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 $186.21 | Facility | None | $147.91 | $147.91 | $186.21 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $186.21 | Professional | None (both parts) | $147.91 | $147.91 | $186.21 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $12.59 Typical High $14.79 | Professional | 26 · Professional part | $12.59 | $12.59 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $177.83 | Professional | TC · Technical part | $138.04 | $138.04 | $177.83 |
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 $112.20 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $112.20 | $218.78 | $380.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $16.98 Typical High $29.51 | Professional | 26 · Professional part | $9.12 | $16.98 | $29.51 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $199.53 Typical High $354.81 | Professional | TC · Technical part | $102.33 | $199.53 | $354.81 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Horizon BCBS Setting Facility Modifier None Typical Low $269.15 Median $1,995.26 Typical High $11,748.98 | Facility | None | $269.15 | $1,995.26 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $16,982.44 Typical High $26,915.35 | Facility | TC · Technical part | $302.00 | $16,982.44 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $181.97 Median $213.80 Typical High $416.87 | Professional | None (both parts) | $181.97 | $213.80 | $416.87 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $16.22 Typical High $32.36 | Professional | 26 · Professional part | $14.13 | $16.22 | $32.36 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $194.98 Typical High $389.05 | Professional | TC · Technical part | $165.96 | $194.98 | $389.05 |
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 $134.90 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $134.90 | $199.53 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $29.51 | Professional | 26 · Professional part | $12.59 | $16.60 | $29.51 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $186.21 Typical High $354.81 | Professional | TC · Technical part | $138.04 | $186.21 | $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 $91.20 | Professional | 52 · Reduced service | $74.13 | $74.13 | $91.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $29.51 Typical High $37.15 | Professional | 53 · Discontinued | $29.51 | $29.51 | $37.15 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $147.91 | Professional | FX · Film X-ray | $120.23 | $120.23 | $147.91 |
Where New Jersey sits
The same service costs 4.3 times more in Alabama than in Indiana. 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
$191
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.