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 $208.93 Median $208.93 Typical High $346.74 | Professional | None (both parts) | $208.93 | $208.93 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $69.18 Typical High $89.13 | Professional | 26 · Professional part | $56.23 | $69.18 | $89.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $288.40 | Professional | TC · Technical part | $138.04 | $138.04 | $288.40 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $60.26 | Professional | 26 · Professional part | $43.65 | $43.65 | $60.26 |
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 $194.98 Median $194.98 Typical High $371.54 | Professional | None (both parts) | $194.98 | $194.98 | $371.54 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $57.54 | $109.65 |
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 $138.04 Median $263.03 Typical High $549.54 | Professional | None (both parts) | $138.04 | $263.03 | $549.54 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $40.74 | $57.54 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $190.55 Typical High $407.38 | Professional | TC · Technical part | $91.20 | $190.55 | $407.38 |
Medica Setting Facility Modifier None Typical Low $208.93 Median $380.19 Typical High $2,511.89 | Facility | None | $208.93 | $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 $50.12 Median $436.52 Typical High $436.52 | Professional | 26 · Professional part | $50.12 | $436.52 | $436.52 |
Medica Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $1,949.84 Typical High $1,949.84 | Professional | TC · Technical part | $117.49 | $1,949.84 | $1,949.84 |
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 $52.48 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $52.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $177.83 Typical High $288.40 | Professional | TC · Technical part | $117.49 | $177.83 | $288.40 |
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 $102.33 Median $104.71 Typical High $117.49 | Professional | 52 · Reduced service | $102.33 | $104.71 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $41.69 Typical High $46.77 | Professional | 53 · Discontinued | $41.69 | $41.69 | $46.77 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | CT · Older CT scanner | $177.83 | $177.83 | $177.83 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | FX · Film X-ray | $165.96 | $165.96 | $165.96 |
Where Arizona sits
The same service costs 5.5 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· 29th of 51
$275
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.