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 $169.82 Median $169.82 Typical High $177.83 | Facility | None | $169.82 | $169.82 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $169.82 Typical High $177.83 | Professional | None (both parts) | $125.89 | $169.82 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $24.55 Typical High $30.90 | Professional | 26 · Professional part | $23.44 | $24.55 | $30.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $100.00 | $147.91 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $398.11 Typical High $549.54 | Facility | None | $245.47 | $398.11 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $97.72 | $245.47 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $33.11 Typical High $58.88 | Professional | 26 · Professional part | $16.22 | $33.11 | $58.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $204.17 Typical High $323.59 | Professional | TC · Technical part | $79.43 | $204.17 | $323.59 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $181.97 | $181.97 | $181.97 |
Horizon BCBS Setting Facility Modifier None Typical Low $263.03 Median $1,348.96 Typical High $11,748.98 | Facility | None | $263.03 | $1,348.96 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $478.63 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $131.83 Median $151.36 Typical High $436.52 | Professional | None (both parts) | $131.83 | $151.36 | $436.52 |
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 $107.15 Median $123.03 Typical High $380.19 | Professional | TC · Technical part | $107.15 | $123.03 | $380.19 |
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 $120.23 Median $173.78 Typical High $281.84 | Professional | None (both parts) | $120.23 | $173.78 | $281.84 |
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 $97.72 Median $138.04 Typical High $239.88 | Professional | TC · Technical part | $97.72 | $138.04 | $239.88 |
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 $63.10 Median $85.11 Typical High $89.13 | Professional | 52 · Reduced service | $63.10 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $33.88 Typical High $35.48 | Professional | 53 · Discontinued | $25.12 | $33.88 | $35.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $138.04 Typical High $144.54 | Professional | FX · Film X-ray | $100.00 | $138.04 | $144.54 |
Where New Jersey sits
The same service costs 5.2 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· 41st of 51
$170
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.