How much rates vary
Facilitymedian $263 · 10th to 90th $93 to $389Professionalmedian $117 · 10th to 90th $89 to $724
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 None Typical Low $112.20 Median $123.03 Typical High $213.80 | Facility | None | $112.20 | $123.03 | $213.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $112.20 Typical High $181.97 | Professional | None (both parts) | $107.15 | $112.20 | $181.97 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $28.18 Typical High $42.66 | Professional | 26 · Professional part | $23.99 | $28.18 | $42.66 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $83.18 | $85.11 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $104.71 | Professional | None (both parts) | $69.18 | $85.11 | $104.71 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $26.30 Typical High $28.84 | Professional | 26 · Professional part | $20.89 | $26.30 | $28.84 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | TC · Technical part | $100.00 | $100.00 | $100.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $60.26 Median $257.04 Typical High $389.05 | Facility | None | $60.26 | $257.04 | $389.05 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $91.20 Median $91.20 Typical High $173.78 | Professional | None (both parts) | $91.20 | $91.20 | $173.78 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $20.42 Typical High $38.90 | Professional | 26 · Professional part | $20.42 | $20.42 | $38.90 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $70.79 Typical High $134.90 | Professional | TC · Technical part | $70.79 | $70.79 | $134.90 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $309.03 Typical High $363.08 | Facility | None | $251.19 | $309.03 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $100.00 Typical High $190.55 | Professional | None (both parts) | $93.33 | $100.00 | $190.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $22.91 Median $25.70 Typical High $47.86 | Professional | 26 · Professional part | $22.91 | $25.70 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $74.13 Typical High $144.54 | Professional | TC · Technical part | $69.18 | $74.13 | $144.54 |
Medica Setting Facility Modifier None Typical Low $104.71 Median $123.03 Typical High $512.86 | Facility | None | $104.71 | $123.03 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $724.44 Typical High $724.44 | Professional | None (both parts) | $114.82 | $724.44 | $724.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $27.54 | $257.04 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $549.54 Typical High $549.54 | Professional | TC · Technical part | $85.11 | $549.54 | $549.54 |
United Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $173.78 | Professional | None (both parts) | $107.15 | $117.49 | $173.78 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $26.30 | $28.84 | $43.65 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $81.28 | $89.13 | $131.83 |
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 $53.70 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $53.70 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $21.38 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | FX · Film X-ray | $91.20 | $91.20 | $91.20 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $69.18 Median $69.18 Typical High $79.43 | Professional | 59 · Distinct service | $69.18 | $69.18 | $79.43 |
Where Arizona sits
The same service costs 4.1 times more in Minnesota than in Florida. 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· 38th of 51
$117
MN $363FL $89.13
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.