How much rates vary
Facilitymedian $398 · 10th to 90th $257 to $1,820Professionalmedian $288 · 10th to 90th $200 to $501
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 $302.00 Median $331.13 Typical High $954.99 | Facility | None | $302.00 | $331.13 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $72.44 | Facility | 26 · Professional part | $58.88 | $72.44 | $72.44 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $229.09 Median $295.12 Typical High $724.44 | Facility | TC · Technical part | $229.09 | $295.12 | $724.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $346.74 Typical High $457.09 | Professional | None (both parts) | $234.42 | $346.74 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $125.89 | Professional | 26 · Professional part | $58.88 | $72.44 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $295.12 Typical High $316.23 | Professional | TC · Technical part | $158.49 | $295.12 | $316.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $213.80 Median $213.80 Typical High $213.80 | Professional | None (both parts) | $213.80 | $213.80 | $213.80 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $125.89 | Professional | 26 · Professional part | $67.61 | $67.61 | $125.89 |
AmeriHealth Setting Facility Modifier None Typical Low $234.42 Median $363.08 Typical High $6,606.93 | Facility | None | $234.42 | $363.08 | $6,606.93 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $91.20 Typical High $398.11 | Professional | 26 · Professional part | $87.10 | $91.20 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $446.68 Typical High $602.56 | Facility | None | $346.74 | $446.68 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $288.40 Typical High $660.69 | Professional | None (both parts) | $181.97 | $288.40 | $660.69 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $144.54 | Professional | 26 · Professional part | $54.95 | $58.88 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $125.89 Median $223.87 Typical High $489.78 | Professional | TC · Technical part | $125.89 | $223.87 | $489.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $263.03 Median $309.03 Typical High $338.84 | Professional | None (both parts) | $263.03 | $309.03 | $338.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $112.20 | Professional | 26 · Professional part | $87.10 | $100.00 | $112.20 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $213.80 Typical High $229.09 | Professional | TC · Technical part | $177.83 | $213.80 | $229.09 |
Horizon BCBS Setting Facility Modifier None Typical Low $169.82 Median $588.84 Typical High $1,258.93 | Facility | None | $169.82 | $588.84 | $1,258.93 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $251.19 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $251.19 | $288.40 | $489.78 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $89.13 Typical High $109.65 | Professional | 26 · Professional part | $77.62 | $89.13 | $109.65 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $194.98 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $194.98 | $331.13 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $741.31 | Facility | None | $338.84 | $338.84 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $275.42 Typical High $501.19 | Professional | None (both parts) | $186.21 | $275.42 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $75.86 Typical High $151.36 | Professional | 26 · Professional part | $56.23 | $75.86 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $173.78 Typical High $338.84 | Professional | TC · Technical part | $123.03 | $173.78 | $338.84 |
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 $131.83 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $131.83 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $52.48 | $70.79 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | CT · Older CT scanner | $229.09 | $295.12 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $218.78 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $218.78 | $281.84 | $281.84 |
Where New Jersey sits
The same service costs 6.3 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· 38th of 51
$295
AK $851UT $135
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.