How much rates vary
Facilitymedian $257 · 10th to 90th $126 to $776Professionalmedian $135 · 10th to 90th $95 to $263
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 $125.89 Median $251.19 Typical High $776.25 | Facility | None | $125.89 | $251.19 | $776.25 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $41.69 | Facility | 26 · Professional part | $34.67 | $41.69 | $41.69 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $85.11 Median $154.88 Typical High $389.05 | Facility | TC · Technical part | $85.11 | $154.88 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $190.55 Typical High $263.03 | Professional | None (both parts) | $112.20 | $190.55 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $41.69 Typical High $74.13 | Professional | 26 · Professional part | $34.67 | $41.69 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $144.54 Typical High $173.78 | Professional | TC · Technical part | $74.13 | $144.54 | $173.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $97.72 Typical High $104.71 | Professional | None (both parts) | $87.10 | $97.72 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | 26 · Professional part | $36.31 | $36.31 | $69.18 |
AmeriHealth Setting Facility Modifier None Typical Low $309.03 Median $331.13 Typical High $4,168.69 | Facility | None | $309.03 | $331.13 | $4,168.69 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $309.03 Median $478.63 Typical High $7,943.28 | Facility | TC · Technical part | $309.03 | $478.63 | $7,943.28 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $575.44 | Professional | 26 · Professional part | $45.71 | $47.86 | $575.44 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $199.53 Typical High $275.42 | Facility | None | $162.18 | $199.53 | $275.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $147.91 Typical High $316.23 | Professional | None (both parts) | $85.11 | $147.91 | $316.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $30.90 Typical High $81.28 | Professional | 26 · Professional part | $28.18 | $30.90 | $81.28 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $97.72 Typical High $234.42 | Professional | TC · Technical part | $54.95 | $97.72 | $234.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $125.89 Median $151.36 Typical High $165.96 | Professional | None (both parts) | $125.89 | $151.36 | $165.96 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $53.70 Typical High $60.26 | Professional | 26 · Professional part | $45.71 | $53.70 | $60.26 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $104.71 | Professional | TC · Technical part | $81.28 | $97.72 | $104.71 |
Horizon BCBS Setting Facility Modifier None Typical Low $181.97 Median $389.05 Typical High $616.60 | Facility | None | $181.97 | $389.05 | $616.60 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $117.49 Median $134.90 Typical High $234.42 | Professional | None (both parts) | $117.49 | $134.90 | $234.42 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $46.77 Typical High $63.10 | Professional | 26 · Professional part | $40.74 | $46.77 | $63.10 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $87.10 Typical High $120.23 | Professional | TC · Technical part | $75.86 | $87.10 | $120.23 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $89.13 Median $128.82 Typical High $234.42 | Professional | None (both parts) | $89.13 | $128.82 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $81.28 | Professional | 26 · Professional part | $32.36 | $39.81 | $81.28 |
United Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $77.62 Typical High $162.18 | Professional | TC · Technical part | $57.54 | $77.62 | $162.18 |
4 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 $60.26 Median $93.33 Typical High $93.33 | Professional | 52 · Reduced service | $60.26 | $93.33 | $93.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.99 Median $38.02 Typical High $38.02 | Professional | 53 · Discontinued | $23.99 | $38.02 | $38.02 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $102.33 Median $162.18 Typical High $162.18 | Professional | CT · Older CT scanner | $102.33 | $162.18 | $162.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $151.36 Typical High $151.36 | Professional | FX · Film X-ray | $95.50 | $151.36 | $151.36 |
Where New Jersey sits
The same service costs 20.4 times more in Vermont than in Utah. 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· 41st of 51
$135
VT $1,585UT $77.62
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.