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 $218.78 Median $218.78 Typical High $234.42 | Facility | None | $218.78 | $218.78 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $218.78 Typical High $251.19 | Professional | None (both parts) | $208.93 | $218.78 | $251.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | 26 · Professional part | $38.90 | $38.90 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $181.97 Typical High $194.98 | Professional | TC · Technical part | $165.96 | $181.97 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $645.65 Typical High $870.96 | Facility | None | $407.38 | $645.65 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $323.59 Typical High $512.86 | Professional | None (both parts) | $165.96 | $323.59 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $28.84 | $52.48 | $87.10 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $263.03 Typical High $426.58 | Professional | TC · Technical part | $134.90 | $263.03 | $426.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $288.40 Median $288.40 Typical High $288.40 | Professional | None (both parts) | $288.40 | $288.40 | $288.40 |
Horizon BCBS Setting Facility Modifier None Typical Low $346.74 Median $1,819.70 Typical High $12,882.50 | Facility | None | $346.74 | $1,819.70 | $12,882.50 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $478.63 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $457.09 | Professional | None (both parts) | $234.42 | $269.15 | $457.09 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $85.11 | Professional | 26 · Professional part | $43.65 | $50.12 | $85.11 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $190.55 | $218.78 | $371.54 |
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 $169.82 Median $257.04 Typical High $489.78 | Professional | None (both parts) | $169.82 | $257.04 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $51.29 Typical High $89.13 | Professional | 26 · Professional part | $37.15 | $51.29 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $398.11 | Professional | TC · Technical part | $154.88 | $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 $104.71 Median $109.65 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $109.65 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $43.65 Typical High $50.12 | Professional | 53 · Discontinued | $42.66 | $43.65 | $50.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $177.83 Typical High $190.55 | Professional | FX · Film X-ray | $169.82 | $177.83 | $190.55 |
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· 35th of 51
$263
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.