How much rates vary
Facilitymedian $219 · 10th to 90th $60 to $331Professionalmedian $93 · 10th to 90th $71 to $759
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 Professional Modifier None (both parts) Typical Low $79.43 Median $83.18 Typical High $107.15 | Professional | None (both parts) | $79.43 | $83.18 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $23.44 Typical High $23.99 | Professional | 26 · Professional part | $21.88 | $23.44 | $23.99 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $60.26 Typical High $83.18 | Professional | TC · Technical part | $57.54 | $60.26 | $83.18 |
BCBS Setting Facility Modifier None Typical Low $44.67 Median $194.98 Typical High $288.40 | Facility | None | $44.67 | $194.98 | $288.40 |
BCBS Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $138.04 | Professional | None (both parts) | $70.79 | $70.79 | $138.04 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $18.20 Median $18.20 Typical High $34.67 | Professional | 26 · Professional part | $18.20 | $18.20 | $34.67 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $102.33 | Professional | TC · Technical part | $53.70 | $53.70 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $245.47 Typical High $331.13 | Facility | None | $199.53 | $245.47 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $64.57 Median $77.62 Typical High $158.49 | Professional | None (both parts) | $64.57 | $77.62 | $158.49 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $21.88 Typical High $43.65 | Professional | 26 · Professional part | $19.50 | $21.88 | $43.65 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $123.03 | Professional | TC · Technical part | $45.71 | $53.70 | $123.03 |
Medica Setting Facility Modifier None Typical Low $77.62 Median $91.20 Typical High $173.78 | Facility | None | $77.62 | $91.20 | $173.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $75.86 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $75.86 | $758.58 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.88 Median $1,047.13 Typical High $1,047.13 | Professional | 26 · Professional part | $21.88 | $1,047.13 | $1,047.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $1,047.13 Typical High $1,047.13 | Professional | TC · Technical part | $54.95 | $1,047.13 | $1,047.13 |
United Setting Professional Modifier None (both parts) Typical Low $72.44 Median $93.33 Typical High $144.54 | Professional | None (both parts) | $72.44 | $93.33 | $144.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.99 Typical High $38.90 | Professional | 26 · Professional part | $20.89 | $23.99 | $38.90 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $69.18 Typical High $104.71 | Professional | TC · Technical part | $53.70 | $69.18 | $104.71 |
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 Facility Modifier 52 · Reduced service Typical Low $43.65 Median $186.21 Typical High $302.00 | Facility | 52 · Reduced service | $43.65 | $186.21 | $302.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $38.90 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.49 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $15.49 | $16.60 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $67.61 | $67.61 | $67.61 |
Where Arizona sits
The same service costs 3.8 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· 34th of 51
$93.33
AK $245UT $64.57
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.