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 $812.83 Median $812.83 Typical High $870.96 | Facility | None | $812.83 | $812.83 | $870.96 |
Aetna Setting Professional Modifier None (both parts) Typical Low $812.83 Median $831.76 Typical High $1,737.80 | Professional | None (both parts) | $812.83 | $831.76 | $1,737.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $478.63 Median $537.03 Typical High $851.14 | Professional | 26 · Professional part | $478.63 | $537.03 | $851.14 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $275.42 Median $295.12 Typical High $870.96 | Professional | TC · Technical part | $275.42 | $295.12 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $954.99 Median $1,148.15 Typical High $2,570.40 | Facility | None | $954.99 | $1,148.15 | $2,570.40 |
Cigna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $1,023.29 Typical High $2,089.30 | Professional | None (both parts) | $741.31 | $1,023.29 | $2,089.30 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $363.08 Median $588.84 Typical High $1,122.02 | Professional | 26 · Professional part | $363.08 | $588.84 | $1,122.02 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $416.87 Typical High $1,000.00 | Professional | TC · Technical part | $316.23 | $416.87 | $1,000.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $1,202.26 Median $1,318.26 Typical High $1,348.96 | Professional | None (both parts) | $1,202.26 | $1,318.26 | $1,348.96 |
Horizon BCBS Setting Facility Modifier None Typical Low $1,548.82 Median $2,570.40 Typical High $3,235.94 | Facility | None | $1,548.82 | $2,570.40 | $3,235.94 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $870.96 Median $1,000.00 Typical High $1,995.26 | Professional | None (both parts) | $870.96 | $1,000.00 | $1,995.26 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $446.68 Median $512.86 Typical High $1,148.15 | Professional | 26 · Professional part | $446.68 | $512.86 | $1,148.15 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $489.78 Typical High $891.25 | Professional | TC · Technical part | $426.58 | $489.78 | $891.25 |
United Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $2,951.21 | Facility | None | $1,348.96 | $1,348.96 | $2,951.21 |
United Setting Professional Modifier None (both parts) Typical Low $660.69 Median $912.01 Typical High $1,862.09 | Professional | None (both parts) | $660.69 | $912.01 | $1,862.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $354.81 Median $524.81 Typical High $954.99 | Professional | 26 · Professional part | $354.81 | $524.81 | $954.99 |
United Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $436.52 Typical High $977.24 | Professional | TC · Technical part | $288.40 | $436.52 | $977.24 |
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 $407.38 Median $407.38 Typical High $478.63 | Professional | 52 · Reduced service | $407.38 | $407.38 | $478.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $162.18 Median $162.18 Typical High $194.98 | Professional | 53 · Discontinued | $162.18 | $162.18 | $194.98 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $575.44 Median $575.44 Typical High $676.08 | Professional | 78 · Unplanned return to OR | $575.44 | $575.44 | $676.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $645.65 Median $645.65 Typical High $691.83 | Professional | FX · Film X-ray | $645.65 | $645.65 | $691.83 |
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· 39th of 51
$955
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.