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 $645.65 Median $645.65 Typical High $1,023.29 | Facility | None | $645.65 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $645.65 Median $645.65 Typical High $1,023.29 | Professional | None (both parts) | $645.65 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $67.61 | $72.44 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $575.44 Median $575.44 Typical High $954.99 | Professional | TC · Technical part | $575.44 | $575.44 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,513.56 Typical High $3,311.31 | Facility | None | $1,513.56 | $1,513.56 | $3,311.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $549.54 Median $794.33 Typical High $2,041.74 | Professional | None (both parts) | $549.54 | $794.33 | $2,041.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $85.11 Typical High $169.82 | Professional | 26 · Professional part | $54.95 | $85.11 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $489.78 Median $724.44 Typical High $1,905.46 | Professional | TC · Technical part | $489.78 | $724.44 | $1,905.46 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $870.96 Median $977.24 Typical High $1,000.00 | Professional | None (both parts) | $870.96 | $977.24 | $1,000.00 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $1,862.09 Typical High $2,570.40 | Facility | None | $1,230.27 | $1,862.09 | $2,570.40 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $707.95 Median $812.83 Typical High $2,041.74 | Professional | None (both parts) | $707.95 | $812.83 | $2,041.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $77.62 Typical High $154.88 | Professional | 26 · Professional part | $67.61 | $77.62 | $154.88 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $630.96 Median $741.31 Typical High $1,905.46 | Professional | TC · Technical part | $630.96 | $741.31 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $2,290.87 | Facility | None | $1,071.52 | $1,071.52 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $489.78 Median $724.44 Typical High $1,479.11 | Professional | None (both parts) | $489.78 | $724.44 | $1,479.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $77.62 Typical High $141.25 | Professional | 26 · Professional part | $52.48 | $77.62 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $467.74 Median $676.08 Typical High $1,348.96 | Professional | TC · Technical part | $467.74 | $676.08 | $1,348.96 |
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 $323.59 Median $323.59 Typical High $512.86 | Professional | 52 · Reduced service | $323.59 | $323.59 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $128.82 Median $128.82 Typical High $208.93 | Professional | 53 · Discontinued | $128.82 | $128.82 | $208.93 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $512.86 Median $512.86 Typical High $831.76 | Professional | FX · Film X-ray | $512.86 | $512.86 | $831.76 |
Where New Jersey sits
The same service costs 5.1 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· 30th of 51
$794
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.