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 $478.63 Median $478.63 Typical High $512.86 | Facility | None | $478.63 | $478.63 | $512.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $478.63 Median $478.63 Typical High $588.84 | Professional | None (both parts) | $478.63 | $478.63 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $275.42 Median $275.42 Typical High $323.59 | Professional | 26 · Professional part | $275.42 | $275.42 | $323.59 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $288.40 | Professional | TC · Technical part | $204.17 | $204.17 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $630.96 Typical High $1,412.54 | Facility | None | $575.44 | $630.96 | $1,412.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $446.68 Median $616.60 Typical High $1,348.96 | Professional | None (both parts) | $446.68 | $616.60 | $1,348.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $239.88 Median $338.84 Typical High $741.31 | Professional | 26 · Professional part | $239.88 | $338.84 | $741.31 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $257.04 Typical High $602.56 | Professional | TC · Technical part | $208.93 | $257.04 | $602.56 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $724.44 Median $794.33 Typical High $812.83 | Professional | None (both parts) | $724.44 | $794.33 | $812.83 |
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 $537.03 Median $616.60 Typical High $1,202.26 | Professional | None (both parts) | $537.03 | $616.60 | $1,202.26 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $295.12 Median $338.84 Typical High $630.96 | Professional | 26 · Professional part | $295.12 | $338.84 | $630.96 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $275.42 Typical High $549.54 | Professional | TC · Technical part | $239.88 | $275.42 | $549.54 |
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 $389.05 Median $549.54 Typical High $1,148.15 | Professional | None (both parts) | $389.05 | $549.54 | $1,148.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $223.87 Median $331.13 Typical High $616.60 | Professional | 26 · Professional part | $223.87 | $331.13 | $616.60 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $537.03 | Professional | TC · Technical part | $181.97 | $251.19 | $537.03 |
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 $239.88 Median $239.88 Typical High $295.12 | Professional | 52 · Reduced service | $239.88 | $239.88 | $295.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $95.50 Median $95.50 Typical High $117.49 | Professional | 53 · Discontinued | $95.50 | $95.50 | $117.49 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $338.84 Median $338.84 Typical High $416.87 | Professional | 78 · Unplanned return to OR | $338.84 | $338.84 | $416.87 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $380.19 Median $380.19 Typical High $416.87 | Professional | FX · Film X-ray | $380.19 | $380.19 | $416.87 |
Where New Jersey sits
The same service costs 5.6 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· 39th of 51
$550
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.