How much rates vary
Facilitymedian $81 · 10th to 90th $30 to $191Professionalmedian $33 · 10th to 90th $26 to $209
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 $33.88 Median $38.90 Typical High $72.44 | Facility | None | $33.88 | $38.90 | $72.44 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.88 Typical High $57.54 | Professional | None (both parts) | $25.70 | $33.88 | $57.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $8.32 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $44.67 | Professional | TC · Technical part | $18.62 | $25.12 | $44.67 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $33.11 | Professional | None (both parts) | $25.70 | $33.11 | $33.11 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $18.62 Typical High $19.50 | Professional | TC · Technical part | $18.62 | $18.62 | $19.50 |
BCBS Arizona Setting Facility Modifier None Typical Low $18.62 Median $79.43 Typical High $120.23 | Facility | None | $18.62 | $79.43 | $120.23 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $28.18 Median $28.18 Typical High $53.70 | Professional | None (both parts) | $28.18 | $28.18 | $53.70 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $12.02 | Professional | 26 · Professional part | $6.17 | $6.17 | $12.02 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $21.88 Typical High $41.69 | Professional | TC · Technical part | $21.88 | $21.88 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $102.33 Typical High $269.15 | Facility | None | $70.79 | $102.33 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.18 Typical High $54.95 | Professional | None (both parts) | $25.12 | $28.18 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $7.59 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.42 Typical High $39.81 | Professional | TC · Technical part | $18.20 | $20.42 | $39.81 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $37.15 Typical High $204.17 | Facility | None | $31.62 | $37.15 | $204.17 |
Medica Setting Professional Modifier None (both parts) Typical Low $27.54 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $27.54 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $79.43 Typical High $79.43 | Professional | 26 · Professional part | $7.59 | $79.43 | $79.43 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $162.18 Typical High $162.18 | Professional | TC · Technical part | $19.05 | $162.18 | $162.18 |
United Setting Professional Modifier None (both parts) Typical Low $26.30 Median $31.62 Typical High $46.77 | Professional | None (both parts) | $26.30 | $31.62 | $46.77 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $13.49 | Professional | 26 · Professional part | $7.24 | $8.71 | $13.49 |
United Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $22.91 Typical High $33.88 | Professional | TC · Technical part | $18.62 | $22.91 | $33.88 |
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 $14.45 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $14.45 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $5.75 | $6.76 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | FX · Film X-ray | $25.70 | $26.92 | $26.92 |
Where Arizona sits
The same service costs 6.0 times more in Vermont 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· 34th of 51
$33.88
VT $155FL $25.70
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.