How much rates vary
Facilitymedian $339 · 10th to 90th $83 to $513Professionalmedian $204 · 10th to 90th $158 to $1,230
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 Professional Modifier None (both parts) Typical Low $134.90 Median $194.98 Typical High $269.15 | Professional | None (both parts) | $134.90 | $194.98 | $269.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $87.10 Typical High $114.82 | Professional | 26 · Professional part | $75.86 | $87.10 | $114.82 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $109.65 Typical High $151.36 | Professional | TC · Technical part | $64.57 | $109.65 | $151.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $151.36 | Professional | None (both parts) | $131.83 | $131.83 | $151.36 |
BCBS Arizona Setting Facility Modifier None Typical Low $79.43 Median $338.84 Typical High $512.86 | Facility | None | $79.43 | $338.84 | $512.86 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $158.49 Median $158.49 Typical High $302.00 | Professional | None (both parts) | $158.49 | $158.49 | $302.00 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $125.89 | Professional | 26 · Professional part | $66.07 | $66.07 | $125.89 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $93.33 Typical High $177.83 | Professional | TC · Technical part | $93.33 | $93.33 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $398.11 Typical High $478.63 | Facility | None | $331.13 | $398.11 | $478.63 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $173.78 Typical High $323.59 | Professional | None (both parts) | $162.18 | $173.78 | $323.59 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $81.28 Typical High $147.91 | Professional | 26 · Professional part | $70.79 | $81.28 | $147.91 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $93.33 Typical High $186.21 | Professional | TC · Technical part | $87.10 | $93.33 | $186.21 |
Medica Setting Facility Modifier None Typical Low $181.97 Median $213.80 Typical High $407.38 | Facility | None | $181.97 | $213.80 | $407.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $204.17 Median $1,230.27 Typical High $1,230.27 | Professional | None (both parts) | $204.17 | $1,230.27 | $1,230.27 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $87.10 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $87.10 | $575.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $112.20 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $112.20 | $707.95 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $186.21 Median $204.17 Typical High $302.00 | Professional | None (both parts) | $186.21 | $204.17 | $302.00 |
United Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $91.20 Typical High $138.04 | Professional | 26 · Professional part | $85.11 | $91.20 | $138.04 |
United Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $112.20 Typical High $173.78 | Professional | TC · Technical part | $107.15 | $112.20 | $173.78 |
5 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 Facility Modifier 53 · Discontinued Typical Low $31.62 Median $134.90 Typical High $218.78 | Facility | 53 · Discontinued | $31.62 | $134.90 | $218.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $89.13 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $89.13 | $97.72 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $35.48 Median $38.90 Typical High $38.90 | Professional | 53 · Discontinued | $35.48 | $38.90 | $38.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | FX · Film X-ray | $158.49 | $158.49 | $158.49 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | 59 · Distinct service | $275.42 | $275.42 | $275.42 |
Where Arizona sits
The same service costs 5.8 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· 34th of 51
$204
AK $589UT $102
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.