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 $181.97 Median $416.87 Typical High $812.83 | Facility | None | $181.97 | $416.87 | $812.83 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $66.07 Median $87.10 Typical High $87.10 | Facility | 26 · Professional part | $66.07 | $87.10 | $87.10 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $114.82 Median $134.90 Typical High $331.13 | Facility | TC · Technical part | $114.82 | $134.90 | $331.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $181.97 Median $204.17 Typical High $380.19 | Professional | None (both parts) | $181.97 | $204.17 | $380.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $83.18 Typical High $154.88 | Professional | 26 · Professional part | $66.07 | $83.18 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $117.49 Typical High $218.78 | Professional | TC · Technical part | $112.20 | $117.49 | $218.78 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $74.13 Typical High $138.04 | Professional | 26 · Professional part | $74.13 | $74.13 | $138.04 |
AmeriHealth Setting Facility Modifier None Typical Low $380.19 Median $812.83 Typical High $9,332.54 | Facility | None | $380.19 | $812.83 | $9,332.54 |
AmeriHealth Setting Facility Modifier TC · Technical part Typical Low $489.78 Median $891.25 Typical High $1,348.96 | Facility | TC · Technical part | $489.78 | $891.25 | $1,348.96 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $239.88 Median $616.60 Typical High $1,023.29 | Professional | None (both parts) | $239.88 | $616.60 | $1,023.29 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $97.72 Typical High $223.87 | Professional | 26 · Professional part | $97.72 | $97.72 | $223.87 |
AmeriHealth Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $144.54 Typical High $263.03 | Professional | TC · Technical part | $144.54 | $144.54 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $426.58 | Facility | None | $245.47 | $302.00 | $426.58 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $218.78 Typical High $467.74 | Professional | None (both parts) | $147.91 | $218.78 | $467.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $165.96 | Professional | 26 · Professional part | $58.88 | $64.57 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $131.83 Typical High $275.42 | Professional | TC · Technical part | $85.11 | $131.83 | $275.42 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $218.78 Median $257.04 Typical High $281.84 | Professional | None (both parts) | $218.78 | $257.04 | $281.84 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $109.65 Typical High $120.23 | Professional | 26 · Professional part | $93.33 | $109.65 | $120.23 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $147.91 Typical High $162.18 | Professional | TC · Technical part | $123.03 | $147.91 | $162.18 |
Horizon BCBS Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $1,122.02 | Facility | None | $457.09 | $676.08 | $1,122.02 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $199.53 Median $234.42 Typical High $371.54 | Professional | None (both parts) | $199.53 | $234.42 | $371.54 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $95.50 Typical High $123.03 | Professional | 26 · Professional part | $83.18 | $95.50 | $123.03 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $117.49 | $134.90 | $194.98 |
United Setting Facility Modifier None Typical Low $457.09 Median $457.09 Typical High $1,000.00 | Facility | None | $457.09 | $457.09 | $1,000.00 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $194.98 Typical High $389.05 | Professional | None (both parts) | $154.88 | $194.98 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $81.28 Typical High $165.96 | Professional | 26 · Professional part | $66.07 | $81.28 | $165.96 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $117.49 Typical High $234.42 | Professional | TC · Technical part | $87.10 | $117.49 | $234.42 |
2 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 CT · Older CT scanner Typical Low $154.88 Median $154.88 Typical High $190.55 | Professional | CT · Older CT scanner | $154.88 | $154.88 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $144.54 Median $144.54 Typical High $177.83 | Professional | FX · Film X-ray | $144.54 | $144.54 | $177.83 |
Where New Jersey sits
The same service costs 18.2 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· 43rd of 51
$214
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.