How much rates vary
Facilitymedian $85 · 10th to 90th $30 to $191Professionalmedian $34 · 10th to 90th $28 to $219
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 $34.67 Median $39.81 Typical High $69.18 | Facility | None | $34.67 | $39.81 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $34.67 Typical High $60.26 | Professional | None (both parts) | $27.54 | $34.67 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $8.32 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $26.30 Typical High $45.71 | Professional | TC · Technical part | $19.95 | $26.30 | $45.71 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $25.12 Median $33.11 Typical High $33.88 | Professional | None (both parts) | $25.12 | $33.11 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | 26 · Professional part | $8.13 | $8.13 | $8.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.05 Median $81.28 Typical High $123.03 | Facility | None | $19.05 | $81.28 | $123.03 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $28.84 Median $28.84 Typical High $54.95 | Professional | None (both parts) | $28.84 | $28.84 | $54.95 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $12.30 | Professional | 26 · Professional part | $6.46 | $6.46 | $12.30 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $22.39 Typical High $42.66 | Professional | TC · Technical part | $22.39 | $22.39 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $107.15 Typical High $269.15 | Facility | None | $75.86 | $107.15 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.30 Median $29.51 Typical High $58.88 | Professional | None (both parts) | $26.30 | $29.51 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $15.85 | Professional | 26 · Professional part | $6.76 | $7.59 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.38 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $21.38 | $44.67 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $38.02 Typical High $158.49 | Facility | None | $31.62 | $38.02 | $158.49 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.18 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $28.18 | $218.78 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $7.59 | $58.88 | $58.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $165.96 Typical High $165.96 | Professional | TC · Technical part | $20.42 | $165.96 | $165.96 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.11 Typical High $48.98 | Professional | None (both parts) | $26.92 | $33.11 | $48.98 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.24 | $8.71 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $24.55 Typical High $36.31 | Professional | TC · Technical part | $19.05 | $24.55 | $36.31 |
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 $15.14 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $15.14 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.92 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $27.54 | $27.54 | $27.54 |
Where Arizona sits
The same service costs 3.7 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· 35th of 51
$34.67
AK $100FL $26.92
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.