How much rates vary
Facilitymedian $288 · 10th to 90th $78 to $1,230Professionalmedian $129 · 10th to 90th $98 to $1,950
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 TC · Technical part Typical Low $107.15 Median $457.09 Typical High $741.31 | Facility | TC · Technical part | $107.15 | $457.09 | $741.31 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $114.82 Typical High $120.23 | Professional | None (both parts) | $100.00 | $114.82 | $120.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $40.74 Typical High $40.74 | Professional | 26 · Professional part | $36.31 | $40.74 | $40.74 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $74.13 Typical High $81.28 | Professional | TC · Technical part | $64.57 | $74.13 | $81.28 |
BCBS Arizona Setting Facility Modifier None Typical Low $56.23 Median $257.04 Typical High $389.05 | Facility | None | $56.23 | $257.04 | $389.05 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $102.33 | $102.33 | $194.98 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $60.26 | Professional | 26 · Professional part | $31.62 | $31.62 | $60.26 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $134.90 | Professional | TC · Technical part | $70.79 | $70.79 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $354.81 Typical High $5,495.41 | Facility | None | $234.42 | $354.81 | $5,495.41 |
Cigna Setting Professional Modifier None (both parts) Typical Low $89.13 Median $117.49 Typical High $288.40 | Professional | None (both parts) | $89.13 | $117.49 | $288.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $39.81 Typical High $79.43 | Professional | 26 · Professional part | $33.11 | $39.81 | $79.43 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $70.79 Typical High $218.78 | Professional | TC · Technical part | $54.95 | $70.79 | $218.78 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $389.05 Typical High $1,230.27 | Facility | None | $114.82 | $389.05 | $1,230.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $1,949.84 Typical High $1,949.84 | Professional | None (both parts) | $109.65 | $1,949.84 | $1,949.84 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $39.81 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $64.57 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $100.00 Median $131.83 Typical High $229.09 | Professional | None (both parts) | $100.00 | $131.83 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $37.15 | $43.65 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $77.62 Typical High $186.21 | Professional | TC · Technical part | $54.95 | $77.62 | $186.21 |
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 $51.29 Median $57.54 Typical High $57.54 | Professional | 52 · Reduced service | $51.29 | $57.54 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $22.91 Typical High $22.91 | Professional | 53 · Discontinued | $20.42 | $22.91 | $22.91 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $91.20 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $117.49 Median $117.49 Typical High $117.49 | Professional | 59 · Distinct service | $117.49 | $117.49 | $117.49 |
Where Arizona sits
The same service costs 4.0 times more in Alaska than in Florida. 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
$135
AK $339FL $85.11
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.