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 $158.49 Median $158.49 Typical High $223.87 | Facility | None | $158.49 | $158.49 | $223.87 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $223.87 | Professional | None (both parts) | $158.49 | $158.49 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.22 Typical High $19.50 | Professional | 26 · Professional part | $15.49 | $16.22 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $204.17 | Professional | TC · Technical part | $144.54 | $144.54 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $549.54 Typical High $758.58 | Facility | None | $346.74 | $549.54 | $758.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $239.88 Typical High $457.09 | Professional | None (both parts) | $123.03 | $239.88 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.72 Median $21.38 Typical High $38.90 | Professional | 26 · Professional part | $10.72 | $21.38 | $38.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $218.78 Typical High $426.58 | Professional | TC · Technical part | $104.71 | $218.78 | $426.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Horizon BCBS Setting Facility Modifier None Typical Low $288.40 Median $1,348.96 Typical High $11,748.98 | Facility | None | $288.40 | $1,348.96 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $562.34 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $501.19 | Professional | None (both parts) | $181.97 | $208.93 | $501.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $18.62 Typical High $43.65 | Professional | 26 · Professional part | $15.85 | $18.62 | $43.65 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $190.55 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $190.55 | $467.74 |
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 $138.04 Median $204.17 Typical High $371.54 | Professional | None (both parts) | $138.04 | $204.17 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $19.50 Typical High $33.11 | Professional | 26 · Professional part | $14.79 | $19.50 | $33.11 |
United Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $134.90 | $190.55 | $338.84 |
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 $79.43 Median $79.43 Typical High $112.20 | Professional | 52 · Reduced service | $79.43 | $79.43 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | 53 · Discontinued | $31.62 | $31.62 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $128.82 Median $128.82 Typical High $177.83 | Professional | FX · Film X-ray | $128.82 | $128.82 | $177.83 |
Where New Jersey sits
The same service costs 4.5 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· 33rd of 51
$204
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.