How much rates vary
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 $354.81 Median $812.83 Typical High $1,513.56 | Facility | None | $354.81 | $812.83 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $288.40 Typical High $346.74 | Professional | None (both parts) | $281.84 | $288.40 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $69.18 Typical High $69.18 | Professional | 26 · Professional part | $52.48 | $69.18 | $69.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $295.12 | Professional | TC · Technical part | $218.78 | $218.78 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $43.65 Typical High $53.70 | Professional | 26 · Professional part | $43.65 | $43.65 | $53.70 |
BCBS Arizona Setting Facility Modifier None Typical Low $169.82 Median $776.25 Typical High $1,174.90 | Facility | None | $169.82 | $776.25 | $1,174.90 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $275.42 Median $275.42 Typical High $524.81 | Professional | None (both parts) | $275.42 | $275.42 | $524.81 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $57.54 Typical High $109.65 | Professional | 26 · Professional part | $57.54 | $57.54 | $109.65 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $213.80 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $630.96 Typical High $1,148.15 | Facility | None | $457.09 | $630.96 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $204.17 Median $354.81 Typical High $741.31 | Professional | None (both parts) | $204.17 | $354.81 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $57.54 Typical High $112.20 | Professional | 26 · Professional part | $39.81 | $57.54 | $112.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $275.42 Typical High $616.60 | Professional | TC · Technical part | $158.49 | $275.42 | $616.60 |
Medica Setting Facility Modifier None Typical Low $275.42 Median $389.05 Typical High $2,511.89 | Facility | None | $275.42 | $389.05 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $239.88 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $239.88 | $2,089.30 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $398.11 Typical High $398.11 | Professional | 26 · Professional part | $50.12 | $398.11 | $398.11 |
Medica Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $186.21 | $1,737.80 | $1,737.80 |
United Setting Professional Modifier None (both parts) Typical Low $239.88 Median $309.03 Typical High $512.86 | Professional | None (both parts) | $239.88 | $309.03 | $512.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $52.48 Typical High $102.33 | Professional | 26 · Professional part | $48.98 | $52.48 | $102.33 |
United Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $257.04 Typical High $407.38 | Professional | TC · Technical part | $186.21 | $257.04 | $407.38 |
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 $138.04 Median $144.54 Typical High $144.54 | Professional | 52 · Reduced service | $138.04 | $144.54 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $57.54 Typical High $57.54 | Professional | 53 · Discontinued | $54.95 | $57.54 | $57.54 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | CT · Older CT scanner | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | FX · Film X-ray | $229.09 | $229.09 | $229.09 |
Where Arizona sits
The same service costs 5.0 times more in Alaska than in Utah. 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· 32nd of 51
$339
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.