How much rates vary
Facilitymedian $209 · 10th to 90th $63 to $355Professionalmedian $126 · 10th to 90th $83 to $776
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 $123.03 Median $123.03 Typical High $245.47 | Facility | None | $123.03 | $123.03 | $245.47 |
Aetna Setting Professional Modifier None (both parts) Typical Low $112.20 Median $123.03 Typical High $199.53 | Professional | None (both parts) | $112.20 | $123.03 | $199.53 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $33.88 Typical High $52.48 | Professional | 26 · Professional part | $29.51 | $33.88 | $52.48 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $87.10 Typical High $141.25 | Professional | TC · Technical part | $83.18 | $87.10 | $141.25 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $74.13 Median $91.20 Typical High $117.49 | Professional | None (both parts) | $74.13 | $91.20 | $117.49 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $31.62 Typical High $46.77 | Professional | 26 · Professional part | $31.62 | $31.62 | $46.77 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | TC · Technical part | $61.66 | $61.66 | $61.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $36.31 Median $158.49 Typical High $234.42 | Facility | None | $36.31 | $158.49 | $234.42 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $77.62 Median $77.62 Typical High $147.91 | Professional | None (both parts) | $77.62 | $77.62 | $147.91 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $66.07 | Professional | 26 · Professional part | $34.67 | $34.67 | $66.07 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $43.65 Median $43.65 Typical High $81.28 | Professional | TC · Technical part | $43.65 | $43.65 | $81.28 |
Cigna Setting Facility Modifier None Typical Low $251.19 Median $316.23 Typical High $380.19 | Facility | None | $251.19 | $316.23 | $380.19 |
Cigna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $109.65 Typical High $194.98 | Professional | None (both parts) | $100.00 | $109.65 | $194.98 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $31.62 Typical High $57.54 | Professional | 26 · Professional part | $28.18 | $31.62 | $57.54 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $75.86 Typical High $144.54 | Professional | TC · Technical part | $70.79 | $75.86 | $144.54 |
Medica Setting Facility Modifier None Typical Low $123.03 Median $173.78 Typical High $537.03 | Facility | None | $123.03 | $173.78 | $537.03 |
Medica Setting Professional Modifier None (both parts) Typical Low $120.23 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $120.23 | $776.25 | $776.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.88 Median $288.40 Typical High $288.40 | Professional | 26 · Professional part | $33.88 | $288.40 | $288.40 |
Medica Setting Professional Modifier TC · Technical part Typical Low $89.13 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $89.13 | $575.44 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $112.20 Median $125.89 Typical High $181.97 | Professional | None (both parts) | $112.20 | $125.89 | $181.97 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $35.48 Typical High $53.70 | Professional | 26 · Professional part | $32.36 | $35.48 | $53.70 |
United Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $81.28 | $89.13 | $131.83 |
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 $57.54 Median $60.26 Typical High $60.26 | Professional | 52 · Reduced service | $57.54 | $60.26 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.91 Median $24.55 Typical High $24.55 | Professional | 53 · Discontinued | $22.91 | $24.55 | $24.55 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | FX · Film X-ray | $97.72 | $97.72 | $97.72 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $85.11 Median $165.96 Typical High $165.96 | Professional | 59 · Distinct service | $85.11 | $165.96 | $165.96 |
Where Arizona sits
The same service costs 3.6 times more in Alaska than in Florida. 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
$126
AK $355FL $97.72
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.