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 $239.88 Median $245.47 Typical High $245.47 | Facility | None | $239.88 | $245.47 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $218.78 Median $245.47 Typical High $269.15 | Professional | None (both parts) | $218.78 | $245.47 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $61.66 | Professional | 26 · Professional part | $50.12 | $50.12 | $61.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $194.98 Typical High $213.80 | Professional | TC · Technical part | $162.18 | $194.98 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $616.60 Typical High $851.14 | Facility | None | $389.05 | $616.60 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $331.13 Typical High $537.03 | Professional | None (both parts) | $169.82 | $331.13 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $67.61 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $67.61 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $257.04 Typical High $416.87 | Professional | TC · Technical part | $131.83 | $257.04 | $416.87 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
Horizon BCBS Setting Facility Modifier None Typical Low $363.08 Median $1,479.11 Typical High $12,882.50 | Facility | None | $363.08 | $1,479.11 | $12,882.50 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $18,197.01 Typical High $27,542.29 | Facility | TC · Technical part | $489.78 | $18,197.01 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $512.86 | Professional | None (both parts) | $234.42 | $269.15 | $512.86 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $109.65 | Professional | 26 · Professional part | $56.23 | $64.57 | $109.65 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $208.93 Typical High $426.58 | Professional | TC · Technical part | $177.83 | $208.93 | $426.58 |
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 $218.78 Median $281.84 Typical High $489.78 | Professional | None (both parts) | $218.78 | $281.84 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $66.07 Typical High $114.82 | Professional | 26 · Professional part | $50.12 | $66.07 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $208.93 Typical High $371.54 | Professional | TC · Technical part | $154.88 | $208.93 | $371.54 |
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 $107.15 Median $123.03 Typical High $131.83 | Professional | 52 · Reduced service | $107.15 | $123.03 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $43.65 Median $48.98 Typical High $52.48 | Professional | 53 · Discontinued | $43.65 | $48.98 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $177.83 Median $194.98 Typical High $194.98 | Professional | FX · Film X-ray | $177.83 | $194.98 | $194.98 |
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· 36th of 51
$269
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.