How much rates vary
Facilitymedian $331 · 10th to 90th $102 to $1,514Professionalmedian $158 · 10th to 90th $100 to $1,259
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 $162.18 Median $812.83 Typical High $1,513.56 | Facility | None | $162.18 | $812.83 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $131.83 Typical High $263.03 | Professional | None (both parts) | $125.89 | $131.83 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $38.90 | $48.98 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $81.28 Typical High $177.83 | Professional | TC · Technical part | $79.43 | $81.28 | $177.83 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $104.71 | Professional | None (both parts) | $95.50 | $104.71 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $38.90 Typical High $42.66 | Professional | 26 · Professional part | $33.11 | $38.90 | $42.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $64.57 Median $288.40 Typical High $436.52 | Facility | None | $64.57 | $288.40 | $436.52 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $120.23 | $120.23 | $234.42 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $40.74 Typical High $77.62 | Professional | 26 · Professional part | $40.74 | $40.74 | $77.62 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $81.28 Typical High $154.88 | Professional | TC · Technical part | $81.28 | $81.28 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $223.87 Typical High $407.38 | Facility | None | $213.80 | $223.87 | $407.38 |
Cigna Setting Professional Modifier None (both parts) Typical Low $85.11 Median $165.96 Typical High $346.74 | Professional | None (both parts) | $85.11 | $165.96 | $346.74 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $40.74 Typical High $79.43 | Professional | 26 · Professional part | $28.18 | $40.74 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $109.65 Typical High $229.09 | Professional | TC · Technical part | $54.95 | $109.65 | $229.09 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $363.08 Typical High $2,511.89 | Facility | None | $131.83 | $363.08 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $1,258.93 Typical High $1,258.93 | Professional | None (both parts) | $100.00 | $1,258.93 | $1,258.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $316.23 Typical High $316.23 | Professional | 26 · Professional part | $34.67 | $316.23 | $316.23 |
Medica Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $1,096.48 Typical High $1,096.48 | Professional | TC · Technical part | $63.10 | $1,096.48 | $1,096.48 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $144.54 Typical High $229.09 | Professional | None (both parts) | $100.00 | $144.54 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $37.15 Typical High $72.44 | Professional | 26 · Professional part | $34.67 | $37.15 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $95.50 Typical High $162.18 | Professional | TC · Technical part | $63.10 | $95.50 | $162.18 |
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 $61.66 Median $66.07 Typical High $69.18 | Professional | 52 · Reduced service | $61.66 | $66.07 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $26.30 Typical High $27.54 | Professional | 53 · Discontinued | $25.12 | $26.30 | $27.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | CT · Older CT scanner | $112.20 | $112.20 | $112.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | FX · Film X-ray | $104.71 | $104.71 | $104.71 |
Where Arizona sits
The same service costs 20.4 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.
Arizona· 28th of 51
$170
VT $1,585UT $77.62
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.