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 $66.07 Median $66.07 Typical High $79.43 | Facility | None | $66.07 | $66.07 | $79.43 |
Aetna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $66.07 Typical High $79.43 | Professional | None (both parts) | $64.57 | $66.07 | $79.43 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.24 Typical High $7.76 | Professional | 26 · Professional part | $6.76 | $7.24 | $7.76 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | TC · Technical part | $58.88 | $58.88 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $338.84 | Facility | None | $151.36 | $234.42 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $57.54 Median $102.33 Typical High $154.88 | Professional | None (both parts) | $57.54 | $102.33 | $154.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $5.01 Median $9.33 Typical High $17.78 | Professional | 26 · Professional part | $5.01 | $9.33 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $87.10 Typical High $138.04 | Professional | TC · Technical part | $51.29 | $87.10 | $138.04 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $104.71 | $104.71 | $104.71 |
Horizon BCBS Setting Facility Modifier None Typical Low $75.86 Median $912.01 Typical High $13,489.63 | Facility | None | $75.86 | $912.01 | $13,489.63 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $154.88 Median $16,982.44 Typical High $26,915.35 | Facility | TC · Technical part | $154.88 | $16,982.44 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $79.43 Median $93.33 Typical High $181.97 | Professional | None (both parts) | $79.43 | $93.33 | $181.97 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $19.95 | Professional | 26 · Professional part | $7.59 | $8.71 | $19.95 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $83.18 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $83.18 | $141.25 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $66.07 | $87.10 | $165.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $9.55 Typical High $16.22 | Professional | 26 · Professional part | $6.92 | $9.55 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $81.28 Typical High $151.36 | Professional | TC · Technical part | $60.26 | $81.28 | $151.36 |
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 $33.11 Median $33.11 Typical High $39.81 | Professional | 52 · Reduced service | $33.11 | $33.11 | $39.81 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $15.85 | Professional | 53 · Discontinued | $13.18 | $13.18 | $15.85 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | FX · Film X-ray | $52.48 | $52.48 | $64.57 |
Where New Jersey sits
The same service costs 4.6 times more in Alaska than in Kentucky. 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· 34th of 51
$83.18
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.