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 $309.03 Median $309.03 Typical High $478.63 | Facility | None | $309.03 | $309.03 | $478.63 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $741.31 | Facility | TC · Technical part | $245.47 | $245.47 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $208.93 Median $346.74 Typical High $398.11 | Professional | None (both parts) | $208.93 | $346.74 | $398.11 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $56.23 Typical High $83.18 | Professional | 26 · Professional part | $50.12 | $56.23 | $83.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $151.36 Median $295.12 Typical High $302.00 | Professional | TC · Technical part | $151.36 | $295.12 | $302.00 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $51.29 Typical High $131.83 | Professional | 26 · Professional part | $43.65 | $51.29 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $426.58 Typical High $575.44 | Facility | None | $331.13 | $426.58 | $575.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $275.42 Typical High $645.65 | Professional | None (both parts) | $158.49 | $275.42 | $645.65 |
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 $117.49 Median $229.09 Typical High $512.86 | Professional | TC · Technical part | $117.49 | $229.09 | $512.86 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $234.42 Median $275.42 Typical High $302.00 | Professional | None (both parts) | $234.42 | $275.42 | $302.00 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $75.86 Typical High $85.11 | Professional | 26 · Professional part | $64.57 | $75.86 | $85.11 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $199.53 Typical High $218.78 | Professional | TC · Technical part | $165.96 | $199.53 | $218.78 |
Horizon BCBS Setting Facility Modifier None Typical Low $338.84 Median $588.84 Typical High $1,174.90 | Facility | None | $338.84 | $588.84 | $1,174.90 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $239.88 Median $275.42 Typical High $489.78 | Professional | None (both parts) | $239.88 | $275.42 | $489.78 |
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 $181.97 Median $208.93 Typical High $346.74 | Professional | TC · Technical part | $181.97 | $208.93 | $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 $162.18 Median $257.04 Typical High $478.63 | Professional | None (both parts) | $162.18 | $257.04 | $478.63 |
United Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $57.54 Typical High $114.82 | Professional | 26 · Professional part | $45.71 | $57.54 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $363.08 | Professional | TC · Technical part | $117.49 | $177.83 | $363.08 |
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 $173.78 Typical High $173.78 | Professional | 52 · Reduced service | $117.49 | $173.78 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $70.79 Typical High $70.79 | Professional | 53 · Discontinued | $46.77 | $70.79 | $70.79 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $295.12 Typical High $295.12 | Professional | CT · Older CT scanner | $204.17 | $295.12 | $295.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $190.55 | $281.84 | $281.84 |
Where New Jersey sits
The same service costs 5.1 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· 38th of 51
$282
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.