How much rates vary
Facilitymedian $95 · 10th to 90th $29 to $191Professionalmedian $38 · 10th to 90th $30 to $245
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 $56.23 Median $56.23 Typical High $74.13 | Facility | None | $56.23 | $56.23 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $38.90 Typical High $64.57 | Professional | None (both parts) | $30.20 | $38.90 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.41 | $8.71 | $13.80 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $30.20 Typical High $51.29 | Professional | TC · Technical part | $22.39 | $30.20 | $51.29 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None (both parts) | $37.15 | $37.15 | $37.15 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $8.32 | $8.32 | $8.32 |
BCBS Arizona Setting Facility Modifier None Typical Low $21.38 Median $91.20 Typical High $138.04 | Facility | None | $21.38 | $91.20 | $138.04 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $31.62 Median $31.62 Typical High $60.26 | Professional | None (both parts) | $31.62 | $31.62 | $60.26 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $12.30 | Professional | 26 · Professional part | $6.46 | $6.46 | $12.30 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $47.86 | Professional | TC · Technical part | $25.12 | $25.12 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $85.11 Median $123.03 Typical High $269.15 | Facility | None | $85.11 | $123.03 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $32.36 Typical High $64.57 | Professional | None (both parts) | $28.84 | $32.36 | $64.57 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $8.32 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $25.12 Typical High $48.98 | Professional | TC · Technical part | $21.38 | $25.12 | $48.98 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $79.43 | Facility | None | $35.48 | $42.66 | $79.43 |
Medica Setting Professional Modifier None (both parts) Typical Low $30.90 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $30.90 | $245.47 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $8.32 | $61.66 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $22.91 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $37.15 Typical High $53.70 | Professional | None (both parts) | $29.51 | $37.15 | $53.70 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.91 Typical High $14.13 | Professional | 26 · Professional part | $7.94 | $8.91 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $27.54 Typical High $41.69 | Professional | TC · Technical part | $21.38 | $27.54 | $41.69 |
3 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 $16.60 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.60 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.61 | $7.76 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.20 Median $30.90 Typical High $30.90 | Professional | FX · Film X-ray | $30.20 | $30.90 | $30.90 |
Where Arizona sits
The same service costs 3.9 times more in Alaska than in Florida. 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.
Arizona· 35th of 51
$38.90
AK $112FL $28.84
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.