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 $74.13 Median $74.13 Typical High $100.00 | Facility | None | $74.13 | $74.13 | $100.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $74.13 Typical High $100.00 | Professional | None (both parts) | $70.79 | $74.13 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $9.33 Typical High $11.48 | Professional | 26 · Professional part | $9.12 | $9.33 | $11.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $66.07 Typical High $89.13 | Professional | TC · Technical part | $61.66 | $66.07 | $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 $56.23 Median $112.20 Typical High $204.17 | Professional | None (both parts) | $56.23 | $112.20 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $12.59 Typical High $22.91 | Professional | 26 · Professional part | $6.17 | $12.59 | $22.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $48.98 Median $97.72 Typical High $181.97 | Professional | TC · Technical part | $48.98 | $97.72 | $181.97 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Horizon BCBS Setting Facility Modifier None Typical Low $125.89 Median $1,122.02 Typical High $11,748.98 | Facility | None | $125.89 | $1,122.02 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $16,982.44 Typical High $27,542.29 | Facility | TC · Technical part | $131.83 | $16,982.44 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $74.13 Median $85.11 Typical High $190.55 | Professional | None (both parts) | $74.13 | $85.11 | $190.55 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $20.89 | Professional | 26 · Professional part | $9.33 | $10.72 | $20.89 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $75.86 Typical High $147.91 | Professional | TC · Technical part | $66.07 | $75.86 | $147.91 |
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 $67.61 Median $87.10 Typical High $158.49 | Professional | None (both parts) | $67.61 | $87.10 | $158.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $11.48 Typical High $19.50 | Professional | 26 · Professional part | $8.51 | $11.48 | $19.50 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $141.25 | Professional | TC · Technical part | $57.54 | $77.62 | $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 $36.31 Median $37.15 Typical High $50.12 | Professional | 52 · Reduced service | $36.31 | $37.15 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $15.14 Typical High $19.95 | Professional | 53 · Discontinued | $14.45 | $15.14 | $19.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $60.26 Typical High $79.43 | Professional | FX · Film X-ray | $57.54 | $60.26 | $79.43 |
Where New Jersey sits
The same service costs 7.2 times more in Alabama 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· 40th of 51
$85.11
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.