How much rates vary
Facilitymedian $282 · 10th to 90th $182 to $776Professionalmedian $182 · 10th to 90th $120 to $347
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 $213.80 Typical High $812.83 | Facility | None | $181.97 | $213.80 | $812.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $50.12 | Facility | 26 · Professional part | $43.65 | $50.12 | $50.12 |
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 $213.80 Typical High $331.13 | Professional | None (both parts) | $138.04 | $213.80 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $50.12 Typical High $89.13 | Professional | 26 · Professional part | $43.65 | $50.12 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $169.82 Typical High $218.78 | Professional | TC · Technical part | $91.20 | $169.82 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $87.10 Median $125.89 Typical High $147.91 | Professional | None (both parts) | $87.10 | $125.89 | $147.91 |
AmeriHealth Setting Facility Modifier None Typical Low $251.19 Median $501.19 Typical High $1,584.89 | Facility | None | $251.19 | $501.19 | $1,584.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $165.96 Median $323.59 Typical High $457.09 | Professional | None (both parts) | $165.96 | $323.59 | $457.09 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $56.23 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $56.23 | $112.20 |
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 $190.55 Typical High $426.58 | Professional | None (both parts) | $104.71 | $190.55 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.02 Typical High $97.72 | Professional | 26 · Professional part | $33.88 | $38.02 | $97.72 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $147.91 Typical High $309.03 | Professional | TC · Technical part | $70.79 | $147.91 | $309.03 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $154.88 Median $186.21 Typical High $204.17 | Professional | None (both parts) | $154.88 | $186.21 | $204.17 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $70.79 | Professional | 26 · Professional part | $54.95 | $63.10 | $70.79 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $120.23 Typical High $131.83 | Professional | TC · Technical part | $100.00 | $120.23 | $131.83 |
Horizon BCBS Setting Facility Modifier None Typical Low $213.80 Median $354.81 Typical High $776.25 | Facility | None | $213.80 | $354.81 | $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 $107.15 Typical High $218.78 | Professional | TC · Technical part | $70.79 | $107.15 | $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 $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $75.86 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $42.66 Typical High $42.66 | Professional | 53 · Discontinued | $30.90 | $42.66 | $42.66 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $141.25 Median $181.97 Typical High $181.97 | Professional | CT · Older CT scanner | $141.25 | $181.97 | $181.97 |
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 5.8 times more in Vermont 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
VT $603UT $105
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.