How much rates vary
Facilitymedian $490 · 10th to 90th $245 to $1,698Professionalmedian $282 · 10th to 90th $204 to $479
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 $281.84 Typical High $645.65 | Facility | None | $245.47 | $281.84 | $645.65 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $61.66 | Facility | 26 · Professional part | $46.77 | $57.54 | $61.66 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $186.21 Median $234.42 Typical High $575.44 | Facility | TC · Technical part | $186.21 | $234.42 | $575.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $239.88 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $239.88 | $281.84 | $457.09 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $102.33 | Professional | 26 · Professional part | $46.77 | $57.54 | $102.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $234.42 Typical High $354.81 | Professional | TC · Technical part | $181.97 | $234.42 | $354.81 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $186.21 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $186.21 | $186.21 | $204.17 |
AmeriHealth Setting Facility Modifier None Typical Low $436.52 Median $616.60 Typical High $2,041.74 | Facility | None | $436.52 | $616.60 | $2,041.74 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $169.82 | Professional | 26 · Professional part | $64.57 | $64.57 | $169.82 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $512.86 Typical High $724.44 | Facility | None | $416.87 | $512.86 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $281.84 Typical High $537.03 | Professional | None (both parts) | $181.97 | $281.84 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $43.65 Typical High $109.65 | Professional | 26 · Professional part | $38.90 | $43.65 | $109.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $213.80 Typical High $407.38 | Professional | TC · Technical part | $144.54 | $213.80 | $407.38 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $269.15 Median $323.59 Typical High $354.81 | Professional | None (both parts) | $269.15 | $323.59 | $354.81 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $72.44 Typical High $81.28 | Professional | 26 · Professional part | $63.10 | $72.44 | $81.28 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $251.19 Typical High $269.15 | Professional | TC · Technical part | $208.93 | $251.19 | $269.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $338.84 Median $562.34 Typical High $1,949.84 | Facility | None | $338.84 | $562.34 | $1,949.84 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $457.09 | Professional | None (both parts) | $245.47 | $281.84 | $457.09 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $85.11 | Professional | 26 · Professional part | $56.23 | $64.57 | $85.11 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $346.74 | Professional | TC · Technical part | $190.55 | $218.78 | $346.74 |
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 $190.55 Median $245.47 Typical High $489.78 | Professional | None (both parts) | $190.55 | $245.47 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $43.65 | $54.95 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $147.91 | $194.98 | $380.19 |
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 $141.25 Typical High $141.25 | Professional | 52 · Reduced service | $117.49 | $141.25 | $141.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $56.23 Typical High $56.23 | Professional | 53 · Discontinued | $46.77 | $56.23 | $56.23 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $199.53 Median $239.88 Typical High $239.88 | Professional | CT · Older CT scanner | $199.53 | $239.88 | $239.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $186.21 Median $223.87 Typical High $223.87 | Professional | FX · Film X-ray | $186.21 | $223.87 | $223.87 |
Where New Jersey sits
The same service costs 4.4 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
AK $776UT $178
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.