How much rates vary
Facilitymedian $186 · 10th to 90th $44 to $288Professionalmedian $115 · 10th to 90th $91 to $708
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 $128.82 Median $128.82 Typical High $229.09 | Facility | None | $128.82 | $128.82 | $229.09 |
Aetna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $112.20 Typical High $177.83 | Professional | None (both parts) | $93.33 | $112.20 | $177.83 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $36.31 Median $41.69 Typical High $66.07 | Professional | 26 · Professional part | $36.31 | $41.69 | $66.07 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $70.79 Typical High $112.20 | Professional | TC · Technical part | $56.23 | $70.79 | $112.20 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $70.79 Median $109.65 Typical High $158.49 | Professional | None (both parts) | $70.79 | $109.65 | $158.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 26 · Professional part | $58.88 | $58.88 | $58.88 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | TC · Technical part | $51.29 | $51.29 | $51.29 |
BCBS Arizona Setting Facility Modifier None Typical Low $32.36 Median $138.04 Typical High $208.93 | Facility | None | $32.36 | $138.04 | $208.93 |
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 $31.62 Median $31.62 Typical High $58.88 | Professional | 26 · Professional part | $31.62 | $31.62 | $58.88 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $60.26 Median $60.26 Typical High $114.82 | Professional | TC · Technical part | $60.26 | $60.26 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $213.80 Median $269.15 Typical High $346.74 | Facility | None | $213.80 | $269.15 | $346.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $91.20 Median $100.00 Typical High $186.21 | Professional | None (both parts) | $91.20 | $100.00 | $186.21 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $38.90 Typical High $70.79 | Professional | 26 · Professional part | $33.88 | $38.90 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $60.26 Typical High $120.23 | Professional | TC · Technical part | $56.23 | $60.26 | $120.23 |
Medica Setting Facility Modifier None Typical Low $102.33 Median $123.03 Typical High $416.87 | Facility | None | $102.33 | $123.03 | $416.87 |
Medica Setting Professional Modifier None (both parts) Typical Low $112.20 Median $707.95 Typical High $707.95 | Professional | None (both parts) | $112.20 | $707.95 | $707.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $257.04 Typical High $257.04 | Professional | 26 · Professional part | $42.66 | $257.04 | $257.04 |
Medica Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $446.68 Typical High $446.68 | Professional | TC · Technical part | $70.79 | $446.68 | $446.68 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $114.82 Typical High $169.82 | Professional | None (both parts) | $104.71 | $114.82 | $169.82 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $43.65 Typical High $66.07 | Professional | 26 · Professional part | $40.74 | $43.65 | $66.07 |
United Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $72.44 Typical High $107.15 | Professional | TC · Technical part | $69.18 | $72.44 | $107.15 |
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 $52.48 Median $56.23 Typical High $56.23 | Professional | 52 · Reduced service | $52.48 | $56.23 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $22.39 Typical High $22.39 | Professional | 53 · Discontinued | $20.89 | $22.39 | $22.39 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | FX · Film X-ray | $89.13 | $89.13 | $89.13 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $81.28 Median $109.65 Typical High $109.65 | Professional | 59 · Distinct service | $81.28 | $109.65 | $109.65 |
Where Arizona sits
The same service costs 4.6 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
$115
AK $331UT $72.44
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.