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 $50.12 Median $61.66 Typical High $128.82 | Facility | None | $50.12 | $61.66 | $128.82 |
Aetna Setting Facility Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $27.54 | Facility | 26 · Professional part | $22.39 | $27.54 | $27.54 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $22.91 Median $39.81 Typical High $97.72 | Facility | TC · Technical part | $22.91 | $39.81 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $66.07 Typical High $181.97 | Professional | None (both parts) | $50.12 | $66.07 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $27.54 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $27.54 | $51.29 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $39.81 Typical High $120.23 | Professional | TC · Technical part | $22.91 | $39.81 | $120.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | None (both parts) | $97.72 | $97.72 | $97.72 |
AmeriHealth Setting Facility Modifier None Typical Low $380.19 Median $707.95 Typical High $3,801.89 | Facility | None | $380.19 | $707.95 | $3,801.89 |
AmeriHealth Setting Professional Modifier None (both parts) Typical Low $128.82 Median $131.83 Typical High $281.84 | Professional | None (both parts) | $128.82 | $131.83 | $281.84 |
AmeriHealth Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $63.10 | Professional | 26 · Professional part | $33.11 | $33.11 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $213.80 Typical High $302.00 | Facility | None | $173.78 | $213.80 | $302.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $77.62 Median $91.20 Typical High $239.88 | Professional | None (both parts) | $77.62 | $91.20 | $239.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.38 Typical High $54.95 | Professional | 26 · Professional part | $19.50 | $21.38 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $64.57 Typical High $173.78 | Professional | TC · Technical part | $57.54 | $64.57 | $173.78 |
Emblem Health Setting Professional Modifier None (both parts) Typical Low $102.33 Median $141.25 Typical High $154.88 | Professional | None (both parts) | $102.33 | $141.25 | $154.88 |
Emblem Health Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $36.31 Typical High $40.74 | Professional | 26 · Professional part | $26.30 | $36.31 | $40.74 |
Emblem Health Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $104.71 Typical High $114.82 | Professional | TC · Technical part | $74.13 | $104.71 | $114.82 |
Horizon BCBS Setting Facility Modifier None Typical Low $112.20 Median $295.12 Typical High $977.24 | Facility | None | $112.20 | $295.12 | $977.24 |
Horizon BCBS Setting Professional Modifier None (both parts) Typical Low $107.15 Median $123.03 Typical High $158.49 | Professional | None (both parts) | $107.15 | $123.03 | $158.49 |
Horizon BCBS Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $31.62 | $44.67 |
Horizon BCBS Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $83.18 Typical High $93.33 | Professional | TC · Technical part | $79.43 | $83.18 | $93.33 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $363.08 | Facility | None | $165.96 | $165.96 | $363.08 |
United Setting Professional Modifier None (both parts) Typical Low $79.43 Median $100.00 Typical High $204.17 | Professional | None (both parts) | $79.43 | $100.00 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $26.92 Typical High $54.95 | Professional | 26 · Professional part | $21.38 | $26.92 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $75.86 Typical High $158.49 | Professional | TC · Technical part | $58.88 | $75.86 | $158.49 |
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 $42.66 Median $52.48 Typical High $85.11 | Professional | CT · Older CT scanner | $42.66 | $52.48 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $50.12 Typical High $79.43 | Professional | FX · Film X-ray | $39.81 | $50.12 | $79.43 |
Where New Jersey sits
The same service costs 4.2 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· 39th of 51
$107
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.