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 $194.98 Median $213.80 Typical High $831.76 | Facility | None | $194.98 | $213.80 | $831.76 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $63.10 | Facility | 26 · Professional part | $51.29 | $63.10 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $426.58 | Facility | TC · Technical part | $131.83 | $169.82 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $169.82 Median $223.87 Typical High $338.84 | Professional | None (both parts) | $169.82 | $223.87 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $114.82 | Professional | 26 · Professional part | $51.29 | $63.10 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $107.15 | $169.82 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $144.54 Typical High $158.49 | Professional | None (both parts) | $107.15 | $144.54 | $158.49 |
AmeriHealth Setting Facility Modifier None Typical Low $338.84 Median $478.63 Typical High $1,584.89 | Facility | None | $338.84 | $478.63 | $1,584.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $199.53 Median $208.93 Typical High $398.11 | Professional | None (both parts) | $199.53 | $208.93 | $398.11 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $70.79 | $70.79 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $309.03 Typical High $436.52 | Facility | None | $239.88 | $309.03 | $436.52 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $223.87 Typical High $549.54 | Professional | None (both parts) | $128.82 | $223.87 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $47.86 Typical High $120.23 | Professional | 26 · Professional part | $43.65 | $47.86 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $169.82 Typical High $407.38 | Professional | TC · Technical part | $83.18 | $169.82 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $162.18 Median $223.87 Typical High $245.47 | Professional | None (both parts) | $162.18 | $223.87 | $245.47 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $81.28 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $81.28 | $89.13 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $144.54 Typical High $154.88 | Professional | TC · Technical part | $102.33 | $144.54 | $154.88 |
Horizon BCBS Setting Facility Modifier None Typical Low $114.82 Median $389.05 Typical High $851.14 | Facility | None | $114.82 | $389.05 | $851.14 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $177.83 Median $204.17 Typical High $346.74 | Professional | None (both parts) | $177.83 | $204.17 | $346.74 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $70.79 | $93.33 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $213.80 | Professional | TC · Technical part | $114.82 | $134.90 | $213.80 |
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 $131.83 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $131.83 | $204.17 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $60.26 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $141.25 Typical High $281.84 | Professional | TC · Technical part | $85.11 | $141.25 | $281.84 |
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 $91.20 Median $112.20 Typical High $112.20 | Professional | 52 · Reduced service | $91.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $44.67 Typical High $44.67 | Professional | 53 · Discontinued | $36.31 | $44.67 | $44.67 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $154.88 Median $190.55 Typical High $190.55 | Professional | CT · Older CT scanner | $154.88 | $190.55 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $177.83 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $177.83 | $177.83 |
Where New Jersey sits
The same service costs 6.2 times more in Alaska 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· 40th of 51
$204
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.