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 $186.21 Median $186.21 Typical High $234.42 | Facility | None | $186.21 | $186.21 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $239.88 | Professional | None (both parts) | $186.21 | $186.21 | $239.88 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $30.20 Typical High $36.31 | Professional | 26 · Professional part | $30.20 | $30.20 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $199.53 | Professional | TC · Technical part | $154.88 | $154.88 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $891.25 | Facility | None | $407.38 | $645.65 | $891.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $269.15 Typical High $489.78 | Professional | None (both parts) | $154.88 | $269.15 | $489.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $40.74 Typical High $72.44 | Professional | 26 · Professional part | $21.88 | $40.74 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $125.89 | $229.09 | $416.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
Horizon BCBS Setting Facility Modifier None Typical Low $316.23 Median $1,479.11 Typical High $12,022.64 | Facility | None | $316.23 | $1,479.11 | $12,022.64 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $398.11 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $398.11 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $229.09 | $263.03 | $524.81 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $38.90 | $79.43 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $223.87 Typical High $446.68 | Professional | TC · Technical part | $190.55 | $223.87 | $446.68 |
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 $173.78 Median $245.47 Typical High $467.74 | Professional | None (both parts) | $173.78 | $245.47 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $29.51 | $38.90 | $70.79 |
United Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $218.78 Typical High $398.11 | Professional | TC · Technical part | $158.49 | $218.78 | $398.11 |
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 $93.33 Median $93.33 Typical High $117.49 | Professional | 52 · Reduced service | $93.33 | $93.33 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $46.77 | Professional | 53 · Discontinued | $37.15 | $37.15 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | FX · Film X-ray | $147.91 | $147.91 | $186.21 |
Where New Jersey sits
The same service costs 4.6 times more in Alaska 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· 34th of 51
$240
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.