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 $346.74 Median $346.74 Typical High $446.68 | Facility | None | $346.74 | $346.74 | $446.68 |
Aetna Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $446.68 | Professional | None (both parts) | $346.74 | $346.74 | $446.68 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $34.67 | Professional | 26 · Professional part | $30.20 | $30.20 | $34.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $416.87 | Professional | TC · Technical part | $316.23 | $316.23 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $912.01 Median $1,445.44 Typical High $1,995.26 | Facility | None | $912.01 | $1,445.44 | $1,995.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $549.54 Typical High $977.24 | Professional | None (both parts) | $288.40 | $549.54 | $977.24 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $41.69 Typical High $72.44 | Professional | 26 · Professional part | $23.44 | $41.69 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $501.19 Typical High $891.25 | Professional | TC · Technical part | $257.04 | $501.19 | $891.25 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $562.34 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $562.34 | $562.34 | $562.34 |
Horizon BCBS Setting Facility Modifier None Typical Low $645.65 Median $4,168.69 Typical High $11,748.98 | Facility | None | $645.65 | $4,168.69 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $870.96 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $870.96 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $478.63 Median $549.54 Typical High $1,023.29 | Professional | None (both parts) | $478.63 | $549.54 | $1,023.29 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $35.48 | $40.74 | $77.62 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $426.58 Median $501.19 Typical High $954.99 | Professional | TC · Technical part | $426.58 | $501.19 | $954.99 |
United Setting Facility Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $5,370.32 | Facility | None | $2,511.89 | $2,511.89 | $5,370.32 |
United Setting Professional Modifier None (both parts) Typical Low $331.13 Median $512.86 Typical High $977.24 | Professional | None (both parts) | $331.13 | $512.86 | $977.24 |
United Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $31.62 | $41.69 | $74.13 |
United Setting Professional Modifier TC · Technical part Typical Low $338.84 Median $478.63 Typical High $912.01 | Professional | TC · Technical part | $338.84 | $478.63 | $912.01 |
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 $173.78 Median $173.78 Typical High $223.87 | Professional | 52 · Reduced service | $173.78 | $173.78 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $89.13 | Professional | 53 · Discontinued | $69.18 | $69.18 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $363.08 | Professional | FX · Film X-ray | $281.84 | $281.84 | $363.08 |
Where New Jersey sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 31st of 51
$490
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.