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 $295.12 Median $295.12 Typical High $354.81 | Facility | None | $295.12 | $295.12 | $354.81 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $51.29 Median $63.10 Typical High $63.10 | Facility | 26 · Professional part | $51.29 | $63.10 | $63.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $234.42 Median $302.00 Typical High $741.31 | Facility | TC · Technical part | $234.42 | $302.00 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $354.81 Typical High $407.38 | Professional | None (both parts) | $234.42 | $354.81 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $52.48 Typical High $87.10 | Professional | 26 · Professional part | $51.29 | $52.48 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $302.00 Typical High $302.00 | Professional | TC · Technical part | $169.82 | $302.00 | $302.00 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $575.44 | Facility | None | $331.13 | $436.52 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $288.40 Typical High $645.65 | Professional | None (both parts) | $162.18 | $288.40 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $46.77 Typical High $120.23 | Professional | 26 · Professional part | $42.66 | $46.77 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $229.09 Typical High $501.19 | Professional | TC · Technical part | $117.49 | $229.09 | $501.19 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $281.84 Typical High $295.12 | Professional | None (both parts) | $234.42 | $281.84 | $295.12 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $79.43 Typical High $83.18 | Professional | 26 · Professional part | $69.18 | $79.43 | $83.18 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $204.17 Typical High $208.93 | Professional | TC · Technical part | $169.82 | $204.17 | $208.93 |
Horizon BCBS Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $4,466.84 | Facility | None | $338.84 | $562.34 | $4,466.84 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $234.42 Median $269.15 Typical High $478.63 | Professional | None (both parts) | $234.42 | $269.15 | $478.63 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $70.79 Typical High $93.33 | Professional | 26 · Professional part | $61.66 | $70.79 | $93.33 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $199.53 Typical High $338.84 | Professional | TC · Technical part | $173.78 | $199.53 | $338.84 |
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 $165.96 Median $257.04 Typical High $467.74 | Professional | None (both parts) | $165.96 | $257.04 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $60.26 Typical High $120.23 | Professional | 26 · Professional part | $47.86 | $60.26 | $120.23 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $346.74 | Professional | TC · Technical part | $117.49 | $177.83 | $346.74 |
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 $117.49 Median $177.83 Typical High $177.83 | Professional | 52 · Reduced service | $117.49 | $177.83 | $177.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $47.86 | $70.79 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $208.93 Median $302.00 Typical High $302.00 | Professional | CT · Older CT scanner | $208.93 | $302.00 | $302.00 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $194.98 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $194.98 | $281.84 | $281.84 |
Where New Jersey sits
The same service costs 5.2 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· 37th of 51
$282
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.