How much rates vary
Facilitymedian $257 · 10th to 90th $68 to $5,623Professionalmedian $174 · 10th to 90th $100 to $3,311
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 $104.71 Median $446.68 Typical High $707.95 | Facility | TC · Technical part | $104.71 | $446.68 | $707.95 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $123.03 Typical High $213.80 | Professional | None (both parts) | $120.23 | $123.03 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $52.48 Typical High $58.88 | Professional | 26 · Professional part | $50.12 | $52.48 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $70.79 Typical High $158.49 | Professional | TC · Technical part | $69.18 | $70.79 | $158.49 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None (both parts) | $79.43 | $79.43 | $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 $97.72 Median $97.72 Typical High $186.21 | Professional | None (both parts) | $97.72 | $97.72 | $186.21 |
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 $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 $512.86 Typical High $9,120.11 | Facility | None | $257.04 | $512.86 | $9,120.11 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $154.88 Typical High $416.87 | Professional | None (both parts) | $100.00 | $154.88 | $416.87 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $43.65 Median $53.70 Typical High $104.71 | Professional | 26 · Professional part | $43.65 | $53.70 | $104.71 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $57.54 Median $91.20 Typical High $354.81 | Professional | TC · Technical part | $57.54 | $91.20 | $354.81 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $138.04 Typical High $1,318.26 | Facility | None | $123.03 | $138.04 | $1,318.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $134.90 Median $3,311.31 Typical High $3,311.31 | Professional | None (both parts) | $134.90 | $3,311.31 | $3,311.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $53.70 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $53.70 | $575.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $2,818.38 Typical High $2,818.38 | Professional | TC · Technical part | $77.62 | $2,818.38 | $2,818.38 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $190.55 Typical High $371.54 | Professional | None (both parts) | $134.90 | $190.55 | $371.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $50.12 Median $54.95 Typical High $89.13 | Professional | 26 · Professional part | $50.12 | $54.95 | $89.13 |
United Setting Professional Modifier TC · Technical part Typical Low $77.62 Median $120.23 Typical High $316.23 | Professional | TC · Technical part | $77.62 | $120.23 | $316.23 |
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 $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.39 | $24.55 | $24.55 |
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· 28th of 51
$186
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.