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 $354.81 Median $354.81 Typical High $389.05 | Facility | None | $354.81 | $354.81 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $436.52 | Professional | None (both parts) | $354.81 | $354.81 | $436.52 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $181.97 Median $181.97 Typical High $218.78 | Professional | 26 · Professional part | $181.97 | $181.97 | $218.78 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $251.19 | Professional | TC · Technical part | $169.82 | $169.82 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $549.54 Typical High $1,202.26 | Facility | None | $501.19 | $549.54 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $1,000.00 | Professional | None (both parts) | $346.74 | $457.09 | $1,000.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $218.78 Typical High $489.78 | Professional | 26 · Professional part | $162.18 | $218.78 | $489.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $218.78 Typical High $524.81 | Professional | TC · Technical part | $177.83 | $218.78 | $524.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $549.54 Median $602.56 Typical High $616.60 | Professional | None (both parts) | $549.54 | $602.56 | $616.60 |
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 $407.38 Median $467.74 Typical High $912.01 | Professional | None (both parts) | $407.38 | $467.74 | $912.01 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $199.53 Median $229.09 Typical High $426.58 | Professional | 26 · Professional part | $199.53 | $229.09 | $426.58 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $239.88 Typical High $478.63 | Professional | TC · Technical part | $208.93 | $239.88 | $478.63 |
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 $281.84 Median $416.87 Typical High $870.96 | Professional | None (both parts) | $281.84 | $416.87 | $870.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $151.36 Median $218.78 Typical High $407.38 | Professional | 26 · Professional part | $151.36 | $218.78 | $407.38 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $218.78 | $467.74 |
4 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 $177.83 Median $177.83 Typical High $229.09 | Professional | 52 · Reduced service | $177.83 | $177.83 | $229.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $91.20 | Professional | 53 · Discontinued | $70.79 | $70.79 | $91.20 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $245.47 Typical High $316.23 | Professional | 78 · Unplanned return to OR | $245.47 | $245.47 | $316.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | FX · Film X-ray | $281.84 | $281.84 | $331.13 |
Where New Jersey sits
The same service costs 5.6 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· 42nd of 51
$407
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.