How much rates vary
Facilitymedian $363 · 10th to 90th $115 to $1,622Professionalmedian $191 · 10th to 90th $132 to $1,380
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 $199.53 Median $812.83 Typical High $1,513.56 | Facility | None | $199.53 | $812.83 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $316.23 | Professional | None (both parts) | $158.49 | $158.49 | $316.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $57.54 Typical High $87.10 | Professional | 26 · Professional part | $46.77 | $57.54 | $87.10 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $223.87 | Professional | TC · Technical part | $102.33 | $102.33 | $223.87 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $125.89 Median $125.89 Typical High $128.82 | Professional | None (both parts) | $125.89 | $125.89 | $128.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $38.90 Typical High $85.11 | Professional | 26 · Professional part | $36.31 | $38.90 | $85.11 |
BCBS Arizona Setting Facility Modifier None Typical Low $79.43 Median $363.08 Typical High $549.54 | Facility | None | $79.43 | $363.08 | $549.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $288.40 | Professional | None (both parts) | $147.91 | $147.91 | $288.40 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $47.86 Typical High $91.20 | Professional | 26 · Professional part | $47.86 | $47.86 | $91.20 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $194.98 | Professional | TC · Technical part | $100.00 | $100.00 | $194.98 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $281.84 Typical High $512.86 | Facility | None | $269.15 | $281.84 | $512.86 |
Cigna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $208.93 Typical High $426.58 | Professional | None (both parts) | $104.71 | $208.93 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $48.98 Typical High $93.33 | Professional | 26 · Professional part | $33.11 | $48.98 | $93.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $154.88 Typical High $302.00 | Professional | TC · Technical part | $70.79 | $154.88 | $302.00 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $275.42 Typical High $2,511.89 | Facility | None | $158.49 | $275.42 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $1,380.38 Typical High $1,380.38 | Professional | None (both parts) | $134.90 | $1,380.38 | $1,380.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $43.65 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $91.20 | $1,318.26 | $1,318.26 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $309.03 | Professional | None (both parts) | $134.90 | $190.55 | $309.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $44.67 Typical High $89.13 | Professional | 26 · Professional part | $41.69 | $44.67 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $91.20 Median $138.04 Typical High $213.80 | Professional | TC · Technical part | $91.20 | $138.04 | $213.80 |
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 $79.43 Median $79.43 Typical High $85.11 | Professional | 52 · Reduced service | $79.43 | $79.43 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $33.88 | Professional | 53 · Discontinued | $31.62 | $31.62 | $33.88 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | CT · Older CT scanner | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $125.89 | $125.89 | $125.89 |
Where Arizona sits
The same service costs 5.8 times more in Vermont 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· 31st of 51
$200
VT $603UT $105
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.