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 $125.89 Median $125.89 Typical High $141.25 | Facility | None | $125.89 | $125.89 | $141.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $141.25 | Professional | None (both parts) | $112.20 | $125.89 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $25.12 Typical High $30.90 | Professional | 26 · Professional part | $23.44 | $25.12 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $102.33 Typical High $112.20 | Professional | TC · Technical part | $87.10 | $102.33 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $338.84 Typical High $467.74 | Facility | None | $208.93 | $338.84 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $199.53 Typical High $295.12 | Professional | None (both parts) | $87.10 | $199.53 | $295.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $32.36 Typical High $60.26 | Professional | 26 · Professional part | $16.22 | $32.36 | $60.26 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $158.49 Typical High $239.88 | Professional | TC · Technical part | $69.18 | $158.49 | $239.88 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
Horizon BCBS Setting Facility Modifier None Typical Low $186.21 Median $1,230.27 Typical High $11,748.98 | Facility | None | $186.21 | $1,230.27 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $194.98 Median $16,982.44 Typical High $27,542.29 | Facility | TC · Technical part | $194.98 | $16,982.44 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $114.82 Median $131.83 Typical High $288.40 | Professional | None (both parts) | $114.82 | $131.83 | $288.40 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $56.23 | Professional | 26 · Professional part | $24.55 | $28.18 | $56.23 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $104.71 Typical High $229.09 | Professional | TC · Technical part | $91.20 | $104.71 | $229.09 |
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 $107.15 Median $147.91 Typical High $245.47 | Professional | None (both parts) | $107.15 | $147.91 | $245.47 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $29.51 Typical High $50.12 | Professional | 26 · Professional part | $22.39 | $29.51 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $112.20 Typical High $194.98 | Professional | TC · Technical part | $83.18 | $112.20 | $194.98 |
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 $54.95 Median $63.10 Typical High $70.79 | Professional | 52 · Reduced service | $54.95 | $63.10 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.12 Typical High $28.18 | Professional | 53 · Discontinued | $22.39 | $25.12 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $102.33 Typical High $114.82 | Professional | FX · Film X-ray | $89.13 | $102.33 | $114.82 |
Where New Jersey sits
The same service costs 4.6 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· 44th of 51
$132
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.