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 $186.21 Median $194.98 Typical High $194.98 | Facility | None | $186.21 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $194.98 Typical High $204.17 | Professional | None (both parts) | $165.96 | $194.98 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $42.66 Typical High $46.77 | Professional | 26 · Professional part | $41.69 | $42.66 | $46.77 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $120.23 | $154.88 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $467.74 Typical High $645.65 | Facility | None | $295.12 | $467.74 | $645.65 |
Cigna Setting Professional Modifier None (both parts) Typical Low $131.83 Median $251.19 Typical High $457.09 | Professional | None (both parts) | $131.83 | $251.19 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $56.23 Typical High $93.33 | Professional | 26 · Professional part | $30.90 | $56.23 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $190.55 Typical High $331.13 | Professional | TC · Technical part | $100.00 | $190.55 | $331.13 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $229.09 | $229.09 | $229.09 |
Horizon BCBS Setting Facility Modifier None Typical Low $281.84 Median $1,995.26 Typical High $11,748.98 | Facility | None | $281.84 | $1,995.26 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $562.34 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $562.34 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $208.93 Typical High $407.38 | Professional | None (both parts) | $181.97 | $208.93 | $407.38 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $53.70 | $89.13 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $158.49 Typical High $316.23 | Professional | TC · Technical part | $138.04 | $158.49 | $316.23 |
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 $218.78 Typical High $380.19 | Professional | None (both parts) | $169.82 | $218.78 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $54.95 Typical High $95.50 | Professional | 26 · Professional part | $40.74 | $54.95 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $281.84 | Professional | TC · Technical part | $117.49 | $158.49 | $281.84 |
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 $83.18 Median $97.72 Typical High $102.33 | Professional | 52 · Reduced service | $83.18 | $97.72 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $38.90 Typical High $40.74 | Professional | 53 · Discontinued | $33.11 | $38.90 | $40.74 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $138.04 | $154.88 | $154.88 |
Where New Jersey sits
The same service costs 4.8 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· 39th of 51
$209
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.