How much rates vary
Facilitymedian $490 · 10th to 90th $302 to $1,514Professionalmedian $347 · 10th to 90th $251 to $646
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 $380.19 Median $389.05 Typical High $1,995.26 | Facility | None | $380.19 | $389.05 | $1,995.26 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $93.33 | Facility | 26 · Professional part | $70.79 | $87.10 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $302.00 Median $309.03 Typical High $758.58 | Facility | TC · Technical part | $302.00 | $309.03 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $295.12 Median $380.19 Typical High $588.84 | Professional | None (both parts) | $295.12 | $380.19 | $588.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $154.88 | Professional | 26 · Professional part | $70.79 | $87.10 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $398.11 | Professional | TC · Technical part | $213.80 | $309.03 | $398.11 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $251.19 Median $251.19 Typical High $251.19 | Professional | None (both parts) | $251.19 | $251.19 | $251.19 |
AmeriHealth Setting Facility Modifier None Typical Low $245.47 Median $354.81 Typical High $1,737.80 | Facility | None | $245.47 | $354.81 | $1,737.80 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $467.74 Typical High $3,090.30 | Facility | TC · Technical part | $245.47 | $467.74 | $3,090.30 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $97.72 Typical High $245.47 | Professional | 26 · Professional part | $93.33 | $97.72 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $575.44 Typical High $794.33 | Facility | None | $467.74 | $575.44 | $794.33 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $363.08 Typical High $812.83 | Professional | None (both parts) | $223.87 | $363.08 | $812.83 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $58.88 | $64.57 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $281.84 Typical High $645.65 | Professional | TC · Technical part | $158.49 | $281.84 | $645.65 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $309.03 | $371.54 | $407.38 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $123.03 | Professional | 26 · Professional part | $93.33 | $109.65 | $123.03 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $281.84 | Professional | TC · Technical part | $213.80 | $257.04 | $281.84 |
Horizon BCBS Setting Facility Modifier None Typical Low $208.93 Median $660.69 Typical High $1,513.56 | Facility | None | $208.93 | $660.69 | $1,513.56 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $616.60 | Professional | None (both parts) | $275.42 | $316.23 | $616.60 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $95.50 | $123.03 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $218.78 | $426.58 |
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 $229.09 Median $331.13 Typical High $616.60 | Professional | None (both parts) | $229.09 | $331.13 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $81.28 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $467.74 | Professional | TC · Technical part | $165.96 | $223.87 | $467.74 |
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 $147.91 Median $190.55 Typical High $194.98 | Professional | 52 · Reduced service | $147.91 | $190.55 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $75.86 Typical High $77.62 | Professional | 53 · Discontinued | $58.88 | $75.86 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $251.19 Median $323.59 Typical High $331.13 | Professional | CT · Older CT scanner | $251.19 | $323.59 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $302.00 Typical High $316.23 | Professional | FX · Film X-ray | $234.42 | $302.00 | $316.23 |
Where New Jersey sits
The same service costs 7.6 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· 37th of 51
$363
VT $1,288UT $170
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.