How much rates vary
Facilitymedian $347 · 10th to 90th $100 to $724Professionalmedian $129 · 10th to 90th $98 to $891
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 $158.49 Median $660.69 Typical High $1,071.52 | Facility | TC · Technical part | $158.49 | $660.69 | $1,071.52 |
Aetna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $97.72 | $134.90 | $134.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $28.18 | Professional | 26 · Professional part | $23.99 | $28.18 | $28.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $107.15 Typical High $107.15 | Professional | TC · Technical part | $74.13 | $107.15 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $75.86 Median $75.86 Typical High $89.13 | Professional | None (both parts) | $75.86 | $75.86 | $89.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $77.62 Median $331.13 Typical High $501.19 | Facility | None | $77.62 | $331.13 | $501.19 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $112.20 | $112.20 | $213.80 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $20.89 | $39.81 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $91.20 Typical High $173.78 | Professional | TC · Technical part | $91.20 | $91.20 | $173.78 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $1,122.02 | Facility | None | $275.42 | $436.52 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $114.82 Typical High $218.78 | Professional | None (both parts) | $93.33 | $114.82 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $25.70 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $91.20 Typical High $162.18 | Professional | TC · Technical part | $69.18 | $91.20 | $162.18 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $147.91 Typical High $281.84 | Facility | None | $123.03 | $147.91 | $281.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $100.00 Median $891.25 Typical High $891.25 | Professional | None (both parts) | $100.00 | $891.25 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $173.78 Typical High $173.78 | Professional | 26 · Professional part | $25.70 | $173.78 | $173.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $74.13 Median $724.44 Typical High $724.44 | Professional | TC · Technical part | $74.13 | $724.44 | $724.44 |
United Setting Professional Modifier None (both parts) Typical Low $95.50 Median $125.89 Typical High $190.55 | Professional | None (both parts) | $95.50 | $125.89 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $45.71 | Professional | 26 · Professional part | $24.55 | $28.84 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $97.72 Typical High $141.25 | Professional | TC · Technical part | $70.79 | $97.72 | $141.25 |
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 $58.88 Median $67.61 Typical High $67.61 | Professional | 52 · Reduced service | $58.88 | $67.61 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $26.92 Typical High $26.92 | Professional | 53 · Discontinued | $23.44 | $26.92 | $26.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $104.71 Median $107.15 Typical High $107.15 | Professional | FX · Film X-ray | $104.71 | $107.15 | $107.15 |
Where Arizona sits
The same service costs 4.2 times more in Alaska than in New York. 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· 33rd of 51
$135
AK $398NY $95.50
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.