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 $147.91 Median $147.91 Typical High $190.55 | Facility | None | $147.91 | $147.91 | $190.55 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $190.55 | Professional | None (both parts) | $147.91 | $147.91 | $190.55 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $21.38 | Professional | 26 · Professional part | $18.20 | $18.20 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $128.82 Median $128.82 Typical High $169.82 | Professional | TC · Technical part | $128.82 | $128.82 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $588.84 Typical High $794.33 | Facility | None | $363.08 | $588.84 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $407.38 | Professional | None (both parts) | $134.90 | $234.42 | $407.38 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $25.12 Typical High $43.65 | Professional | 26 · Professional part | $14.13 | $25.12 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $204.17 Typical High $363.08 | Professional | TC · Technical part | $117.49 | $204.17 | $363.08 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | None (both parts) | $239.88 | $239.88 | $239.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $257.04 Median $1,479.11 Typical High $11,748.98 | Facility | None | $257.04 | $1,479.11 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $478.63 Median $17,782.79 Typical High $27,542.29 | Facility | TC · Technical part | $478.63 | $17,782.79 | $27,542.29 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $194.98 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $194.98 | $223.87 | $436.52 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $47.86 | Professional | 26 · Professional part | $20.89 | $23.99 | $47.86 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $389.05 | Professional | TC · Technical part | $173.78 | $199.53 | $389.05 |
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 $141.25 Median $213.80 Typical High $398.11 | Professional | None (both parts) | $141.25 | $213.80 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $18.62 Median $24.55 Typical High $43.65 | Professional | 26 · Professional part | $18.62 | $24.55 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $194.98 Typical High $354.81 | Professional | TC · Technical part | $141.25 | $194.98 | $354.81 |
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 $74.13 Median $74.13 Typical High $95.50 | Professional | 52 · Reduced service | $74.13 | $74.13 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $38.02 | Professional | 53 · Discontinued | $29.51 | $29.51 | $38.02 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | FX · Film X-ray | $117.49 | $117.49 | $151.36 |
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· 33rd 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.