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 $204.17 Median $204.17 Typical High $257.04 | Facility | None | $204.17 | $204.17 | $257.04 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $257.04 | Professional | None (both parts) | $204.17 | $204.17 | $257.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $32.36 | Professional | 26 · Professional part | $26.92 | $26.92 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $173.78 Typical High $223.87 | Professional | TC · Technical part | $173.78 | $173.78 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $478.63 Median $758.58 Typical High $1,023.29 | Facility | None | $478.63 | $758.58 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $316.23 Typical High $524.81 | Professional | None (both parts) | $186.21 | $316.23 | $524.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $38.02 Typical High $64.57 | Professional | 26 · Professional part | $21.88 | $38.02 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $467.74 | Professional | TC · Technical part | $158.49 | $275.42 | $467.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $239.88 Median $1,513.56 Typical High $13,182.57 | Facility | None | $239.88 | $1,513.56 | $13,182.57 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $1,659.59 Median $16,982.44 Typical High $27,542.29 | Facility | TC · Technical part | $1,659.59 | $16,982.44 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $251.19 | $288.40 | $588.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $32.36 | $37.15 | $70.79 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $512.86 | Professional | TC · Technical part | $218.78 | $251.19 | $512.86 |
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 $190.55 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $190.55 | $275.42 | $524.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $38.02 Typical High $66.07 | Professional | 26 · Professional part | $28.18 | $38.02 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $251.19 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $251.19 | $457.09 |
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 $102.33 Median $102.33 Typical High $128.82 | Professional | 52 · Reduced service | $102.33 | $102.33 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $51.29 | Professional | 53 · Discontinued | $40.74 | $40.74 | $51.29 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $204.17 | Professional | FX · Film X-ray | $162.18 | $162.18 | $204.17 |
Where New Jersey sits
The same service costs 4.2 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
$275
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.