How much rates vary
Facilitymedian $126 · 10th to 90th $40 to $295Professionalmedian $78 · 10th to 90th $50 to $562
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 $63.10 Median $91.20 Typical High $218.78 | Facility | None | $63.10 | $91.20 | $218.78 |
Aetna Setting Professional Modifier None (both parts) Typical Low $63.10 Median $63.10 Typical High $123.03 | Professional | None (both parts) | $63.10 | $63.10 | $123.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $28.84 Typical High $43.65 | Professional | 26 · Professional part | $25.12 | $28.84 | $43.65 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $34.67 Typical High $87.10 | Professional | TC · Technical part | $34.67 | $34.67 | $87.10 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $41.69 Median $60.26 Typical High $60.26 | Professional | None (both parts) | $41.69 | $60.26 | $60.26 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 26 · Professional part | $26.92 | $26.92 | $26.92 |
BCBS Arizona Setting Facility Modifier None Typical Low $24.55 Median $107.15 Typical High $158.49 | Facility | None | $24.55 | $107.15 | $158.49 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $50.12 Median $50.12 Typical High $93.33 | Professional | None (both parts) | $50.12 | $50.12 | $93.33 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $20.89 Typical High $39.81 | Professional | 26 · Professional part | $20.89 | $20.89 | $39.81 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $54.95 | Professional | TC · Technical part | $28.84 | $28.84 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $234.42 Typical High $331.13 | Facility | None | $125.89 | $234.42 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $50.12 Median $75.86 Typical High $123.03 | Professional | None (both parts) | $50.12 | $75.86 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $27.54 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $27.54 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $38.90 Typical High $81.28 | Professional | TC · Technical part | $26.30 | $38.90 | $81.28 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $87.10 Typical High $269.15 | Facility | None | $63.10 | $87.10 | $269.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $562.34 Typical High $562.34 | Professional | None (both parts) | $60.26 | $562.34 | $562.34 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $186.21 Typical High $186.21 | Professional | 26 · Professional part | $28.18 | $186.21 | $186.21 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $398.11 Typical High $398.11 | Professional | TC · Technical part | $30.20 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $58.88 Median $72.44 Typical High $120.23 | Professional | None (both parts) | $58.88 | $72.44 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $26.92 Median $29.51 Typical High $45.71 | Professional | 26 · Professional part | $26.92 | $29.51 | $45.71 |
United Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $36.31 Typical High $83.18 | Professional | TC · Technical part | $29.51 | $36.31 | $83.18 |
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 $31.62 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | FX · Film X-ray | $50.12 | $50.12 | $50.12 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $38.90 Median $38.90 Typical High $44.67 | Professional | 59 · Distinct service | $38.90 | $38.90 | $44.67 |
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· 28th of 51
$83.18
AK $182TX $47.86
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.