How much rates vary
Facilitymedian $562 · 10th to 90th $166 to $1,820Professionalmedian $372 · 10th to 90th $186 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 $512.86 Median $1,023.29 Typical High $1,737.80 | Facility | None | $512.86 | $1,023.29 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $251.19 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $165.96 | Professional | 26 · Professional part | $83.18 | $125.89 | $165.96 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $251.19 Typical High $407.38 | Professional | TC · Technical part | $165.96 | $251.19 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $147.91 | $190.55 | $190.55 |
BCBS Arizona Setting Facility Modifier None Typical Low $117.49 Median $524.81 Typical High $794.33 | Facility | None | $117.49 | $524.81 | $794.33 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $416.87 | Professional | None (both parts) | $218.78 | $218.78 | $416.87 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $69.18 | $69.18 | $134.90 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $281.84 | Professional | TC · Technical part | $147.91 | $147.91 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $407.38 Typical High $741.31 | Facility | None | $389.05 | $407.38 | $741.31 |
Cigna Setting Professional Modifier None (both parts) Typical Low $154.88 Median $346.74 Typical High $724.44 | Professional | None (both parts) | $154.88 | $346.74 | $724.44 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $72.44 Typical High $144.54 | Professional | 26 · Professional part | $48.98 | $72.44 | $144.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $234.42 Typical High $575.44 | Professional | TC · Technical part | $100.00 | $234.42 | $575.44 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $630.96 Typical High $2,570.40 | Facility | None | $275.42 | $630.96 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $186.21 Median $3,162.28 Typical High $3,162.28 | Professional | None (both parts) | $186.21 | $3,162.28 | $3,162.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $602.56 Typical High $602.56 | Professional | 26 · Professional part | $64.57 | $602.56 | $602.56 |
Medica Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $2,754.23 Typical High $2,754.23 | Professional | TC · Technical part | $123.03 | $2,754.23 | $2,754.23 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $288.40 Typical High $489.78 | Professional | None (both parts) | $186.21 | $288.40 | $489.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $66.07 Typical High $128.82 | Professional | 26 · Professional part | $64.57 | $66.07 | $128.82 |
United Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $190.55 Typical High $416.87 | Professional | TC · Technical part | $123.03 | $190.55 | $416.87 |
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 $151.36 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $151.36 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $60.26 | $75.86 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | FX · Film X-ray | $302.00 | $302.00 | $302.00 |
Where Arizona sits
The same service costs 6.5 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· 26th of 51
$372
AK $794UT $123
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.