How much rates vary
Facilitymedian $138 · 10th to 90th $50 to $245Professionalmedian $56 · 10th to 90th $45 to $347
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 $56.23 Median $64.57 Typical High $131.83 | Facility | None | $56.23 | $64.57 | $131.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $47.86 Median $56.23 Typical High $100.00 | Professional | None (both parts) | $47.86 | $56.23 | $100.00 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $13.49 Typical High $24.55 | Professional | 26 · Professional part | $12.88 | $13.49 | $24.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $42.66 Typical High $75.86 | Professional | TC · Technical part | $33.88 | $42.66 | $75.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $39.81 Median $53.70 Typical High $53.70 | Professional | None (both parts) | $39.81 | $53.70 | $53.70 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $12.88 Typical High $15.85 | Professional | 26 · Professional part | $12.88 | $12.88 | $15.85 |
BCBS Arizona Setting Facility Modifier None Typical Low $30.90 Median $131.83 Typical High $199.53 | Facility | None | $30.90 | $131.83 | $199.53 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $46.77 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $46.77 | $46.77 | $89.13 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $10.00 | $19.50 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $36.31 | $36.31 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $128.82 Median $169.82 Typical High $331.13 | Facility | None | $128.82 | $169.82 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $43.65 | $50.12 | $93.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $14.13 Typical High $28.18 | Professional | 26 · Professional part | $10.96 | $14.13 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $34.67 Typical High $67.61 | Professional | TC · Technical part | $30.90 | $34.67 | $67.61 |
Medica Setting Facility Modifier None Typical Low $56.23 Median $61.66 Typical High $346.74 | Facility | None | $56.23 | $61.66 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $48.98 Median $346.74 Typical High $346.74 | Professional | None (both parts) | $48.98 | $346.74 | $346.74 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $114.82 Typical High $114.82 | Professional | 26 · Professional part | $14.13 | $114.82 | $114.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $34.67 | $257.04 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $45.71 Median $51.29 Typical High $81.28 | Professional | None (both parts) | $45.71 | $51.29 | $81.28 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $14.45 Typical High $24.55 | Professional | 26 · Professional part | $13.18 | $14.45 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $37.15 Typical High $54.95 | Professional | TC · Technical part | $30.90 | $37.15 | $54.95 |
3 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 $23.99 Median $28.18 Typical High $28.18 | Professional | 52 · Reduced service | $23.99 | $28.18 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $11.22 Typical High $11.22 | Professional | 53 · Discontinued | $9.55 | $11.22 | $11.22 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | FX · Film X-ray | $42.66 | $44.67 | $44.67 |
Where Arizona sits
The same service costs 4.8 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· 37th of 51
$56.23
AK $158UT $33.11
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.