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 $234.42 Median $239.88 Typical High $389.05 | Professional | None (both parts) | $234.42 | $239.88 | $389.05 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $69.18 Typical High $77.62 | Professional | 26 · Professional part | $53.70 | $69.18 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $169.82 Typical High $295.12 | Professional | TC · Technical part | $165.96 | $169.82 | $295.12 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $173.78 | $173.78 | $173.78 |
BCBS Arizona Setting Facility Modifier None Typical Low $131.83 Median $602.56 Typical High $912.01 | Facility | None | $131.83 | $602.56 | $912.01 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $223.87 | $223.87 | $426.58 |
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 $165.96 Median $165.96 Typical High $323.59 | Professional | TC · Technical part | $165.96 | $165.96 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $851.14 | Facility | None | $446.68 | $467.74 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $158.49 Median $309.03 Typical High $630.96 | Professional | None (both parts) | $158.49 | $309.03 | $630.96 |
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 $114.82 Median $229.09 Typical High $501.19 | Professional | TC · Technical part | $114.82 | $229.09 | $501.19 |
Medica Setting Facility Modifier None Typical Low $223.87 Median $389.05 Typical High $2,511.89 | Facility | None | $223.87 | $389.05 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $199.53 | $2,089.30 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $380.19 Typical High $380.19 | Professional | 26 · Professional part | $50.12 | $380.19 | $380.19 |
Medica Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $1,737.80 Typical High $1,737.80 | Professional | TC · Technical part | $147.91 | $1,737.80 | $1,737.80 |
United Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $467.74 | Professional | None (both parts) | $199.53 | $281.84 | $467.74 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $104.71 | Professional | 26 · Professional part | $50.12 | $52.48 | $104.71 |
United Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $223.87 Typical High $354.81 | Professional | TC · Technical part | $147.91 | $223.87 | $354.81 |
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 $117.49 Median $120.23 Typical High $134.90 | Professional | 52 · Reduced service | $117.49 | $120.23 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $47.86 Typical High $53.70 | Professional | 53 · Discontinued | $46.77 | $47.86 | $53.70 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | CT · Older CT scanner | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | FX · Film X-ray | $190.55 | $190.55 | $190.55 |
Where Arizona sits
The same service costs 5.1 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
$309
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.