How much rates vary
Facilitymedian $302 · 10th to 90th $85 to $537Professionalmedian $141 · 10th to 90th $68 to $891
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 $144.54 Median $616.60 Typical High $1,000.00 | Facility | TC · Technical part | $144.54 | $616.60 | $1,000.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $56.23 Median $141.25 Typical High $169.82 | Professional | None (both parts) | $56.23 | $141.25 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $41.69 Typical High $58.88 | Professional | 26 · Professional part | $38.02 | $41.69 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $15.85 Median $100.00 Typical High $125.89 | Professional | TC · Technical part | $15.85 | $100.00 | $125.89 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | None (both parts) | $147.91 | $147.91 | $147.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $85.11 Median $363.08 Typical High $537.03 | Facility | None | $85.11 | $363.08 | $537.03 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $138.04 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $138.04 | $154.88 | $331.13 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $39.81 Median $44.67 Typical High $95.50 | Professional | 26 · Professional part | $39.81 | $44.67 | $95.50 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $112.20 Typical High $234.42 | Professional | TC · Technical part | $100.00 | $112.20 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $281.84 Typical High $549.54 | Facility | None | $77.62 | $281.84 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $83.18 Median $114.82 Typical High $199.53 | Professional | None (both parts) | $83.18 | $114.82 | $199.53 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $42.66 Typical High $72.44 | Professional | 26 · Professional part | $33.11 | $42.66 | $72.44 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $81.28 Typical High $138.04 | Professional | TC · Technical part | $28.84 | $81.28 | $138.04 |
Medica Setting Facility Modifier None Typical Low $131.83 Median $154.88 Typical High $446.68 | Facility | None | $131.83 | $154.88 | $446.68 |
Medica Setting Professional Modifier None (both parts) Typical Low $79.43 Median $275.42 Typical High $891.25 | Professional | None (both parts) | $79.43 | $275.42 | $891.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $48.98 Median $104.71 Typical High $416.87 | Professional | 26 · Professional part | $48.98 | $104.71 | $416.87 |
Medica Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $223.87 Typical High $645.65 | Professional | TC · Technical part | $25.70 | $223.87 | $645.65 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $123.03 Typical High $263.03 | Professional | None (both parts) | $67.61 | $123.03 | $263.03 |
United Setting Professional Modifier 26 · Professional part Typical Low $41.69 Median $51.29 Typical High $79.43 | Professional | 26 · Professional part | $41.69 | $51.29 | $79.43 |
United Setting Professional Modifier TC · Technical part Typical Low $16.60 Median $83.18 Typical High $177.83 | Professional | TC · Technical part | $16.60 | $83.18 | $177.83 |
3 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 $70.79 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $112.20 | $112.20 | $112.20 |
Where Arizona sits
The same service costs 6.9 times more in Alaska than in Michigan. 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· 28th of 51
$151
AK $525MI $75.86
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.