How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $263.03 Median $295.12 Typical High $295.12 | Facility | None | $263.03 | $295.12 | $295.12 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $575.44 | Facility | TC · Technical part | $263.03 | $263.03 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $263.03 Typical High $309.03 | Professional | None (both parts) | $257.04 | $263.03 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $34.67 | Professional | 26 · Professional part | $30.90 | $33.11 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $229.09 Typical High $275.42 | Professional | TC · Technical part | $223.87 | $229.09 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $870.96 Typical High $1,230.27 | Facility | None | $549.54 | $870.96 | $1,230.27 |
Cigna Setting Professional Modifier None (both parts) Typical Low $194.98 Median $354.81 Typical High $616.60 | Professional | None (both parts) | $194.98 | $354.81 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $41.69 Typical High $70.79 | Professional | 26 · Professional part | $21.38 | $41.69 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $309.03 Typical High $549.54 | Professional | TC · Technical part | $154.88 | $309.03 | $549.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | None (both parts) | $363.08 | $363.08 | $363.08 |
Horizon BCBS Setting Facility Modifier None Typical Low $457.09 Median $1,513.56 Typical High $12,882.50 | Facility | None | $457.09 | $1,513.56 | $12,882.50 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $562.34 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $295.12 Median $338.84 Typical High $676.08 | Professional | None (both parts) | $295.12 | $338.84 | $676.08 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $75.86 | Professional | 26 · Professional part | $32.36 | $37.15 | $75.86 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $302.00 Typical High $602.56 | Professional | TC · Technical part | $257.04 | $302.00 | $602.56 |
United Setting Facility Modifier None Typical Low $776.25 Median $776.25 Typical High $1,659.59 | Facility | None | $776.25 | $776.25 | $1,659.59 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $229.09 | $323.59 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $39.81 Typical High $67.61 | Professional | 26 · Professional part | $29.51 | $39.81 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $295.12 Typical High $549.54 | Professional | TC · Technical part | $218.78 | $295.12 | $549.54 |
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 $128.82 Median $131.83 Typical High $154.88 | Professional | 52 · Reduced service | $128.82 | $131.83 | $154.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $52.48 Typical High $61.66 | Professional | 53 · Discontinued | $51.29 | $52.48 | $61.66 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $213.80 Typical High $234.42 | Professional | FX · Film X-ray | $213.80 | $213.80 | $234.42 |
Where New Jersey sits
The same service costs 4.6 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· 36th of 51
$309
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.