How much rates vary
Facilitymedian $347 · 10th to 90th $91 to $9,550Professionalmedian $204 · 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 $141.25 Median $602.56 Typical High $954.99 | Facility | TC · Technical part | $141.25 | $602.56 | $954.99 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $263.03 | Professional | None (both parts) | $147.91 | $147.91 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $53.70 Typical High $77.62 | Professional | 26 · Professional part | $48.98 | $53.70 | $77.62 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $95.50 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $95.50 | $199.53 |
BCBS Arizona Setting Facility Modifier None Typical Low $67.61 Median $295.12 Typical High $436.52 | Facility | None | $67.61 | $295.12 | $436.52 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $229.09 | Professional | None (both parts) | $120.23 | $120.23 | $229.09 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $38.90 Median $38.90 Typical High $74.13 | Professional | 26 · Professional part | $38.90 | $38.90 | $74.13 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $79.43 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $575.44 Typical High $15,488.17 | Facility | None | $346.74 | $575.44 | $15,488.17 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $173.78 Typical High $457.09 | Professional | None (both parts) | $120.23 | $173.78 | $457.09 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $54.95 Typical High $102.33 | Professional | 26 · Professional part | $43.65 | $54.95 | $102.33 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $114.82 Typical High $371.54 | Professional | TC · Technical part | $75.86 | $114.82 | $371.54 |
Medica Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $630.96 | Facility | None | $147.91 | $165.96 | $630.96 |
Medica Setting Professional Modifier None (both parts) Typical Low $154.88 Median $3,090.30 Typical High $3,090.30 | Professional | None (both parts) | $154.88 | $3,090.30 | $3,090.30 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $645.65 Typical High $645.65 | Professional | 26 · Professional part | $54.95 | $645.65 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $97.72 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $154.88 Median $204.17 Typical High $389.05 | Professional | None (both parts) | $154.88 | $204.17 | $389.05 |
United Setting Professional Modifier 26 · Professional part Typical Low $51.29 Median $54.95 Typical High $91.20 | Professional | 26 · Professional part | $51.29 | $54.95 | $91.20 |
United Setting Professional Modifier TC · Technical part Typical Low $97.72 Median $151.36 Typical High $331.13 | Professional | TC · Technical part | $97.72 | $151.36 | $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 $67.61 Median $74.13 Typical High $74.13 | Professional | 52 · Reduced service | $67.61 | $74.13 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | 53 · Discontinued | $26.92 | $30.20 | $30.20 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | FX · Film X-ray | $120.23 | $120.23 | $120.23 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $104.71 Median $104.71 Typical High $104.71 | Professional | 59 · Distinct service | $104.71 | $104.71 | $104.71 |
Where Arizona sits
The same service costs 4.2 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· 29th of 51
$209
AK $437UT $105
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.