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 $194.98 Median $194.98 Typical High $204.17 | Facility | None | $194.98 | $194.98 | $204.17 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $194.98 Typical High $223.87 | Professional | None (both parts) | $181.97 | $194.98 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $34.67 Typical High $38.90 | Professional | 26 · Professional part | $33.88 | $34.67 | $38.90 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $158.49 Typical High $173.78 | Professional | TC · Technical part | $147.91 | $158.49 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $575.44 Typical High $776.25 | Facility | None | $363.08 | $575.44 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $269.15 Typical High $436.52 | Professional | None (both parts) | $147.91 | $269.15 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $25.12 | $45.71 | $75.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $213.80 Typical High $354.81 | Professional | TC · Technical part | $120.23 | $213.80 | $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 $309.03 Median $1,737.80 Typical High $11,748.98 | Facility | None | $309.03 | $1,737.80 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $416.87 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $416.87 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $398.11 | Professional | None (both parts) | $199.53 | $234.42 | $398.11 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $74.13 | Professional | 26 · Professional part | $37.15 | $42.66 | $74.13 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $190.55 Typical High $323.59 | Professional | TC · Technical part | $165.96 | $190.55 | $323.59 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $2,290.87 | Facility | None | $1,047.13 | $1,047.13 | $2,290.87 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $229.09 Typical High $416.87 | Professional | None (both parts) | $165.96 | $229.09 | $416.87 |
United Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $43.65 Typical High $77.62 | Professional | 26 · Professional part | $33.11 | $43.65 | $77.62 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $190.55 Typical High $338.84 | Professional | TC · Technical part | $141.25 | $190.55 | $338.84 |
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 $95.50 Typical High $112.20 | Professional | 52 · Reduced service | $93.33 | $95.50 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $38.90 Typical High $44.67 | Professional | 53 · Discontinued | $37.15 | $38.90 | $44.67 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $154.88 Typical High $165.96 | Professional | FX · Film X-ray | $151.36 | $154.88 | $165.96 |
Where New Jersey sits
The same service costs 4.7 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
$224
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.