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 $66.07 Median $66.07 Typical High $100.00 | Facility | None | $66.07 | $66.07 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $66.07 Typical High $100.00 | Professional | None (both parts) | $66.07 | $66.07 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $7.76 Typical High $9.33 | Professional | 26 · Professional part | $7.59 | $7.76 | $9.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $57.54 Typical High $89.13 | Professional | TC · Technical part | $57.54 | $57.54 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $245.47 Typical High $338.84 | Facility | None | $151.36 | $245.47 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $109.65 Typical High $218.78 | Professional | None (both parts) | $52.48 | $109.65 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.13 Median $10.47 Typical High $19.50 | Professional | 26 · Professional part | $5.13 | $10.47 | $19.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $97.72 Typical High $199.53 | Professional | TC · Technical part | $43.65 | $97.72 | $199.53 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | None (both parts) | $102.33 | $102.33 | $102.33 |
Horizon BCBS Setting Facility Modifier None Typical Low $117.49 Median $3,630.78 Typical High $11,748.98 | Facility | None | $117.49 | $3,630.78 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $120.23 Median $16,982.44 Typical High $27,542.29 | Facility | TC · Technical part | $120.23 | $16,982.44 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $72.44 Median $83.18 Typical High $186.21 | Professional | None (both parts) | $72.44 | $83.18 | $186.21 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $17.38 | Professional | 26 · Professional part | $7.59 | $8.71 | $17.38 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $75.86 Typical High $151.36 | Professional | TC · Technical part | $64.57 | $75.86 | $151.36 |
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 $58.88 Median $83.18 Typical High $151.36 | Professional | None (both parts) | $58.88 | $83.18 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $9.33 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $9.33 | $15.85 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $75.86 Typical High $141.25 | Professional | TC · Technical part | $54.95 | $75.86 | $141.25 |
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 $33.11 Median $33.11 Typical High $50.12 | Professional | 52 · Reduced service | $33.11 | $33.11 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $19.95 | Professional | 53 · Discontinued | $13.18 | $13.18 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $79.43 | Professional | FX · Film X-ray | $52.48 | $52.48 | $79.43 |
Where New Jersey sits
The same service costs 8.1 times more in Alabama than in Indiana. 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
$83.18
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.