How much rates vary
Facilitymedian $138 · 10th to 90th $39 to $234Professionalmedian $76 · 10th to 90th $56 to $501
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 $57.54 Median $245.47 Typical High $389.05 | Facility | TC · Technical part | $57.54 | $245.47 | $389.05 |
Aetna Setting Professional Modifier None (both parts) Typical Low $70.79 Median $70.79 Typical High $97.72 | Professional | None (both parts) | $70.79 | $70.79 | $97.72 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $31.62 Typical High $36.31 | Professional | 26 · Professional part | $26.30 | $31.62 | $36.31 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $38.90 Typical High $56.23 | Professional | TC · Technical part | $38.90 | $38.90 | $56.23 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None (both parts) | $51.29 | $51.29 | $51.29 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | 26 · Professional part | $19.05 | $19.05 | $19.05 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | TC · Technical part | $38.02 | $38.02 | $38.02 |
BCBS Arizona Setting Facility Modifier None Typical Low $28.84 Median $123.03 Typical High $186.21 | Facility | None | $28.84 | $123.03 | $186.21 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $107.15 | Professional | None (both parts) | $57.54 | $57.54 | $107.15 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $23.44 Typical High $43.65 | Professional | 26 · Professional part | $23.44 | $23.44 | $43.65 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $33.88 Median $33.88 Typical High $63.10 | Professional | TC · Technical part | $33.88 | $33.88 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $162.18 Typical High $331.13 | Facility | None | $134.90 | $162.18 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $70.79 Typical High $120.23 | Professional | None (both parts) | $56.23 | $70.79 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $26.92 Typical High $52.48 | Professional | 26 · Professional part | $25.12 | $26.92 | $52.48 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $44.67 Typical High $70.79 | Professional | TC · Technical part | $30.90 | $44.67 | $70.79 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $144.54 | Facility | None | $70.79 | $77.62 | $144.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $67.61 Median $501.19 Typical High $501.19 | Professional | None (both parts) | $67.61 | $501.19 | $501.19 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $323.59 Typical High $323.59 | Professional | 26 · Professional part | $29.51 | $323.59 | $323.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $323.59 Typical High $323.59 | Professional | TC · Technical part | $36.31 | $323.59 | $323.59 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $79.43 Typical High $117.49 | Professional | None (both parts) | $67.61 | $79.43 | $117.49 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $31.62 Typical High $45.71 | Professional | 26 · Professional part | $27.54 | $31.62 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $46.77 Typical High $67.61 | Professional | TC · Technical part | $36.31 | $46.77 | $67.61 |
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 $33.11 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.49 | $14.13 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $56.23 Median $56.23 Typical High $56.23 | Professional | FX · Film X-ray | $56.23 | $56.23 | $56.23 |
Where Arizona sits
The same service costs 3.8 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· 34th of 51
$77.62
AK $204TX $53.70
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.