How much rates vary
Facilitymedian $363 · 10th to 90th $115 to $1,622Professionalmedian $200 · 10th to 90th $138 to $1,622
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 $204.17 Median $812.83 Typical High $1,513.56 | Facility | None | $204.17 | $812.83 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $162.18 Typical High $323.59 | Professional | None (both parts) | $162.18 | $162.18 | $323.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $61.66 Typical High $91.20 | Professional | 26 · Professional part | $46.77 | $61.66 | $91.20 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $229.09 | Professional | TC · Technical part | $102.33 | $102.33 | $229.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $109.65 | $128.82 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $48.98 Typical High $70.79 | Professional | 26 · Professional part | $41.69 | $48.98 | $70.79 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | TC · Technical part | $89.13 | $89.13 | $89.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $79.43 Median $354.81 Typical High $537.03 | Facility | None | $79.43 | $354.81 | $537.03 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $151.36 Median $151.36 Typical High $288.40 | Professional | None (both parts) | $151.36 | $151.36 | $288.40 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $51.29 Typical High $97.72 | Professional | 26 · Professional part | $51.29 | $51.29 | $97.72 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $190.55 | Professional | TC · Technical part | $100.00 | $100.00 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $275.42 Typical High $501.19 | Facility | None | $269.15 | $275.42 | $501.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $208.93 Typical High $436.52 | Professional | None (both parts) | $107.15 | $208.93 | $436.52 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $52.48 Typical High $100.00 | Professional | 26 · Professional part | $35.48 | $52.48 | $100.00 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $147.91 Typical High $302.00 | Professional | TC · Technical part | $69.18 | $147.91 | $302.00 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $323.59 Typical High $2,511.89 | Facility | None | $158.49 | $323.59 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $138.04 Median $1,621.81 Typical High $1,621.81 | Professional | None (both parts) | $138.04 | $1,621.81 | $1,621.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $45.71 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $45.71 | $398.11 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $1,380.38 Typical High $1,380.38 | Professional | TC · Technical part | $87.10 | $1,380.38 | $1,380.38 |
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 $138.04 Median $194.98 Typical High $316.23 | Professional | None (both parts) | $138.04 | $194.98 | $316.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $50.12 Typical High $95.50 | Professional | 26 · Professional part | $42.66 | $50.12 | $95.50 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $138.04 Typical High $218.78 | Professional | TC · Technical part | $87.10 | $138.04 | $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 $81.28 Median $81.28 Typical High $85.11 | Professional | 52 · Reduced service | $81.28 | $81.28 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $32.36 Median $32.36 Typical High $33.88 | Professional | 53 · Discontinued | $32.36 | $32.36 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | CT · Older CT scanner | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | FX · Film X-ray | $131.83 | $131.83 | $131.83 |
Where Arizona sits
The same service costs 6.2 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· 27th of 51
$214
VT $617UT $100
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.