How much rates vary
Facilitymedian $501 · 10th to 90th $151 to $1,622Professionalmedian $240 · 10th to 90th $166 to $1,905
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 $354.81 Median $812.83 Typical High $1,513.56 | Facility | None | $354.81 | $812.83 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $199.53 Median $213.80 Typical High $371.54 | Professional | None (both parts) | $199.53 | $213.80 | $371.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $72.44 Typical High $93.33 | Professional | 26 · Professional part | $58.88 | $72.44 | $93.33 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $141.25 Typical High $281.84 | Professional | TC · Technical part | $134.90 | $141.25 | $281.84 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | None (both parts) | $169.82 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | TC · Technical part | $123.03 | $123.03 | $123.03 |
BCBS Arizona Setting Facility Modifier None Typical Low $109.65 Median $489.78 Typical High $741.31 | Facility | None | $109.65 | $489.78 | $741.31 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $380.19 | Professional | None (both parts) | $199.53 | $199.53 | $380.19 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $60.26 | $114.82 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $263.03 | Professional | TC · Technical part | $138.04 | $138.04 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $371.54 Median $380.19 Typical High $691.83 | Facility | None | $371.54 | $380.19 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $141.25 Median $257.04 Typical High $549.54 | Professional | None (both parts) | $141.25 | $257.04 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $117.49 | Professional | 26 · Professional part | $41.69 | $60.26 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $181.97 Typical High $371.54 | Professional | TC · Technical part | $93.33 | $181.97 | $371.54 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $380.19 Typical High $2,511.89 | Facility | None | $213.80 | $380.19 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $165.96 | $1,905.46 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $52.48 | $436.52 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $1,584.89 Typical High $1,584.89 | Professional | TC · Technical part | $109.65 | $1,584.89 | $1,584.89 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Facility | None | $275.42 | $275.42 | $275.42 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $218.78 Typical High $380.19 | Professional | None (both parts) | $165.96 | $218.78 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $54.95 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $154.88 Typical High $275.42 | Professional | TC · Technical part | $109.65 | $154.88 | $275.42 |
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 $100.00 Median $107.15 Typical High $107.15 | Professional | 52 · Reduced service | $100.00 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $39.81 | $42.66 | $43.65 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | CT · Older CT scanner | $181.97 | $181.97 | $181.97 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | FX · Film X-ray | $169.82 | $169.82 | $169.82 |
Where Arizona sits
The same service costs 5.6 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.
Arizona· 29th of 51
$263
AK $708UT $126
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.