How much rates vary
Facilitymedian $145 · 10th to 90th $42 to $245Professionalmedian $74 · 10th to 90th $59 to $537
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 TC · Technical part Typical Low $61.66 Median $263.03 Typical High $426.58 | Facility | TC · Technical part | $61.66 | $263.03 | $426.58 |
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $70.79 Typical High $102.33 | Professional | None (both parts) | $60.26 | $70.79 | $102.33 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $28.84 Typical High $37.15 | Professional | 26 · Professional part | $24.55 | $28.84 | $37.15 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $42.66 Typical High $66.07 | Professional | TC · Technical part | $34.67 | $42.66 | $66.07 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $54.95 Median $95.50 Typical High $95.50 | Professional | None (both parts) | $54.95 | $95.50 | $95.50 |
BCBS Arizona Setting Facility Modifier None Typical Low $30.90 Median $131.83 Typical High $199.53 | Facility | None | $30.90 | $131.83 | $199.53 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $57.54 Median $57.54 Typical High $109.65 | Professional | None (both parts) | $57.54 | $57.54 | $109.65 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $21.38 Typical High $39.81 | Professional | 26 · Professional part | $21.38 | $21.38 | $39.81 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $36.31 Median $36.31 Typical High $69.18 | Professional | TC · Technical part | $36.31 | $36.31 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $173.78 Typical High $331.13 | Facility | None | $131.83 | $173.78 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $75.86 Typical High $120.23 | Professional | None (both parts) | $58.88 | $75.86 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $26.30 Typical High $47.86 | Professional | 26 · Professional part | $23.44 | $26.30 | $47.86 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $47.86 Typical High $75.86 | Professional | TC · Technical part | $35.48 | $47.86 | $75.86 |
Medica Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $512.86 | Facility | None | $70.79 | $77.62 | $512.86 |
Medica Setting Professional Modifier None (both parts) Typical Low $67.61 Median $537.03 Typical High $537.03 | Professional | None (both parts) | $67.61 | $537.03 | $537.03 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $28.18 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $389.05 Typical High $389.05 | Professional | TC · Technical part | $40.74 | $389.05 | $389.05 |
United Setting Professional Modifier None (both parts) Typical Low $64.57 Median $74.13 Typical High $120.23 | Professional | None (both parts) | $64.57 | $74.13 | $120.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $29.51 Typical High $44.67 | Professional | 26 · Professional part | $27.54 | $29.51 | $44.67 |
United Setting Professional Modifier TC · Technical part Typical Low $37.15 Median $45.71 Typical High $69.18 | Professional | TC · Technical part | $37.15 | $45.71 | $69.18 |
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 $33.11 Median $35.48 Typical High $35.48 | Professional | 52 · Reduced service | $33.11 | $35.48 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $14.13 Typical High $14.13 | Professional | 53 · Discontinued | $13.18 | $14.13 | $14.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | FX · Film X-ray | $57.54 | $57.54 | $57.54 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | 59 · Distinct service | $51.29 | $51.29 | $51.29 |
Where Arizona sits
The same service costs 4.4 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
$75.86
AK $214UT $48.98
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.