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 $204.17 Typical High $204.17 | Facility | None | $158.49 | $204.17 | $204.17 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $181.97 Median $181.97 Typical High $338.84 | Facility | TC · Technical part | $181.97 | $181.97 | $338.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $218.78 | Professional | None (both parts) | $158.49 | $158.49 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $28.84 | Professional | 26 · Professional part | $19.50 | $19.50 | $28.84 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $138.04 | $138.04 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $398.11 Median $630.96 Typical High $851.14 | Facility | None | $398.11 | $630.96 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $144.54 Median $251.19 Typical High $426.58 | Professional | None (both parts) | $144.54 | $251.19 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $27.54 Typical High $46.77 | Professional | 26 · Professional part | $15.14 | $27.54 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $213.80 Typical High $371.54 | Professional | TC · Technical part | $125.89 | $213.80 | $371.54 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | None (both parts) | $257.04 | $257.04 | $257.04 |
Horizon BCBS Setting Facility Modifier None Typical Low $275.42 Median $1,445.44 Typical High $11,748.98 | Facility | None | $275.42 | $1,445.44 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $371.54 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $371.54 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $234.42 Typical High $467.74 | Professional | None (both parts) | $204.17 | $234.42 | $467.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $53.70 | Professional | 26 · Professional part | $22.91 | $26.30 | $53.70 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $208.93 Typical High $416.87 | Professional | TC · Technical part | $181.97 | $208.93 | $416.87 |
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 $151.36 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $151.36 | $223.87 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $26.92 Typical High $47.86 | Professional | 26 · Professional part | $20.42 | $26.92 | $47.86 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $204.17 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $204.17 | $380.19 |
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 $77.62 Median $77.62 Typical High $102.33 | Professional | 52 · Reduced service | $77.62 | $77.62 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | 53 · Discontinued | $31.62 | $31.62 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $165.96 | Professional | FX · Film X-ray | $125.89 | $125.89 | $165.96 |
Where New Jersey sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 34th of 51
$214
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.