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 $346.74 Median $380.19 Typical High $407.38 | Facility | None | $346.74 | $380.19 | $407.38 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $74.13 Median $89.13 Typical High $89.13 | Facility | 26 · Professional part | $74.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $257.04 Median $309.03 Typical High $758.58 | Facility | TC · Technical part | $257.04 | $309.03 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $512.86 | Professional | None (both parts) | $316.23 | $380.19 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $87.10 Typical High $158.49 | Professional | 26 · Professional part | $74.13 | $87.10 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $234.42 Median $309.03 Typical High $363.08 | Professional | TC · Technical part | $234.42 | $309.03 | $363.08 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $70.79 Typical High $138.04 | Professional | 26 · Professional part | $64.57 | $70.79 | $138.04 |
AmeriHealth Setting Facility Modifier None Typical Low $489.78 Median $933.25 Typical High $6,456.54 | Facility | None | $489.78 | $933.25 | $6,456.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $616.60 Typical High $870.96 | Facility | None | $512.86 | $616.60 | $870.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $245.47 | $371.54 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $66.07 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $66.07 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $281.84 Typical High $575.44 | Professional | TC · Technical part | $177.83 | $281.84 | $575.44 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $407.38 | Professional | None (both parts) | $316.23 | $371.54 | $407.38 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $112.20 Typical High $125.89 | Professional | 26 · Professional part | $95.50 | $112.20 | $125.89 |
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 $676.08 Typical High $3,090.30 | Facility | None | $338.84 | $676.08 | $3,090.30 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $575.44 | Professional | None (both parts) | $275.42 | $316.23 | $575.44 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $97.72 Typical High $125.89 | Professional | 26 · Professional part | $85.11 | $97.72 | $125.89 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $371.54 | Professional | TC · Technical part | $190.55 | $218.78 | $371.54 |
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 $251.19 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $251.19 | $354.81 | $676.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $67.61 | $83.18 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $251.19 Typical High $501.19 | Professional | TC · Technical part | $181.97 | $251.19 | $501.19 |
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 $147.91 Median $190.55 Typical High $190.55 | Professional | 52 · Reduced service | $147.91 | $190.55 | $190.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $58.88 | $77.62 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $251.19 Median $323.59 Typical High $323.59 | Professional | CT · Older CT scanner | $251.19 | $323.59 | $323.59 |
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 6.0 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· 37th of 51
$347
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.