How much rates vary
Facilitymedian $759 · 10th to 90th $257 to $1,622Professionalmedian $380 · 10th to 90th $263 to $3,162
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 $309.03 Median $323.59 Typical High $575.44 | Professional | None (both parts) | $309.03 | $323.59 | $575.44 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $104.71 Typical High $158.49 | Professional | 26 · Professional part | $85.11 | $104.71 | $158.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $218.78 Typical High $407.38 | Professional | TC · Technical part | $213.80 | $218.78 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $281.84 | Professional | None (both parts) | $204.17 | $204.17 | $281.84 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $83.18 Typical High $120.23 | Professional | 26 · Professional part | $69.18 | $83.18 | $120.23 |
BCBS Arizona Setting Facility Modifier None Typical Low $169.82 Median $776.25 Typical High $1,174.90 | Facility | None | $169.82 | $776.25 | $1,174.90 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $302.00 | $302.00 | $575.44 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $85.11 | $165.96 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $213.80 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $660.69 Typical High $1,202.26 | Facility | None | $457.09 | $660.69 | $1,202.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $407.38 Typical High $851.14 | Professional | None (both parts) | $234.42 | $407.38 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $87.10 Typical High $169.82 | Professional | 26 · Professional part | $60.26 | $87.10 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $162.18 Median $288.40 Typical High $630.96 | Professional | TC · Technical part | $162.18 | $288.40 | $630.96 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $645.65 Typical High $2,511.89 | Facility | None | $323.59 | $645.65 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $263.03 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $263.03 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $79.43 | $1,000.00 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $2,691.53 Typical High $2,691.53 | Professional | TC · Technical part | $181.97 | $2,691.53 | $2,691.53 |
United Setting Professional Modifier None (both parts) Typical Low $257.04 Median $371.54 Typical High $588.84 | Professional | None (both parts) | $257.04 | $371.54 | $588.84 |
United Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $79.43 Typical High $162.18 | Professional | 26 · Professional part | $79.43 | $79.43 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $269.15 Typical High $457.09 | Professional | TC · Technical part | $177.83 | $269.15 | $457.09 |
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 $151.36 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $151.36 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | CT · Older CT scanner | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | FX · Film X-ray | $257.04 | $257.04 | $257.04 |
Where Arizona sits
The same service costs 12.3 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
$380
VT $2,089UT $170
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.