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 $239.88 Median $239.88 Typical High $416.87 | Professional | None (both parts) | $239.88 | $239.88 | $416.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $72.44 Typical High $79.43 | Professional | 26 · Professional part | $61.66 | $72.44 | $79.43 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $169.82 | $331.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $131.83 Median $588.84 Typical High $912.01 | Facility | None | $131.83 | $588.84 | $912.01 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $436.52 | Professional | None (both parts) | $223.87 | $223.87 | $436.52 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $60.26 | $60.26 | $114.82 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $165.96 Typical High $316.23 | Professional | TC · Technical part | $165.96 | $165.96 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $457.09 Typical High $831.76 | Facility | None | $446.68 | $457.09 | $831.76 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $302.00 Typical High $645.65 | Professional | None (both parts) | $162.18 | $302.00 | $645.65 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $60.26 Typical High $114.82 | Professional | 26 · Professional part | $41.69 | $60.26 | $114.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $229.09 Typical High $512.86 | Professional | TC · Technical part | $112.20 | $229.09 | $512.86 |
Medica Setting Facility Modifier None Typical Low $229.09 Median $457.09 Typical High $2,511.89 | Facility | None | $229.09 | $457.09 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $2,290.87 Typical High $2,290.87 | Professional | None (both parts) | $199.53 | $2,290.87 | $2,290.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $52.48 | $524.81 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $1,995.26 Typical High $1,995.26 | Professional | TC · Technical part | $144.54 | $1,995.26 | $1,995.26 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $288.40 Typical High $467.74 | Professional | None (both parts) | $199.53 | $288.40 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $107.15 | Professional | 26 · Professional part | $51.29 | $54.95 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $144.54 Median $218.78 Typical High $354.81 | Professional | TC · Technical part | $144.54 | $218.78 | $354.81 |
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 $117.49 Median $120.23 Typical High $138.04 | Professional | 52 · Reduced service | $117.49 | $120.23 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | 53 · Discontinued | $47.86 | $47.86 | $54.95 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | CT · Older CT scanner | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $190.55 | $190.55 | $190.55 |
Where Arizona sits
The same service costs 5.2 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· 31st of 51
$309
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.