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 $331.13 Median $331.13 Typical High $549.54 | Professional | None (both parts) | $331.13 | $331.13 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $107.15 Typical High $138.04 | Professional | 26 · Professional part | $85.11 | $107.15 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $218.78 Typical High $398.11 | Professional | TC · Technical part | $218.78 | $218.78 | $398.11 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $85.11 | Professional | 26 · Professional part | $69.18 | $69.18 | $85.11 |
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 $302.00 Median $302.00 Typical High $588.84 | Professional | None (both parts) | $302.00 | $302.00 | $588.84 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $89.13 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $89.13 | $89.13 | $169.82 |
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 $794.33 Typical High $1,445.44 | Facility | None | $457.09 | $794.33 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $257.04 Median $426.58 Typical High $933.25 | Professional | None (both parts) | $257.04 | $426.58 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $89.13 Typical High $169.82 | Professional | 26 · Professional part | $61.66 | $89.13 | $169.82 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $323.59 Typical High $741.31 | Professional | TC · Technical part | $186.21 | $323.59 | $741.31 |
Medica Setting Facility Modifier None Typical Low $316.23 Median $575.44 Typical High $2,511.89 | Facility | None | $316.23 | $575.44 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $309.03 Median $2,884.03 Typical High $2,884.03 | Professional | None (both parts) | $309.03 | $2,884.03 | $2,884.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $562.34 Typical High $562.34 | Professional | 26 · Professional part | $79.43 | $562.34 | $562.34 |
Medica Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $2,398.83 Typical High $2,398.83 | Professional | TC · Technical part | $223.87 | $2,398.83 | $2,398.83 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $380.19 Typical High $660.69 | Professional | None (both parts) | $302.00 | $380.19 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $81.28 | $162.18 |
United Setting Professional Modifier TC · Technical part Typical Low $223.87 Median $302.00 Typical High $501.19 | Professional | TC · Technical part | $223.87 | $302.00 | $501.19 |
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 $154.88 Median $165.96 Typical High $165.96 | Professional | 52 · Reduced service | $154.88 | $165.96 | $165.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $66.07 Typical High $66.07 | Professional | 53 · Discontinued | $61.66 | $66.07 | $66.07 |
Aetna Setting Professional Modifier CT · Older CT scanner Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | CT · Older CT scanner | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | FX · Film X-ray | $263.03 | $263.03 | $263.03 |
Where Arizona sits
The same service costs 6.2 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· 28th of 51
$427
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.