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 $331.13 Median $660.69 Typical High $1,513.56 | Facility | None | $331.13 | $660.69 | $1,513.56 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $562.34 | Professional | None (both parts) | $309.03 | $371.54 | $562.34 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $104.71 Typical High $147.91 | Professional | 26 · Professional part | $81.28 | $104.71 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $263.03 Typical High $407.38 | Professional | TC · Technical part | $229.09 | $263.03 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $218.78 Median $251.19 Typical High $295.12 | Professional | None (both parts) | $218.78 | $251.19 | $295.12 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $83.18 | Professional | 26 · Professional part | $70.79 | $81.28 | $83.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $263.03 | Professional | TC · Technical part | $229.09 | $229.09 | $263.03 |
BCBS Setting Facility Modifier None Typical Low $204.17 Median $933.25 Typical High $1,412.54 | Facility | None | $204.17 | $933.25 | $1,412.54 |
BCBS Setting Professional Modifier None (both parts) Typical Low $346.74 Median $346.74 Typical High $660.69 | Professional | None (both parts) | $346.74 | $346.74 | $660.69 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $85.11 | $85.11 | $165.96 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $263.03 Typical High $501.19 | Professional | TC · Technical part | $263.03 | $263.03 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $691.83 Median $724.44 Typical High $1,318.26 | Facility | None | $691.83 | $724.44 | $1,318.26 |
Cigna Setting Professional Modifier None (both parts) Typical Low $234.42 Median $371.54 Typical High $831.76 | Professional | None (both parts) | $234.42 | $371.54 | $831.76 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $89.13 Typical High $162.18 | Professional | 26 · Professional part | $60.26 | $89.13 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $275.42 Typical High $602.56 | Professional | TC · Technical part | $169.82 | $275.42 | $602.56 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,122.02 Typical High $2,951.21 | Facility | None | $371.54 | $1,122.02 | $2,951.21 |
Medica Setting Professional Modifier None (both parts) Typical Low $281.84 Median $2,089.30 Typical High $2,089.30 | Professional | None (both parts) | $281.84 | $2,089.30 | $2,089.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $79.43 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $2,630.27 Typical High $2,630.27 | Professional | TC · Technical part | $204.17 | $2,630.27 | $2,630.27 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $309.03 Typical High $549.54 | Professional | None (both parts) | $269.15 | $309.03 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $81.28 Typical High $154.88 | Professional | 26 · Professional part | $74.13 | $81.28 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $229.09 Typical High $407.38 | Professional | TC · Technical part | $190.55 | $229.09 | $407.38 |
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 $309.03 Median $316.23 Typical High $316.23 | Professional | CT · Older CT scanner | $309.03 | $316.23 | $316.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | FX · Film X-ray | $295.12 | $295.12 | $295.12 |
Where Arizona sits
The same service costs 15.8 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· 36th of 51
$372
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.