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 $194.98 Median $223.87 Typical High $346.74 | Professional | None (both parts) | $194.98 | $223.87 | $346.74 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $100.00 Typical High $138.04 | Professional | 26 · Professional part | $77.62 | $100.00 | $138.04 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $125.89 Typical High $204.17 | Professional | TC · Technical part | $120.23 | $125.89 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $134.90 | $181.97 | $181.97 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $67.61 Typical High $128.82 | Professional | 26 · Professional part | $63.10 | $67.61 | $128.82 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | TC · Technical part | $109.65 | $109.65 | $109.65 |
BCBS Arizona Setting Facility Modifier None Typical Low $97.72 Median $446.68 Typical High $676.08 | Facility | None | $97.72 | $446.68 | $676.08 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $204.17 Median $204.17 Typical High $398.11 | Professional | None (both parts) | $204.17 | $204.17 | $398.11 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $81.28 | $158.49 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $239.88 | Professional | TC · Technical part | $123.03 | $123.03 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $346.74 Typical High $630.96 | Facility | None | $331.13 | $346.74 | $630.96 |
Cigna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $239.88 Typical High $512.86 | Professional | None (both parts) | $147.91 | $239.88 | $512.86 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $85.11 Typical High $158.49 | Professional | 26 · Professional part | $57.54 | $85.11 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $144.54 Typical High $309.03 | Professional | TC · Technical part | $83.18 | $144.54 | $309.03 |
Medica Setting Facility Modifier None Typical Low $213.80 Median $758.58 Typical High $2,511.89 | Facility | None | $213.80 | $758.58 | $2,511.89 |
Medica Setting Professional Modifier None (both parts) Typical Low $173.78 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $173.78 | $1,230.27 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $75.86 | $524.81 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $1,318.26 Typical High $1,318.26 | Professional | TC · Technical part | $97.72 | $1,318.26 | $1,318.26 |
United Setting Professional Modifier None (both parts) Typical Low $169.82 Median $199.53 Typical High $354.81 | Professional | None (both parts) | $169.82 | $199.53 | $354.81 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $77.62 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $77.62 | $147.91 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $120.23 Typical High $204.17 | Professional | TC · Technical part | $95.50 | $120.23 | $204.17 |
2 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 CT · Older CT scanner Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | CT · Older CT scanner | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | FX · Film X-ray | $181.97 | $181.97 | $181.97 |
Where Arizona sits
The same service costs 18.2 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· 37th of 51
$224
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.