How much rates vary
Facilitymedian $562 · 10th to 90th $288 to $2,455Professionalmedian $288 · 10th to 90th $219 to $537
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 $288.40 Median $288.40 Typical High $346.74 | Facility | None | $288.40 | $288.40 | $346.74 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $48.98 Median $60.26 Typical High $60.26 | Facility | 26 · Professional part | $48.98 | $60.26 | $60.26 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $741.31 | Facility | TC · Technical part | $223.87 | $302.00 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $346.74 Typical High $467.74 | Professional | None (both parts) | $269.15 | $346.74 | $467.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $57.54 Typical High $93.33 | Professional | 26 · Professional part | $48.98 | $57.54 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $302.00 Typical High $338.84 | Professional | TC · Technical part | $208.93 | $302.00 | $338.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None (both parts) | $204.17 | $204.17 | $204.17 |
AmeriHealth Setting Facility Modifier None Typical Low $524.81 Median $812.83 Typical High $5,754.40 | Facility | None | $524.81 | $812.83 | $5,754.40 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $812.83 | Facility | None | $467.74 | $562.34 | $812.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $309.03 Typical High $616.60 | Professional | None (both parts) | $204.17 | $309.03 | $616.60 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $114.82 | Professional | 26 · Professional part | $40.74 | $44.67 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $245.47 Typical High $478.63 | Professional | TC · Technical part | $162.18 | $245.47 | $478.63 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $281.84 Median $338.84 Typical High $363.08 | Professional | None (both parts) | $281.84 | $338.84 | $363.08 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $66.07 | $75.86 | $85.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $281.84 | Professional | TC · Technical part | $213.80 | $257.04 | $281.84 |
Horizon BCBS Setting Facility Modifier None Typical Low $338.84 Median $602.56 Typical High $4,466.84 | Facility | None | $338.84 | $602.56 | $4,466.84 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $245.47 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $245.47 | $281.84 | $501.19 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $67.61 Typical High $89.13 | Professional | 26 · Professional part | $58.88 | $67.61 | $89.13 |
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 $208.93 Median $309.03 Typical High $562.34 | Professional | None (both parts) | $208.93 | $309.03 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $117.49 | Professional | 26 · Professional part | $45.71 | $57.54 | $117.49 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $223.87 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $223.87 | $436.52 |
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 $134.90 Median $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $134.90 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $69.18 Typical High $69.18 | Professional | 53 · Discontinued | $53.70 | $69.18 | $69.18 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $229.09 Median $295.12 Typical High $295.12 | Professional | CT · Older CT scanner | $229.09 | $295.12 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $213.80 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $213.80 | $281.84 | $281.84 |
Where New Jersey sits
The same service costs 5.0 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· 42nd of 51
$288
AK $891UT $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.