83 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $26.92 Typical High $67.61 | Professional | TC · Technical part | $21.38 | $26.92 | $67.61 |
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 $40.74 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $40.74 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $16.22 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $72.44 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $72.44 | $100.00 | $100.00 |
Where New Jersey sits
The same service costs 5.2 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· 38th of 51
$105
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.