How much rates vary
Facilitymedian $468 · 10th to 90th $245 to $2,138Professionalmedian $234 · 10th to 90th $151 to $457
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 $245.47 Median $309.03 Typical High $1,000.00 | Facility | None | $245.47 | $309.03 | $1,000.00 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $50.12 Median $61.66 Typical High $61.66 | Facility | 26 · Professional part | $50.12 | $61.66 | $61.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $602.56 | Facility | TC · Technical part | $186.21 | $245.47 | $602.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $177.83 Median $295.12 Typical High $426.58 | Professional | None (both parts) | $177.83 | $295.12 | $426.58 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $60.26 Typical High $102.33 | Professional | 26 · Professional part | $50.12 | $60.26 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $245.47 Typical High $281.84 | Professional | TC · Technical part | $123.03 | $245.47 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $81.28 Typical High $151.36 | Professional | None (both parts) | $60.26 | $81.28 | $151.36 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | 26 · Professional part | $50.12 | $50.12 | $93.33 |
AmeriHealth Setting Facility Modifier None Typical Low $457.09 Median $691.83 Typical High $3,467.37 | Facility | None | $457.09 | $691.83 | $3,467.37 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $208.93 Median $457.09 Typical High $4,897.79 | Facility | TC · Technical part | $208.93 | $457.09 | $4,897.79 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $549.54 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $549.54 | $616.60 | $616.60 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $64.57 Typical High $302.00 | Professional | 26 · Professional part | $61.66 | $64.57 | $302.00 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $158.49 Typical High $436.52 | Professional | TC · Technical part | $158.49 | $158.49 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $338.84 Typical High $467.74 | Facility | None | $269.15 | $338.84 | $467.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $234.42 Typical High $537.03 | Professional | None (both parts) | $134.90 | $234.42 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $45.71 Typical High $114.82 | Professional | 26 · Professional part | $38.90 | $45.71 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $181.97 Typical High $398.11 | Professional | TC · Technical part | $95.50 | $181.97 | $398.11 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $245.47 | Professional | None (both parts) | $199.53 | $234.42 | $245.47 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $75.86 | Professional | 26 · Professional part | $63.10 | $72.44 | $75.86 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $162.18 Typical High $169.82 | Professional | TC · Technical part | $134.90 | $162.18 | $169.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $131.83 Median $588.84 Typical High $1,000.00 | Facility | None | $131.83 | $588.84 | $1,000.00 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $229.09 Typical High $426.58 | Professional | None (both parts) | $199.53 | $229.09 | $426.58 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $69.18 Typical High $91.20 | Professional | 26 · Professional part | $60.26 | $69.18 | $91.20 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $141.25 Median $162.18 Typical High $269.15 | Professional | TC · Technical part | $141.25 | $162.18 | $269.15 |
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 $141.25 Median $218.78 Typical High $398.11 | Professional | None (both parts) | $141.25 | $218.78 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $44.67 | $58.88 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $141.25 Typical High $281.84 | Professional | TC · Technical part | $95.50 | $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 $97.72 Median $147.91 Typical High $147.91 | Professional | 52 · Reduced service | $97.72 | $147.91 | $147.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $58.88 Typical High $58.88 | Professional | 53 · Discontinued | $39.81 | $58.88 | $58.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $173.78 Median $251.19 Typical High $251.19 | Professional | CT · Older CT scanner | $173.78 | $251.19 | $251.19 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $162.18 | $234.42 | $234.42 |
Where New Jersey sits
The same service costs 5.9 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· 35th of 51
$245
VT $741UT $126
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.