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 $912.01 Median $912.01 Typical High $1,023.29 | Facility | None | $912.01 | $912.01 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $912.01 Median $912.01 Typical High $1,202.26 | Professional | None (both parts) | $912.01 | $912.01 | $1,202.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $100.00 Typical High $104.71 | Professional | 26 · Professional part | $93.33 | $100.00 | $104.71 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $812.83 Median $812.83 Typical High $1,174.90 | Professional | TC · Technical part | $812.83 | $812.83 | $1,174.90 |
Cigna Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $5,248.07 | Facility | None | $2,398.83 | $2,398.83 | $5,248.07 |
Cigna Setting Professional Modifier None (both parts) Typical Low $851.14 Median $1,148.15 Typical High $2,691.53 | Professional | None (both parts) | $851.14 | $1,148.15 | $2,691.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $117.49 Typical High $234.42 | Professional | 26 · Professional part | $77.62 | $117.49 | $234.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $758.58 Median $1,023.29 Typical High $2,454.71 | Professional | TC · Technical part | $758.58 | $1,023.29 | $2,454.71 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,348.96 Median $1,548.82 Typical High $1,584.89 | Professional | None (both parts) | $1,348.96 | $1,548.82 | $1,584.89 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,230.27 Median $2,041.74 Typical High $2,570.40 | Facility | None | $1,230.27 | $2,041.74 | $2,570.40 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,288.25 Typical High $2,344.23 | Professional | None (both parts) | $1,122.02 | $1,288.25 | $2,344.23 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $109.65 Typical High $213.80 | Professional | 26 · Professional part | $95.50 | $109.65 | $213.80 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,174.90 Typical High $2,137.96 | Professional | TC · Technical part | $1,000.00 | $1,174.90 | $2,137.96 |
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 $741.31 Median $1,096.48 Typical High $2,344.23 | Professional | None (both parts) | $741.31 | $1,096.48 | $2,344.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $109.65 Typical High $199.53 | Professional | 26 · Professional part | $74.13 | $109.65 | $199.53 |
United Setting Professional Modifier TC · Technical part Typical Low $691.83 Median $1,023.29 Typical High $2,137.96 | Professional | TC · Technical part | $691.83 | $1,023.29 | $2,137.96 |
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 $457.09 Median $457.09 Typical High $660.69 | Professional | 52 · Reduced service | $457.09 | $457.09 | $660.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $263.03 | Professional | 53 · Discontinued | $181.97 | $181.97 | $263.03 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $741.31 Median $741.31 Typical High $870.96 | Professional | FX · Film X-ray | $741.31 | $741.31 | $870.96 |
Where New Jersey sits
The same service costs 5.5 times more in Alaska than in Indiana. 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· 34th of 51
$1,122
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.