How much rates vary
Facilitymedian $490 · 10th to 90th $162 to $1,585Professionalmedian $245 · 10th to 90th $162 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 $162.18 Median $741.31 Typical High $1,513.56 | Facility | None | $162.18 | $741.31 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $407.38 | Professional | None (both parts) | $204.17 | $204.17 | $407.38 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $66.07 Typical High $100.00 | Professional | 26 · Professional part | $54.95 | $66.07 | $100.00 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $138.04 Typical High $295.12 | Professional | TC · Technical part | $134.90 | $138.04 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $69.18 Typical High $81.28 | Professional | None (both parts) | $60.26 | $69.18 | $81.28 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $52.48 Typical High $77.62 | Professional | 26 · Professional part | $44.67 | $52.48 | $77.62 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | TC · Technical part | $60.26 | $60.26 | $67.61 |
BCBS Arizona Setting Facility Modifier None Typical Low $107.15 Median $489.78 Typical High $741.31 | Facility | None | $107.15 | $489.78 | $741.31 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $363.08 | Professional | None (both parts) | $190.55 | $190.55 | $363.08 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $54.95 | $54.95 | $107.15 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $134.90 Typical High $263.03 | Professional | TC · Technical part | $134.90 | $134.90 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $380.19 Typical High $691.83 | Facility | None | $363.08 | $380.19 | $691.83 |
Cigna Setting Professional Modifier None (both parts) Typical Low $134.90 Median $251.19 Typical High $537.03 | Professional | None (both parts) | $134.90 | $251.19 | $537.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $38.90 | $57.54 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $91.20 | $186.21 | $389.05 |
Medica Setting Facility Modifier None Typical Low $204.17 Median $380.19 Typical High $2,511.89 | Facility | None | $204.17 | $380.19 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $169.82 Median $1,905.46 Typical High $1,905.46 | Professional | None (both parts) | $169.82 | $1,905.46 | $1,905.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $446.68 Typical High $446.68 | Professional | 26 · Professional part | $51.29 | $446.68 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $1,584.89 Typical High $1,584.89 | Professional | TC · Technical part | $114.82 | $1,584.89 | $1,584.89 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $245.47 Typical High $398.11 | Professional | None (both parts) | $169.82 | $245.47 | $398.11 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $53.70 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $177.83 Typical High $281.84 | Professional | TC · Technical part | $114.82 | $177.83 | $281.84 |
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 $102.33 Typical High $114.82 | Professional | 52 · Reduced service | $100.00 | $102.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $45.71 | Professional | 53 · Discontinued | $40.74 | $40.74 | $45.71 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | CT · Older CT scanner | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | FX · Film X-ray | $162.18 | $162.18 | $162.18 |
Where Arizona sits
The same service costs 5.9 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· 32nd of 51
$251
VT $741UT $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.