How much rates vary
Facilitymedian $245 · 10th to 90th $182 to $776Professionalmedian $182 · 10th to 90th $117 to $355
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 $181.97 Median $218.78 Typical High $1,174.90 | Facility | None | $181.97 | $218.78 | $1,174.90 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $58.88 | Facility | 26 · Professional part | $46.77 | $48.98 | $58.88 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $131.83 Median $169.82 Typical High $426.58 | Facility | TC · Technical part | $131.83 | $169.82 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $138.04 Median $218.78 Typical High $338.84 | Professional | None (both parts) | $138.04 | $218.78 | $338.84 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $48.98 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $48.98 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $223.87 | Professional | TC · Technical part | $91.20 | $169.82 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $128.82 | Professional | None (both parts) | $107.15 | $117.49 | $128.82 |
AmeriHealth Setting Facility Modifier None Typical Low $213.80 Median $426.58 Typical High $1,819.70 | Facility | None | $213.80 | $426.58 | $1,819.70 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $107.15 | Professional | 26 · Professional part | $53.70 | $56.23 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $257.04 Typical High $338.84 | Facility | None | $199.53 | $257.04 | $338.84 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $194.98 Typical High $426.58 | Professional | None (both parts) | $104.71 | $194.98 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $37.15 Typical High $100.00 | Professional | 26 · Professional part | $33.88 | $37.15 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $151.36 Typical High $309.03 | Professional | TC · Technical part | $70.79 | $151.36 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $190.55 | Professional | None (both parts) | $154.88 | $186.21 | $190.55 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $64.57 | Professional | 26 · Professional part | $54.95 | $63.10 | $64.57 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $125.89 | Professional | TC · Technical part | $100.00 | $120.23 | $125.89 |
Horizon BCBS Setting Facility Modifier None Typical Low $204.17 Median $363.08 Typical High $776.25 | Facility | None | $204.17 | $363.08 | $776.25 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $158.49 Median $181.97 Typical High $316.23 | Professional | None (both parts) | $158.49 | $181.97 | $316.23 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $54.95 Typical High $77.62 | Professional | 26 · Professional part | $47.86 | $54.95 | $77.62 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $125.89 Typical High $199.53 | Professional | TC · Technical part | $109.65 | $125.89 | $199.53 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $436.52 | Facility | None | $199.53 | $199.53 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $169.82 Typical High $316.23 | Professional | None (both parts) | $109.65 | $169.82 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $46.77 Typical High $95.50 | Professional | 26 · Professional part | $38.02 | $46.77 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $109.65 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $109.65 | $218.78 |
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 $75.86 Median $109.65 Typical High $109.65 | Professional | 52 · Reduced service | $75.86 | $109.65 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | 53 · Discontinued | $30.90 | $43.65 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $186.21 Typical High $186.21 | Professional | CT · Older CT scanner | $141.25 | $186.21 | $186.21 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $134.90 Median $173.78 Typical High $173.78 | Professional | FX · Film X-ray | $134.90 | $173.78 | $173.78 |
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
$182
AK $525UT $100
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.