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 $177.83 Typical High $177.83 | Facility | None | $169.82 | $177.83 | $177.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $177.83 Typical High $199.53 | Professional | None (both parts) | $169.82 | $177.83 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $41.69 | Professional | 26 · Professional part | $36.31 | $36.31 | $41.69 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $141.25 Typical High $158.49 | Professional | TC · Technical part | $131.83 | $141.25 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $588.84 Typical High $794.33 | Facility | None | $371.54 | $588.84 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $275.42 Typical High $436.52 | Professional | None (both parts) | $154.88 | $275.42 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $28.84 | $50.12 | $89.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $123.03 | $218.78 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $263.03 | $263.03 | $263.03 |
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 $389.05 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $389.05 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $213.80 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $213.80 | $245.47 | $398.11 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $83.18 | Professional | 26 · Professional part | $43.65 | $50.12 | $83.18 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $194.98 | $302.00 |
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 $177.83 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $177.83 | $234.42 | $446.68 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $51.29 Typical High $91.20 | Professional | 26 · Professional part | $38.02 | $51.29 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $194.98 | $354.81 |
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 $85.11 Median $89.13 Typical High $100.00 | Professional | 52 · Reduced service | $85.11 | $89.13 | $100.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.88 Median $35.48 Typical High $39.81 | Professional | 53 · Discontinued | $33.88 | $35.48 | $39.81 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $141.25 Typical High $158.49 | Professional | FX · Film X-ray | $134.90 | $141.25 | $158.49 |
Where New Jersey sits
The same service costs 5.0 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· 35th of 51
$234
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.