How much rates vary
Facilitymedian $490 · 10th to 90th $347 to $1,000Professionalmedian $347 · 10th to 90th $257 to $631
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 $338.84 Median $389.05 Typical High $954.99 | Facility | None | $338.84 | $389.05 | $954.99 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $95.50 Typical High $95.50 | Facility | 26 · Professional part | $77.62 | $95.50 | $95.50 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $288.40 Median $309.03 Typical High $758.58 | Facility | TC · Technical part | $288.40 | $309.03 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $302.00 Median $389.05 Typical High $602.56 | Professional | None (both parts) | $302.00 | $389.05 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $91.20 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $309.03 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $309.03 | $416.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $257.04 Typical High $281.84 | Professional | None (both parts) | $204.17 | $257.04 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $144.54 | Professional | 26 · Professional part | $74.13 | $74.13 | $144.54 |
AmeriHealth Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,202.26 | Facility | None | $1,023.29 | $1,023.29 | $1,202.26 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $616.60 Median $1,862.09 Typical High $5,623.41 | Facility | TC · Technical part | $616.60 | $1,862.09 | $5,623.41 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $549.54 | Professional | 26 · Professional part | $102.33 | $102.33 | $549.54 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $588.84 Typical High $812.83 | Facility | None | $467.74 | $588.84 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $758.58 | Professional | None (both parts) | $229.09 | $354.81 | $758.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $173.78 | Professional | 26 · Professional part | $61.66 | $70.79 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $269.15 Typical High $575.44 | Professional | TC · Technical part | $162.18 | $269.15 | $575.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $389.05 | Professional | None (both parts) | $316.23 | $371.54 | $389.05 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $97.72 | $112.20 | $120.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $275.42 | Professional | TC · Technical part | $213.80 | $257.04 | $275.42 |
Horizon BCBS Setting Facility Modifier None Typical Low $208.93 Median $645.65 Typical High $1,513.56 | Facility | None | $208.93 | $645.65 | $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 $87.10 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $100.00 | $131.83 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $218.78 | $407.38 |
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 $234.42 Median $338.84 Typical High $616.60 | Professional | None (both parts) | $234.42 | $338.84 | $616.60 |
United Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $69.18 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $457.09 | Professional | TC · Technical part | $165.96 | $223.87 | $457.09 |
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 $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $147.91 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $60.26 | $77.62 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $251.19 Median $331.13 Typical High $331.13 | Professional | CT · Older CT scanner | $251.19 | $331.13 | $331.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $309.03 Typical High $309.03 | Professional | FX · Film X-ray | $239.88 | $309.03 | $309.03 |
Where New Jersey sits
The same service costs 12.3 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· 33rd of 51
$372
VT $2,089UT $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.