How much rates vary
Facilitymedian $339 · 10th to 90th $102 to $724Professionalmedian $129 · 10th to 90th $100 to $871
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 $147.91 Median $630.96 Typical High $1,000.00 | Facility | TC · Technical part | $147.91 | $630.96 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $128.82 Typical High $141.25 | Professional | None (both parts) | $112.20 | $128.82 | $141.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.70 Median $28.18 Typical High $32.36 | Professional | 26 · Professional part | $25.70 | $28.18 | $32.36 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $100.00 Typical High $107.15 | Professional | TC · Technical part | $87.10 | $100.00 | $107.15 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | None (both parts) | $89.13 | $89.13 | $89.13 |
BCBS Arizona Setting Facility Modifier None Typical Low $75.86 Median $331.13 Typical High $489.78 | Facility | None | $75.86 | $331.13 | $489.78 |
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 $21.88 Median $21.88 Typical High $41.69 | Professional | 26 · Professional part | $21.88 | $21.88 | $41.69 |
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 $263.03 Median $407.38 Typical High $1,122.02 | Facility | None | $263.03 | $407.38 | $1,122.02 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $109.65 Typical High $213.80 | Professional | None (both parts) | $97.72 | $109.65 | $213.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $26.30 Typical High $52.48 | Professional | 26 · Professional part | $22.91 | $26.30 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $162.18 | Professional | TC · Technical part | $70.79 | $85.11 | $162.18 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $141.25 Typical High $263.03 | Facility | None | $123.03 | $141.25 | $263.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $870.96 Typical High $870.96 | Professional | None (both parts) | $102.33 | $870.96 | $870.96 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $26.30 | $194.98 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $691.83 Typical High $691.83 | Professional | TC · Technical part | $75.86 | $691.83 | $691.83 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $97.72 | $123.03 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $25.12 | $29.51 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $93.33 Typical High $138.04 | Professional | TC · Technical part | $70.79 | $93.33 | $138.04 |
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 $57.54 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $57.54 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $22.91 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $100.00 | $102.33 | $102.33 |
Where Arizona sits
The same service costs 3.9 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· 36th of 51
$129
AK $380NY $97.72
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.