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 $389.05 Median $389.05 Typical High $549.54 | Facility | None | $389.05 | $389.05 | $549.54 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $77.62 Median $93.33 Typical High $93.33 | Facility | 26 · Professional part | $77.62 | $93.33 | $93.33 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $295.12 Median $309.03 Typical High $758.58 | Facility | TC · Technical part | $295.12 | $309.03 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $338.84 Median $389.05 Typical High $524.81 | Professional | None (both parts) | $338.84 | $389.05 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $91.20 Typical High $144.54 | Professional | 26 · Professional part | $77.62 | $91.20 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $309.03 Typical High $363.08 | Professional | TC · Technical part | $239.88 | $309.03 | $363.08 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None (both parts) | $295.12 | $295.12 | $295.12 |
AmeriHealth Setting Facility Modifier None Typical Low $489.78 Median $758.58 Typical High $6,760.83 | Facility | None | $489.78 | $758.58 | $6,760.83 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $199.53 | Professional | 26 · Professional part | $104.71 | $104.71 | $199.53 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $660.69 Typical High $954.99 | Facility | None | $562.34 | $660.69 | $954.99 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $398.11 Typical High $831.76 | Professional | None (both parts) | $263.03 | $398.11 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $70.79 Typical High $177.83 | Professional | 26 · Professional part | $63.10 | $70.79 | $177.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $302.00 Typical High $630.96 | Professional | TC · Technical part | $194.98 | $302.00 | $630.96 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $380.19 Typical High $416.87 | Professional | None (both parts) | $316.23 | $380.19 | $416.87 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $117.49 Typical High $131.83 | Professional | 26 · Professional part | $102.33 | $117.49 | $131.83 |
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 $741.31 Typical High $3,388.44 | Facility | None | $338.84 | $741.31 | $3,388.44 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $616.60 | Professional | None (both parts) | $275.42 | $323.59 | $616.60 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $102.33 Typical High $134.90 | Professional | 26 · Professional part | $89.13 | $102.33 | $134.90 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $218.78 | $407.38 |
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 $269.15 Median $389.05 Typical High $724.44 | Professional | None (both parts) | $269.15 | $389.05 | $724.44 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $87.10 Typical High $177.83 | Professional | 26 · Professional part | $70.79 | $87.10 | $177.83 |
United Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $275.42 Typical High $549.54 | Professional | TC · Technical part | $199.53 | $275.42 | $549.54 |
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 $151.36 Median $194.98 Typical High $194.98 | Professional | 52 · Reduced service | $151.36 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $77.62 Typical High $77.62 | Professional | 53 · Discontinued | $60.26 | $77.62 | $77.62 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $257.04 Median $331.13 Typical High $331.13 | Professional | CT · Older CT scanner | $257.04 | $331.13 | $331.13 |
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 6.2 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· 36th of 51
$389
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.