How much rates vary
Facilitymedian $257 · 10th to 90th $98 to $389Professionalmedian $126 · 10th to 90th $95 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 Facility Modifier None Typical Low $120.23 Median $138.04 Typical High $309.03 | Facility | None | $120.23 | $138.04 | $309.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $120.23 Typical High $204.17 | Professional | None (both parts) | $120.23 | $120.23 | $204.17 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $34.67 | $39.81 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $79.43 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $72.44 Median $83.18 Typical High $114.82 | Professional | None (both parts) | $72.44 | $83.18 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $37.15 Typical High $47.86 | Professional | 26 · Professional part | $31.62 | $37.15 | $47.86 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $47.86 Typical High $54.95 | Professional | TC · Technical part | $47.86 | $47.86 | $54.95 |
BCBS Arizona Setting Facility Modifier None Typical Low $56.23 Median $239.88 Typical High $363.08 | Facility | None | $56.23 | $239.88 | $363.08 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $95.50 Median $95.50 Typical High $177.83 | Professional | None (both parts) | $95.50 | $95.50 | $177.83 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $28.84 Median $28.84 Typical High $54.95 | Professional | 26 · Professional part | $28.84 | $28.84 | $54.95 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $66.07 Typical High $123.03 | Professional | TC · Technical part | $66.07 | $66.07 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $323.59 Typical High $389.05 | Facility | None | $245.47 | $323.59 | $389.05 |
Cigna Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $204.17 | Professional | None (both parts) | $97.72 | $123.03 | $204.17 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $38.02 | $67.61 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $85.11 Typical High $138.04 | Professional | TC · Technical part | $66.07 | $85.11 | $138.04 |
Medica Setting Facility Modifier None Typical Low $120.23 Median $165.96 Typical High $436.52 | Facility | None | $120.23 | $165.96 | $436.52 |
Medica Setting Professional Modifier None (both parts) Typical Low $125.89 Median $758.58 Typical High $758.58 | Professional | None (both parts) | $125.89 | $758.58 | $758.58 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $302.00 Typical High $302.00 | Professional | 26 · Professional part | $39.81 | $302.00 | $302.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $83.18 | $512.86 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $131.83 Typical High $190.55 | Professional | None (both parts) | $117.49 | $131.83 | $190.55 |
United Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $63.10 | Professional | 26 · Professional part | $38.02 | $41.69 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $91.20 Typical High $131.83 | Professional | TC · Technical part | $79.43 | $91.20 | $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 $58.88 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $58.88 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.99 Typical High $23.99 | Professional | 53 · Discontinued | $23.44 | $23.99 | $23.99 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | FX · Film X-ray | $95.50 | $95.50 | $95.50 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $77.62 Median $83.18 Typical High $87.10 | Professional | 59 · Distinct service | $77.62 | $83.18 | $87.10 |
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
$129
AK $355TX $93.33
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.