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 $208.93 Median $208.93 Typical High $257.04 | Facility | None | $208.93 | $208.93 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $281.84 | Professional | None (both parts) | $208.93 | $208.93 | $281.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $46.77 | Professional | 26 · Professional part | $32.36 | $32.36 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $177.83 Typical High $234.42 | Professional | TC · Technical part | $177.83 | $177.83 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,023.29 | Facility | None | $478.63 | $758.58 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $323.59 Typical High $537.03 | Professional | None (both parts) | $186.21 | $323.59 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $44.67 Typical High $74.13 | Professional | 26 · Professional part | $24.55 | $44.67 | $74.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $275.42 Typical High $457.09 | Professional | TC · Technical part | $154.88 | $275.42 | $457.09 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Horizon BCBS Setting Facility Modifier None Typical Low $346.74 Median $1,584.89 Typical High $12,882.50 | Facility | None | $346.74 | $1,584.89 | $12,882.50 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $446.68 Median $16,982.44 Typical High $27,542.29 | Facility | TC · Technical part | $446.68 | $16,982.44 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $263.03 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $263.03 | $302.00 | $575.44 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $83.18 | Professional | 26 · Professional part | $37.15 | $42.66 | $83.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $257.04 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $257.04 | $501.19 |
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 $199.53 Median $288.40 Typical High $549.54 | Professional | None (both parts) | $199.53 | $288.40 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $245.47 Typical High $467.74 | Professional | TC · Technical part | $181.97 | $245.47 | $467.74 |
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 $104.71 Median $104.71 Typical High $128.82 | Professional | 52 · Reduced service | $104.71 | $104.71 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $51.29 | Professional | 53 · Discontinued | $41.69 | $41.69 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $204.17 | Professional | FX · Film X-ray | $169.82 | $169.82 | $204.17 |
Where New Jersey sits
The same service costs 4.6 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· 34th of 51
$282
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.