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 $173.78 Median $173.78 Typical High $234.42 | Facility | None | $173.78 | $173.78 | $234.42 |
Aetna Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $234.42 | Professional | None (both parts) | $173.78 | $173.78 | $234.42 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | 26 · Professional part | $23.44 | $23.44 | $27.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $151.36 Typical High $204.17 | Professional | TC · Technical part | $151.36 | $151.36 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $724.44 Typical High $954.99 | Facility | None | $457.09 | $724.44 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $275.42 Typical High $478.63 | Professional | None (both parts) | $138.04 | $275.42 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $16.98 Median $31.62 Typical High $53.70 | Professional | 26 · Professional part | $16.98 | $31.62 | $53.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $239.88 Typical High $426.58 | Professional | TC · Technical part | $109.65 | $239.88 | $426.58 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $316.23 | $316.23 | $316.23 |
Horizon BCBS Setting Facility Modifier None Typical Low $309.03 Median $1,348.96 Typical High $11,748.98 | Facility | None | $309.03 | $1,348.96 | $11,748.98 |
Horizon BCBS Setting Facility Modifier TC · Technical part Typical Low $389.05 Median $16,982.44 Typical High $26,915.35 | Facility | TC · Technical part | $389.05 | $16,982.44 | $26,915.35 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $229.09 Median $263.03 Typical High $524.81 | Professional | None (both parts) | $229.09 | $263.03 | $524.81 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $30.20 Typical High $61.66 | Professional | 26 · Professional part | $26.30 | $30.20 | $61.66 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $234.42 Typical High $467.74 | Professional | TC · Technical part | $199.53 | $234.42 | $467.74 |
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 $165.96 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $165.96 | $257.04 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $30.90 Typical High $56.23 | Professional | 26 · Professional part | $22.91 | $30.90 | $56.23 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $229.09 Typical High $416.87 | Professional | TC · Technical part | $165.96 | $229.09 | $416.87 |
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 $87.10 Median $87.10 Typical High $114.82 | Professional | 52 · Reduced service | $87.10 | $87.10 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $46.77 | Professional | 53 · Discontinued | $34.67 | $34.67 | $46.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $138.04 Median $138.04 Typical High $186.21 | Professional | FX · Film X-ray | $138.04 | $138.04 | $186.21 |
Where New Jersey sits
The same service costs 4.8 times more in Alaska 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· 38th of 51
$240
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.