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 $141.25 Median $141.25 Typical High $181.97 | Facility | None | $141.25 | $141.25 | $181.97 |
Aetna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $141.25 Typical High $204.17 | Professional | None (both parts) | $141.25 | $141.25 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $23.99 | Professional | 26 · Professional part | $19.50 | $19.50 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $177.83 | Professional | TC · Technical part | $120.23 | $120.23 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $588.84 Typical High $870.96 | Facility | None | $407.38 | $588.84 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $131.83 | $234.42 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.22 Median $26.92 Typical High $46.77 | Professional | 26 · Professional part | $16.22 | $26.92 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $208.93 Typical High $346.74 | Professional | TC · Technical part | $97.72 | $208.93 | $346.74 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $239.88 Median $1,348.96 Typical High $11,748.98 | Facility | None | $239.88 | $1,348.96 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $269.15 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $269.15 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $204.17 Median $239.88 Typical High $407.38 | Professional | None (both parts) | $204.17 | $239.88 | $407.38 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.18 Typical High $48.98 | Professional | 26 · Professional part | $24.55 | $28.18 | $48.98 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $363.08 | Professional | TC · Technical part | $177.83 | $208.93 | $363.08 |
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 $141.25 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $141.25 | $223.87 | $426.58 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $28.84 Typical High $50.12 | Professional | 26 · Professional part | $20.89 | $28.84 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $199.53 Typical High $380.19 | Professional | TC · Technical part | $138.04 | $199.53 | $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 $69.18 Median $69.18 Typical High $102.33 | Professional | 52 · Reduced service | $69.18 | $69.18 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $40.74 | Professional | 53 · Discontinued | $28.18 | $28.18 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $162.18 | Professional | FX · Film X-ray | $112.20 | $112.20 | $162.18 |
Where New Jersey sits
The same service costs 5.5 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· 32nd 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.