How much rates vary
Facilitymedian $251 · 10th to 90th $68 to $5,623Professionalmedian $209 · 10th to 90th $120 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 $154.88 Median $154.88 Typical High $309.03 | Professional | None (both parts) | $154.88 | $154.88 | $309.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $83.18 Typical High $123.03 | Professional | 26 · Professional part | $48.98 | $83.18 | $123.03 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $204.17 | Professional | TC · Technical part | $69.18 | $72.44 | $204.17 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None (both parts) | $109.65 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $79.43 | Professional | 26 · Professional part | $58.88 | $63.10 | $79.43 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $213.80 Typical High $323.59 | Facility | None | $50.12 | $213.80 | $323.59 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $234.42 | Professional | None (both parts) | $120.23 | $120.23 | $234.42 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $120.23 | Professional | 26 · Professional part | $61.66 | $61.66 | $120.23 |
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 $251.19 Median $588.84 Typical High $9,120.11 | Facility | None | $251.19 | $588.84 | $9,120.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $186.21 Typical High $478.63 | Professional | None (both parts) | $125.89 | $186.21 | $478.63 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $69.18 Typical High $141.25 | Professional | 26 · Professional part | $54.95 | $69.18 | $141.25 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $95.50 Typical High $371.54 | Professional | TC · Technical part | $57.54 | $95.50 | $371.54 |
Medica Setting Facility Modifier None Typical Low $154.88 Median $169.82 Typical High $630.96 | Facility | None | $154.88 | $169.82 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $165.96 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $165.96 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $549.54 Typical High $549.54 | Professional | 26 · Professional part | $54.95 | $549.54 | $549.54 |
Medica Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $79.43 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $165.96 Median $208.93 Typical High $389.05 | Professional | None (both parts) | $165.96 | $208.93 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $74.13 Typical High $112.20 | Professional | 26 · Professional part | $53.70 | $74.13 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $131.83 Typical High $331.13 | Professional | TC · Technical part | $79.43 | $131.83 | $331.13 |
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 $69.18 Median $75.86 Typical High $75.86 | Professional | 52 · Reduced service | $69.18 | $75.86 | $75.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $28.18 | $30.90 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | FX · Film X-ray | $123.03 | $123.03 | $123.03 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | 59 · Distinct service | $95.50 | $95.50 | $95.50 |
Where Arizona sits
The same service costs 4.1 times more in Alaska than in Texas. 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· 29th of 51
$209
AK $468TX $115
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.