How much rates vary
Facilitymedian $105 · 10th to 90th $31 to $234Professionalmedian $44 · 10th to 90th $35 to $269
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 $43.65 Median $50.12 Typical High $66.07 | Facility | None | $43.65 | $50.12 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $74.13 | Professional | None (both parts) | $38.02 | $43.65 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $12.59 Typical High $19.95 | Professional | 26 · Professional part | $9.77 | $12.59 | $19.95 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $54.95 | Professional | TC · Technical part | $28.18 | $30.90 | $54.95 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $38.02 | Professional | None (both parts) | $28.18 | $33.88 | $38.02 |
BCBS Arizona Setting Facility Modifier None Typical Low $22.39 Median $97.72 Typical High $144.54 | Facility | None | $22.39 | $97.72 | $144.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | None (both parts) | $36.31 | $36.31 | $69.18 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $9.55 Typical High $18.20 | Professional | 26 · Professional part | $9.55 | $9.55 | $18.20 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $26.92 Typical High $51.29 | Professional | TC · Technical part | $26.92 | $26.92 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $125.89 Typical High $331.13 | Facility | None | $95.50 | $125.89 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $38.02 Typical High $75.86 | Professional | None (both parts) | $33.88 | $38.02 | $75.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.72 Typical High $21.88 | Professional | 26 · Professional part | $9.33 | $10.72 | $21.88 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $27.54 Typical High $53.70 | Professional | TC · Technical part | $25.12 | $27.54 | $53.70 |
Medica Setting Facility Modifier None Typical Low $41.69 Median $47.86 Typical High $89.13 | Facility | None | $41.69 | $47.86 | $89.13 |
Medica Setting Professional Modifier None (both parts) Typical Low $38.02 Median $269.15 Typical High $269.15 | Professional | None (both parts) | $38.02 | $269.15 | $269.15 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $9.77 | $97.72 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $208.93 Typical High $208.93 | Professional | TC · Technical part | $27.54 | $208.93 | $208.93 |
United Setting Professional Modifier None (both parts) Typical Low $36.31 Median $40.74 Typical High $63.10 | Professional | None (both parts) | $36.31 | $40.74 | $63.10 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.55 Median $12.30 Typical High $18.62 | Professional | 26 · Professional part | $9.55 | $12.30 | $18.62 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $46.77 | Professional | TC · Technical part | $26.30 | $28.18 | $46.77 |
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 $19.05 Median $21.88 Typical High $21.88 | Professional | 52 · Reduced service | $19.05 | $21.88 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $8.71 Typical High $8.71 | Professional | 53 · Discontinued | $7.59 | $8.71 | $8.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | FX · Film X-ray | $34.67 | $34.67 | $34.67 |
Where Arizona sits
The same service costs 3.7 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
$43.65
AK $123UT $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.