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 $186.21 Median $218.78 Typical High $831.76 | Facility | None | $186.21 | $218.78 | $831.76 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $45.71 Median $56.23 Typical High $56.23 | Facility | 26 · Professional part | $45.71 | $56.23 | $56.23 |
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 $138.04 Median $218.78 Typical High $323.59 | Professional | None (both parts) | $138.04 | $218.78 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $45.71 Typical High $75.86 | Professional | 26 · Professional part | $40.74 | $45.71 | $75.86 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $97.72 | $169.82 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $117.49 Typical High $131.83 | Professional | None (both parts) | $93.33 | $117.49 | $131.83 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $56.23 Typical High $67.61 | Professional | 26 · Professional part | $30.90 | $56.23 | $67.61 |
AmeriHealth Setting Facility Modifier None Typical Low $323.59 Median $489.78 Typical High $2,238.72 | Facility | None | $323.59 | $489.78 | $2,238.72 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $323.59 Median $616.60 Typical High $4,677.35 | Facility | TC · Technical part | $323.59 | $616.60 | $4,677.35 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $162.18 Median $549.54 Typical High $616.60 | Professional | None (both parts) | $162.18 | $549.54 | $616.60 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $47.86 Typical High $371.54 | Professional | 26 · Professional part | $45.71 | $47.86 | $371.54 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $123.03 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $263.03 Typical High $363.08 | Facility | None | $208.93 | $263.03 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $177.83 Typical High $398.11 | Professional | None (both parts) | $104.71 | $177.83 | $398.11 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $34.67 Typical High $95.50 | Professional | 26 · Professional part | $28.84 | $34.67 | $95.50 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $128.82 Typical High $302.00 | Professional | TC · Technical part | $74.13 | $128.82 | $302.00 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $181.97 Typical High $190.55 | Professional | None (both parts) | $154.88 | $181.97 | $190.55 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $53.70 Typical High $56.23 | Professional | 26 · Professional part | $46.77 | $53.70 | $56.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $128.82 Typical High $131.83 | Professional | TC · Technical part | $107.15 | $128.82 | $131.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $102.33 Median $354.81 Typical High $758.58 | Facility | None | $102.33 | $354.81 | $758.58 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $141.25 Median $162.18 Typical High $309.03 | Professional | None (both parts) | $141.25 | $162.18 | $309.03 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $47.86 Typical High $75.86 | Professional | 26 · Professional part | $41.69 | $47.86 | $75.86 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $114.82 Typical High $186.21 | Professional | TC · Technical part | $100.00 | $114.82 | $186.21 |
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 $107.15 Median $154.88 Typical High $288.40 | Professional | None (both parts) | $107.15 | $154.88 | $288.40 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $43.65 Typical High $83.18 | Professional | 26 · Professional part | $32.36 | $43.65 | $83.18 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $102.33 Typical High $204.17 | Professional | TC · Technical part | $75.86 | $102.33 | $204.17 |
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 $72.44 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $72.44 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $28.84 | $43.65 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $123.03 Median $186.21 Typical High $186.21 | Professional | CT · Older CT scanner | $123.03 | $186.21 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $114.82 Median $173.78 Typical High $173.78 | Professional | FX · Film X-ray | $114.82 | $173.78 | $173.78 |
Where New Jersey sits
The same service costs 4.9 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· 36th of 51
$182
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.