How much rates vary
Facilitymedian $87 · 10th to 90th $33 to $204Professionalmedian $35 · 10th to 90th $28 to $224
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 $35.48 Median $40.74 Typical High $83.18 | Facility | None | $35.48 | $40.74 | $83.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $64.57 | Professional | None (both parts) | $27.54 | $35.48 | $64.57 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.33 Typical High $16.22 | Professional | 26 · Professional part | $8.51 | $9.33 | $16.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $26.30 Typical High $46.77 | Professional | TC · Technical part | $19.05 | $26.30 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $27.54 Typical High $35.48 | Professional | None (both parts) | $22.39 | $27.54 | $35.48 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $11.75 | Professional | 26 · Professional part | $7.59 | $8.91 | $11.75 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $20.89 Typical High $25.70 | Professional | TC · Technical part | $19.50 | $20.89 | $25.70 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.50 Median $83.18 Typical High $125.89 | Facility | None | $19.50 | $83.18 | $125.89 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $30.20 | $30.20 | $57.54 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $6.92 Typical High $13.49 | Professional | 26 · Professional part | $6.92 | $6.92 | $13.49 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $22.91 Typical High $43.65 | Professional | TC · Technical part | $22.91 | $22.91 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $107.15 Typical High $269.15 | Facility | None | $72.44 | $107.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $26.92 | $30.20 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $17.78 | Professional | 26 · Professional part | $7.59 | $8.71 | $17.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $40.74 | Professional | TC · Technical part | $19.50 | $21.38 | $40.74 |
Medica Setting Facility Modifier None Typical Low $35.48 Median $51.29 Typical High $389.05 | Facility | None | $35.48 | $51.29 | $389.05 |
Medica Setting Professional Modifier None (both parts) Typical Low $29.51 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $29.51 | $223.87 | $223.87 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.71 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $8.71 | $89.13 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $177.83 Typical High $177.83 | Professional | TC · Technical part | $20.42 | $177.83 | $177.83 |
United Setting Professional Modifier None (both parts) Typical Low $28.18 Median $33.88 Typical High $48.98 | Professional | None (both parts) | $28.18 | $33.88 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $9.77 Typical High $15.14 | Professional | 26 · Professional part | $8.32 | $9.77 | $15.14 |
United Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $23.99 Typical High $35.48 | Professional | TC · Technical part | $19.50 | $23.99 | $35.48 |
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 $15.49 Median $17.78 Typical High $17.78 | Professional | 52 · Reduced service | $15.49 | $17.78 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.17 Median $7.08 Typical High $7.08 | Professional | 53 · Discontinued | $6.17 | $7.08 | $7.08 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | FX · Film X-ray | $27.54 | $28.84 | $28.84 |
Where Arizona sits
The same service costs 15.5 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· 35th of 51
$35.48
VT $427FL $27.54
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.