How much rates vary
Facilitymedian $257 · 10th to 90th $68 to $9,550Professionalmedian $170 · 10th to 90th $100 to $3,090
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 TC · Technical part Typical Low $102.33 Median $436.52 Typical High $691.83 | Facility | TC · Technical part | $102.33 | $436.52 | $691.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $125.89 Typical High $223.87 | Professional | None (both parts) | $120.23 | $125.89 | $223.87 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $58.88 | Professional | 26 · Professional part | $50.12 | $54.95 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $69.18 Typical High $165.96 | Professional | TC · Technical part | $69.18 | $69.18 | $165.96 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | 26 · Professional part | $35.48 | $35.48 | $35.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $218.78 Typical High $323.59 | Facility | None | $50.12 | $218.78 | $323.59 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $100.00 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $100.00 | $100.00 | $190.55 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $39.81 Typical High $77.62 | Professional | 26 · Professional part | $39.81 | $39.81 | $77.62 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $58.88 Median $58.88 Typical High $114.82 | Professional | TC · Technical part | $58.88 | $58.88 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $537.03 Typical High $15,488.17 | Facility | None | $257.04 | $537.03 | $15,488.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $154.88 Typical High $426.58 | Professional | None (both parts) | $100.00 | $154.88 | $426.58 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $54.95 Typical High $104.71 | Professional | 26 · Professional part | $44.67 | $54.95 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $89.13 Typical High $354.81 | Professional | TC · Technical part | $56.23 | $89.13 | $354.81 |
Medica Setting Facility Modifier None Typical Low $125.89 Median $138.04 Typical High $630.96 | Facility | None | $125.89 | $138.04 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $131.83 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $56.23 | $630.96 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $75.86 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $131.83 Median $186.21 Typical High $380.19 | Professional | None (both parts) | $131.83 | $186.21 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $52.48 Median $56.23 Typical High $91.20 | Professional | 26 · Professional part | $52.48 | $56.23 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $120.23 Typical High $323.59 | Professional | TC · Technical part | $75.86 | $120.23 | $323.59 |
3 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 $56.23 Median $61.66 Typical High $61.66 | Professional | 52 · Reduced service | $56.23 | $61.66 | $61.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $100.00 | $100.00 | $100.00 |
Where Arizona sits
The same service costs 4.9 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· 30th of 51
$182
AK $372UT $75.86
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.