How much rates vary
Facilitymedian $85 · 10th to 90th $32 to $191Professionalmedian $34 · 10th to 90th $27 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 $35.48 Median $39.81 Typical High $74.13 | Facility | None | $35.48 | $39.81 | $74.13 |
Aetna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $35.48 Typical High $60.26 | Professional | None (both parts) | $27.54 | $35.48 | $60.26 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.32 Typical High $14.13 | Professional | 26 · Professional part | $7.94 | $8.32 | $14.13 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $26.92 Typical High $46.77 | Professional | TC · Technical part | $19.50 | $26.92 | $46.77 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $21.88 Median $26.92 Typical High $33.88 | Professional | None (both parts) | $21.88 | $26.92 | $33.88 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $6.61 Median $7.94 Typical High $7.94 | Professional | 26 · Professional part | $6.61 | $7.94 | $7.94 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.05 Median $83.18 Typical High $123.03 | Facility | None | $19.05 | $83.18 | $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 $6.17 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 $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 $109.65 Typical High $269.15 | Facility | None | $72.44 | $109.65 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $29.51 Typical High $60.26 | Professional | None (both parts) | $26.92 | $29.51 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $16.22 | Professional | 26 · Professional part | $6.76 | $8.32 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $21.88 Typical High $44.67 | Professional | TC · Technical part | $19.05 | $21.88 | $44.67 |
Medica Setting Facility Modifier None Typical Low $32.36 Median $38.90 Typical High $346.74 | Facility | None | $32.36 | $38.90 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $28.84 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $28.84 | $218.78 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $8.32 | $67.61 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $169.82 Typical High $169.82 | Professional | TC · Technical part | $19.95 | $169.82 | $169.82 |
United Setting Professional Modifier None (both parts) Typical Low $26.92 Median $33.88 Typical High $50.12 | Professional | None (both parts) | $26.92 | $33.88 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $8.71 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $25.12 Typical High $36.31 | Professional | TC · Technical part | $19.05 | $25.12 | $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 $6.17 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 $28.18 Typical High $28.18 | Professional | FX · Film X-ray | $27.54 | $28.18 | $28.18 |
Where Arizona sits
The same service costs 12.9 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· 36th of 51
$34.67
VT $347FL $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.