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 $177.83 Median $186.21 Typical High $354.81 | Professional | None (both parts) | $177.83 | $186.21 | $354.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $64.57 Typical High $87.10 | Professional | 26 · Professional part | $56.23 | $64.57 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $123.03 Typical High $288.40 | Professional | TC · Technical part | $120.23 | $123.03 | $288.40 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None (both parts) | $75.86 | $75.86 | $75.86 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $91.20 | Professional | 26 · Professional part | $43.65 | $43.65 | $91.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $95.50 Median $426.58 Typical High $645.65 | Facility | None | $95.50 | $426.58 | $645.65 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $331.13 | Professional | None (both parts) | $173.78 | $173.78 | $331.13 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $53.70 | $53.70 | $102.33 |
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 $323.59 Median $331.13 Typical High $602.56 | Facility | None | $323.59 | $331.13 | $602.56 |
Cigna Setting Professional Modifier None (both parts) Typical Low $123.03 Median $251.19 Typical High $501.19 | Professional | None (both parts) | $123.03 | $251.19 | $501.19 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $37.15 | $57.54 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $165.96 Typical High $371.54 | Professional | TC · Technical part | $81.28 | $165.96 | $371.54 |
Medica Setting Facility Modifier None Typical Low $186.21 Median $323.59 Typical High $2,511.89 | Facility | None | $186.21 | $323.59 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $144.54 | $1,698.24 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $389.05 Typical High $389.05 | Professional | 26 · Professional part | $48.98 | $389.05 | $389.05 |
Medica Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $2,041.74 Typical High $2,041.74 | Professional | TC · Technical part | $95.50 | $2,041.74 | $2,041.74 |
United Setting Facility Modifier None Typical Low $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $144.54 Median $218.78 Typical High $363.08 | Professional | None (both parts) | $144.54 | $218.78 | $363.08 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $53.70 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $154.88 Typical High $251.19 | Professional | TC · Technical part | $95.50 | $154.88 | $251.19 |
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 $87.10 Median $93.33 Typical High $95.50 | Professional | 52 · Reduced service | $87.10 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $37.15 Typical High $38.02 | Professional | 53 · Discontinued | $34.67 | $37.15 | $38.02 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | CT · Older CT scanner | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | FX · Film X-ray | $147.91 | $147.91 | $147.91 |
Where Arizona sits
The same service costs 5.9 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
$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.