How much rates vary
Facilitymedian $178 · 10th to 90th $60 to $288Professionalmedian $89 · 10th to 90th $68 to $525
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 $83.18 Median $100.00 Typical High $229.09 | Facility | None | $83.18 | $100.00 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $83.18 Typical High $138.04 | Professional | None (both parts) | $83.18 | $83.18 | $138.04 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $32.36 Typical High $48.98 | Professional | 26 · Professional part | $27.54 | $32.36 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $89.13 | Professional | TC · Technical part | $51.29 | $51.29 | $89.13 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $51.29 Median $63.10 Typical High $114.82 | Professional | None (both parts) | $51.29 | $63.10 | $114.82 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $43.65 | Professional | 26 · Professional part | $30.20 | $43.65 | $43.65 |
BCBS Setting Facility Modifier None Typical Low $37.15 Median $162.18 Typical High $239.88 | Facility | None | $37.15 | $162.18 | $239.88 |
BCBS Setting Professional Modifier None (both parts) Typical Low $67.61 Median $67.61 Typical High $128.82 | Professional | None (both parts) | $67.61 | $67.61 | $128.82 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $23.99 Typical High $44.67 | Professional | 26 · Professional part | $23.99 | $23.99 | $44.67 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $83.18 | Professional | TC · Technical part | $43.65 | $43.65 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $331.13 | Facility | None | $173.78 | $208.93 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $141.25 | Professional | None (both parts) | $69.18 | $85.11 | $141.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $26.30 Median $29.51 Typical High $54.95 | Professional | 26 · Professional part | $26.30 | $29.51 | $54.95 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $41.69 Median $56.23 Typical High $89.13 | Professional | TC · Technical part | $41.69 | $56.23 | $89.13 |
Medica Setting Facility Modifier None Typical Low $83.18 Median $114.82 Typical High $309.03 | Facility | None | $83.18 | $114.82 | $309.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $85.11 Median $524.81 Typical High $524.81 | Professional | None (both parts) | $85.11 | $524.81 | $524.81 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $194.98 Typical High $194.98 | Professional | 26 · Professional part | $31.62 | $194.98 | $194.98 |
Medica Setting Professional Modifier TC · Technical part Typical Low $52.48 Median $331.13 Typical High $331.13 | Professional | TC · Technical part | $52.48 | $331.13 | $331.13 |
United Setting Professional Modifier None (both parts) Typical Low $81.28 Median $89.13 Typical High $128.82 | Professional | None (both parts) | $81.28 | $89.13 | $128.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $33.11 Typical High $50.12 | Professional | 26 · Professional part | $30.90 | $33.11 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $56.23 Typical High $85.11 | Professional | TC · Technical part | $51.29 | $56.23 | $85.11 |
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 $40.74 Median $41.69 Typical High $41.69 | Professional | 52 · Reduced service | $40.74 | $41.69 | $41.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | FX · Film X-ray | $67.61 | $67.61 | $67.61 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | 59 · Distinct service | $60.26 | $60.26 | $60.26 |
Where Arizona sits
The same service costs 3.6 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· 38th of 51
$89.13
AK $245TX $67.61
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.