How much rates vary
Facilitymedian $34 · 10th to 90th $10 to $191Professionalmedian $22 · 10th to 90th $16 to $209
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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $19.50 Typical High $28.18 | Professional | None (both parts) | $18.20 | $19.50 | $28.18 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.12 Median $10.47 Typical High $13.49 | Professional | 26 · Professional part | $9.12 | $10.47 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $9.12 Median $9.33 Typical High $15.49 | Professional | TC · Technical part | $9.12 | $9.33 | $15.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | None (both parts) | $15.49 | $15.49 | $15.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $7.08 Median $30.20 Typical High $45.71 | Facility | None | $7.08 | $30.20 | $45.71 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $16.22 Median $16.22 Typical High $30.90 | Professional | None (both parts) | $16.22 | $16.22 | $30.90 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $7.76 Median $7.76 Typical High $14.79 | Professional | 26 · Professional part | $7.76 | $7.76 | $14.79 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $8.32 Typical High $15.85 | Professional | TC · Technical part | $8.32 | $8.32 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $40.74 Typical High $269.15 | Facility | None | $33.88 | $40.74 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $15.14 Median $22.39 Typical High $39.81 | Professional | None (both parts) | $15.14 | $22.39 | $39.81 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $19.95 | Professional | 26 · Professional part | $8.32 | $9.77 | $19.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $6.92 Median $10.23 Typical High $21.88 | Professional | TC · Technical part | $6.92 | $10.23 | $21.88 |
Medica Setting Facility Modifier None Typical Low $19.50 Median $21.88 Typical High $186.21 | Facility | None | $19.50 | $21.88 | $186.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $19.50 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $19.50 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $104.71 Typical High $104.71 | Professional | 26 · Professional part | $9.77 | $104.71 | $104.71 |
Medica Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $128.82 Typical High $128.82 | Professional | TC · Technical part | $8.71 | $128.82 | $128.82 |
United Setting Professional Modifier None (both parts) Typical Low $19.50 Median $21.38 Typical High $34.67 | Professional | None (both parts) | $19.50 | $21.38 | $34.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $16.98 | Professional | 26 · Professional part | $9.33 | $10.72 | $16.98 |
United Setting Professional Modifier TC · Technical part Typical Low $8.71 Median $10.96 Typical High $17.38 | Professional | TC · Technical part | $8.71 | $10.96 | $17.38 |
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 $8.71 Median $9.77 Typical High $9.77 | Professional | 52 · Reduced service | $8.71 | $9.77 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.98 Typical High $3.98 | Professional | 53 · Discontinued | $3.47 | $3.98 | $3.98 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $15.49 Median $15.85 Typical High $15.85 | Professional | FX · Film X-ray | $15.49 | $15.85 | $15.85 |
Where Arizona sits
The same service costs 3.6 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· 36th of 51
$22.39
AK $56.23FL $15.49
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.