How much rates vary
Facilitymedian $525 · 10th to 90th $324 to $2,818Professionalmedian $372 · 10th to 90th $263 to $661
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 $398.11 Typical High $562.34 | Facility | None | $389.05 | $398.11 | $562.34 |
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 $309.03 Median $309.03 Typical High $758.58 | Facility | TC · Technical part | $309.03 | $309.03 | $758.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $316.23 Median $389.05 Typical High $512.86 | Professional | None (both parts) | $316.23 | $389.05 | $512.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $87.10 Typical High $147.91 | Professional | 26 · Professional part | $77.62 | $87.10 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $309.03 Typical High $354.81 | Professional | TC · Technical part | $223.87 | $309.03 | $354.81 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $67.61 Typical High $194.98 | Professional | 26 · Professional part | $64.57 | $67.61 | $194.98 |
AmeriHealth Setting Facility Modifier None Typical Low $269.15 Median $501.19 Typical High $6,309.57 | Facility | None | $269.15 | $501.19 | $6,309.57 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $194.98 | Professional | 26 · Professional part | $102.33 | $102.33 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $616.60 Typical High $912.01 | Facility | None | $524.81 | $616.60 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $776.25 | Professional | None (both parts) | $251.19 | $371.54 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $70.79 Typical High $173.78 | Professional | 26 · Professional part | $60.26 | $70.79 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $288.40 Typical High $588.84 | Professional | TC · Technical part | $181.97 | $288.40 | $588.84 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $316.23 Median $371.54 Typical High $389.05 | Professional | None (both parts) | $316.23 | $371.54 | $389.05 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $112.20 Typical High $120.23 | Professional | 26 · Professional part | $97.72 | $112.20 | $120.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $257.04 Typical High $269.15 | Professional | TC · Technical part | $213.80 | $257.04 | $269.15 |
Horizon BCBS Setting Facility Modifier None Typical Low $354.81 Median $741.31 Typical High $3,467.37 | Facility | None | $354.81 | $741.31 | $3,467.37 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $275.42 Median $316.23 Typical High $630.96 | Professional | None (both parts) | $275.42 | $316.23 | $630.96 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $100.00 Typical High $131.83 | Professional | 26 · Professional part | $87.10 | $100.00 | $131.83 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $218.78 Typical High $426.58 | Professional | TC · Technical part | $190.55 | $218.78 | $426.58 |
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 $257.04 Median $363.08 Typical High $660.69 | Professional | None (both parts) | $257.04 | $363.08 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $85.11 Typical High $173.78 | Professional | 26 · Professional part | $67.61 | $85.11 | $173.78 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $245.47 Typical High $489.78 | Professional | TC · Technical part | $186.21 | $245.47 | $489.78 |
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 $147.91 Median $194.98 Typical High $199.53 | Professional | 52 · Reduced service | $147.91 | $194.98 | $199.53 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $77.62 Typical High $79.43 | Professional | 53 · Discontinued | $60.26 | $77.62 | $79.43 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $251.19 Median $331.13 Typical High $338.84 | Professional | CT · Older CT scanner | $251.19 | $331.13 | $338.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $239.88 Median $309.03 Typical High $316.23 | Professional | FX · Film X-ray | $239.88 | $309.03 | $316.23 |
Where New Jersey sits
The same service costs 6.0 times more in Alaska than in Texas. 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· 35th of 51
$372
AK $1,023TX $170
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.