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 $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 $181.97 Median $194.98 Typical High $331.13 | Professional | None (both parts) | $181.97 | $194.98 | $331.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $74.13 Typical High $97.72 | Professional | 26 · Professional part | $58.88 | $74.13 | $97.72 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $120.23 Typical High $229.09 | Professional | TC · Technical part | $117.49 | $120.23 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | None (both parts) | $158.49 | $158.49 | $158.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $93.33 Median $426.58 Typical High $645.65 | Facility | None | $93.33 | $426.58 | $645.65 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $346.74 | Professional | None (both parts) | $181.97 | $181.97 | $346.74 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $117.49 | Professional | 26 · Professional part | $60.26 | $60.26 | $117.49 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $229.09 | Professional | TC · Technical part | $120.23 | $120.23 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $331.13 Typical High $602.56 | Facility | None | $275.42 | $331.13 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $257.04 Typical High $512.86 | Professional | None (both parts) | $128.82 | $257.04 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $61.66 Typical High $117.49 | Professional | 26 · Professional part | $42.66 | $61.66 | $117.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $181.97 Typical High $398.11 | Professional | TC · Technical part | $83.18 | $181.97 | $398.11 |
Medica Setting Facility Modifier None Typical Low $194.98 Median $275.42 Typical High $2,511.89 | Facility | None | $194.98 | $275.42 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $1,659.59 Typical High $1,659.59 | Professional | None (both parts) | $173.78 | $1,659.59 | $1,659.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $53.70 | $524.81 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $117.49 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $173.78 Median $245.47 Typical High $371.54 | Professional | None (both parts) | $173.78 | $245.47 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $54.95 Typical High $109.65 | Professional | 26 · Professional part | $52.48 | $54.95 | $109.65 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $173.78 Typical High $263.03 | Professional | TC · Technical part | $117.49 | $173.78 | $263.03 |
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 $91.20 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $91.20 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $36.31 Median $38.90 Typical High $39.81 | Professional | 53 · Discontinued | $36.31 | $38.90 | $39.81 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | CT · Older CT scanner | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | FX · Film X-ray | $154.88 | $154.88 | $154.88 |
Where Arizona sits
The same service costs 6.2 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.
Arizona· 26th of 51
$257
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.