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 $316.23 Median $323.59 Typical High $501.19 | Professional | None (both parts) | $316.23 | $323.59 | $501.19 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $102.33 Typical High $120.23 | Professional | 26 · Professional part | $77.62 | $102.33 | $120.23 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $389.05 | Professional | TC · Technical part | $218.78 | $218.78 | $389.05 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 26 · Professional part | $117.49 | $117.49 | $117.49 |
BCBS Arizona Setting Facility Modifier None Typical Low $169.82 Median $776.25 Typical High $1,174.90 | Facility | None | $169.82 | $776.25 | $1,174.90 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $575.44 | Professional | None (both parts) | $302.00 | $302.00 | $575.44 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $85.11 | $162.18 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $213.80 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $741.31 Typical High $1,348.96 | Facility | None | $457.09 | $741.31 | $1,348.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $245.47 Median $426.58 Typical High $870.96 | Professional | None (both parts) | $245.47 | $426.58 | $870.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $58.88 | $85.11 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $181.97 Median $316.23 Typical High $676.08 | Professional | TC · Technical part | $181.97 | $316.23 | $676.08 |
Medica Setting Facility Modifier None Typical Low $302.00 Median $616.60 Typical High $2,511.89 | Facility | None | $302.00 | $616.60 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $275.42 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $75.86 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $2,630.27 Typical High $2,630.27 | Professional | TC · Technical part | $199.53 | $2,630.27 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $389.05 Typical High $630.96 | Professional | None (both parts) | $275.42 | $389.05 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $79.43 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $288.40 Typical High $467.74 | Professional | TC · Technical part | $194.98 | $288.40 | $467.74 |
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 $151.36 Median $162.18 Typical High $162.18 | Professional | 52 · Reduced service | $151.36 | $162.18 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $60.26 Median $64.57 Typical High $64.57 | Professional | 53 · Discontinued | $60.26 | $64.57 | $64.57 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | CT · Older CT scanner | $275.42 | $275.42 | $275.42 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $257.04 Median $257.04 Typical High $257.04 | Professional | FX · Film X-ray | $257.04 | $257.04 | $257.04 |
Where Arizona sits
The same service costs 5.8 times more in Alaska than in Texas. 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· 28th of 51
$407
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.