How much rates vary
Facilitymedian $17 · 10th to 90th $5 to $219Professionalmedian $9 · 10th to 90th $6 to $741
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 $6.92 Median $29.51 Typical High $47.86 | Facility | TC · Technical part | $6.92 | $29.51 | $47.86 |
Aetna Setting Professional Modifier None (both parts) Typical Low $6.92 Median $7.59 Typical High $7.59 | Professional | None (both parts) | $6.92 | $7.59 | $7.59 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $2.40 Median $2.75 Typical High $2.75 | Professional | 26 · Professional part | $2.40 | $2.75 | $2.75 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $4.79 Typical High $4.79 | Professional | TC · Technical part | $4.27 | $4.79 | $4.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $3.63 Median $15.49 Typical High $23.44 | Facility | None | $3.63 | $15.49 | $23.44 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $6.31 Median $6.31 Typical High $12.02 | Professional | None (both parts) | $6.31 | $6.31 | $12.02 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $2.04 Median $2.04 Typical High $3.89 | Professional | 26 · Professional part | $2.04 | $2.04 | $3.89 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $4.27 Median $4.27 Typical High $8.13 | Professional | TC · Technical part | $4.27 | $4.27 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $17.38 Median $28.18 Typical High $331.13 | Facility | None | $17.38 | $28.18 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $5.75 Median $8.51 Typical High $24.55 | Professional | None (both parts) | $5.75 | $8.51 | $24.55 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $2.24 Median $2.63 Typical High $5.13 | Professional | 26 · Professional part | $2.24 | $2.63 | $5.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $3.55 Median $5.25 Typical High $20.89 | Professional | TC · Technical part | $3.55 | $5.25 | $20.89 |
Medica Setting Facility Modifier None Typical Low $7.59 Median $8.32 Typical High $38.90 | Facility | None | $7.59 | $8.32 | $38.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $7.24 Median $741.31 Typical High $741.31 | Professional | None (both parts) | $7.24 | $741.31 | $741.31 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $2.88 Median $81.28 Typical High $81.28 | Professional | 26 · Professional part | $2.88 | $81.28 | $81.28 |
Medica Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $741.31 Typical High $741.31 | Professional | TC · Technical part | $4.37 | $741.31 | $741.31 |
United Setting Professional Modifier None (both parts) Typical Low $7.08 Median $8.71 Typical High $23.99 | Professional | None (both parts) | $7.08 | $8.71 | $23.99 |
United Setting Professional Modifier 26 · Professional part Typical Low $2.69 Median $2.88 Typical High $4.79 | Professional | 26 · Professional part | $2.69 | $2.88 | $4.79 |
United Setting Professional Modifier TC · Technical part Typical Low $4.37 Median $5.37 Typical High $21.38 | Professional | TC · Technical part | $4.37 | $5.37 | $21.38 |
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 $3.47 Median $3.80 Typical High $3.80 | Professional | 52 · Reduced service | $3.47 | $3.80 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.51 Typical High $1.51 | Professional | 53 · Discontinued | $1.38 | $1.51 | $1.51 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $5.89 Median $6.03 Typical High $6.03 | Professional | FX · Film X-ray | $5.89 | $6.03 | $6.03 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | 59 · Distinct service | $5.13 | $5.13 | $5.13 |
Where Arizona sits
The same service costs 4.2 times more in Kansas 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· 36th of 51
$8.91
KS $23.99FL $5.75
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.