How much rates vary
Facilitymedian $389 · 10th to 90th $120 to $1,622Professionalmedian $186 · 10th to 90th $120 to $1,413
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 $194.98 Median $812.83 Typical High $1,513.56 | Facility | None | $194.98 | $812.83 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $151.36 | $158.49 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $48.98 Typical High $74.13 | Professional | 26 · Professional part | $45.71 | $48.98 | $74.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $104.71 Median $107.15 Typical High $229.09 | Professional | TC · Technical part | $104.71 | $107.15 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $93.33 Median $93.33 Typical High $125.89 | Professional | None (both parts) | $93.33 | $93.33 | $125.89 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $33.11 Typical High $70.79 | Professional | 26 · Professional part | $33.11 | $33.11 | $70.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $380.19 Typical High $575.44 | Facility | None | $85.11 | $380.19 | $575.44 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $281.84 | Professional | None (both parts) | $147.91 | $147.91 | $281.84 |
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 $107.15 Median $107.15 Typical High $204.17 | Professional | TC · Technical part | $107.15 | $107.15 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $295.12 Typical High $537.03 | Facility | None | $275.42 | $295.12 | $537.03 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $416.87 | Professional | None (both parts) | $104.71 | $208.93 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $45.71 Typical High $85.11 | Professional | 26 · Professional part | $28.18 | $45.71 | $85.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $147.91 Typical High $302.00 | Professional | TC · Technical part | $72.44 | $147.91 | $302.00 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $269.15 Typical High $2,511.89 | Facility | None | $158.49 | $269.15 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $1,412.54 Typical High $1,412.54 | Professional | None (both parts) | $120.23 | $1,412.54 | $1,412.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $331.13 Typical High $331.13 | Professional | 26 · Professional part | $37.15 | $331.13 | $331.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $1,230.27 Typical High $1,230.27 | Professional | TC · Technical part | $83.18 | $1,230.27 | $1,230.27 |
United Setting Facility Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
United Setting Professional Modifier None (both parts) Typical Low $120.23 Median $181.97 Typical High $302.00 | Professional | None (both parts) | $120.23 | $181.97 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $45.71 Typical High $79.43 | Professional | 26 · Professional part | $37.15 | $45.71 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $131.83 Typical High $218.78 | Professional | TC · Technical part | $83.18 | $131.83 | $218.78 |
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 $77.62 Median $77.62 Typical High $85.11 | Professional | 52 · Reduced service | $77.62 | $77.62 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $30.90 | $31.62 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | CT · Older CT scanner | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $125.89 | $125.89 | $125.89 |
Where Arizona sits
The same service costs 4.9 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· 27th of 51
$209
AK $513UT $105
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.