How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $45.71 Median $102.33 Typical High $102.33 | Facility | None | $45.71 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $41.69 Median $83.18 Typical High $102.33 | Professional | None (both parts) | $41.69 | $83.18 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $26.30 | Professional | 26 · Professional part | $21.38 | $21.38 | $26.30 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $58.88 Typical High $79.43 | Professional | TC · Technical part | $19.05 | $58.88 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $64.57 Typical High $93.33 | Facility | None | $50.12 | $64.57 | $93.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $32.36 Median $91.20 Typical High $316.23 | Professional | None (both parts) | $32.36 | $91.20 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $15.85 Median $28.84 Typical High $46.77 | Professional | 26 · Professional part | $15.85 | $28.84 | $46.77 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $43.65 Typical High $288.40 | Professional | TC · Technical part | $15.14 | $43.65 | $288.40 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None (both parts) | $58.88 | $58.88 | $58.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $22.39 Median $165.96 Typical High $13,489.63 | Facility | None | $22.39 | $165.96 | $13,489.63 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $162.18 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $162.18 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $144.54 | Professional | None (both parts) | $43.65 | $50.12 | $144.54 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.92 Typical High $45.71 | Professional | 26 · Professional part | $23.44 | $26.92 | $45.71 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $22.91 Typical High $67.61 | Professional | TC · Technical part | $19.95 | $22.91 | $67.61 |
United Setting Professional Modifier None (both parts) Typical Low $39.81 Median $61.66 Typical High $151.36 | Professional | None (both parts) | $39.81 | $61.66 | $151.36 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $27.54 Typical High $48.98 | Professional | 26 · Professional part | $20.89 | $27.54 | $48.98 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $26.30 Typical High $69.18 | Professional | TC · Technical part | $18.20 | $26.30 | $69.18 |
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 $20.89 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $20.89 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $20.42 Typical High $20.42 | Professional | 53 · Discontinued | $8.51 | $20.42 | $20.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $33.88 Median $81.28 Typical High $81.28 | Professional | FX · Film X-ray | $33.88 | $81.28 | $81.28 |
Where New Jersey sits
The same service costs 7.2 times more in Alabama than in Florida. 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
$57.54
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.