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 $251.19 Median $275.42 Typical High $275.42 | Facility | None | $251.19 | $275.42 | $275.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $275.42 Typical High $275.42 | Professional | None (both parts) | $223.87 | $275.42 | $275.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $64.57 Typical High $70.79 | Professional | 26 · Professional part | $63.10 | $64.57 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $154.88 | $213.80 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $602.56 Typical High $851.14 | Facility | None | $380.19 | $602.56 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $346.74 Typical High $645.65 | Professional | None (both parts) | $181.97 | $346.74 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $85.11 Typical High $141.25 | Professional | 26 · Professional part | $45.71 | $85.11 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $263.03 Typical High $446.68 | Professional | TC · Technical part | $131.83 | $263.03 | $446.68 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None (both parts) | $309.03 | $309.03 | $309.03 |
Horizon BCBS Setting Facility Modifier None Typical Low $380.19 Median $1,819.70 Typical High $11,748.98 | Facility | None | $380.19 | $1,819.70 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $17,378.01 Typical High $27,542.29 | Facility | TC · Technical part | $489.78 | $17,378.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $588.84 | Professional | None (both parts) | $251.19 | $288.40 | $588.84 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $79.43 | $134.90 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $208.93 Typical High $457.09 | Professional | TC · Technical part | $181.97 | $208.93 | $457.09 |
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 $229.09 Median $295.12 Typical High $512.86 | Professional | None (both parts) | $229.09 | $295.12 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $81.28 Typical High $141.25 | Professional | 26 · Professional part | $61.66 | $81.28 | $141.25 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $213.80 Typical High $380.19 | Professional | TC · Technical part | $154.88 | $213.80 | $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 $112.20 Median $138.04 Typical High $138.04 | Professional | 52 · Reduced service | $112.20 | $138.04 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $54.95 Typical High $54.95 | Professional | 53 · Discontinued | $44.67 | $54.95 | $54.95 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $218.78 Typical High $218.78 | Professional | FX · Film X-ray | $186.21 | $218.78 | $218.78 |
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· 37th of 51
$288
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.