How much rates vary
Facilitymedian $457 · 10th to 90th $115 to $794Professionalmedian $178 · 10th to 90th $110 to $1,778
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 $151.36 Median $645.65 Typical High $1,023.29 | Facility | TC · Technical part | $151.36 | $645.65 | $1,023.29 |
Aetna Setting Professional Modifier None (both parts) Typical Low $128.82 Median $128.82 Typical High $128.82 | Professional | None (both parts) | $128.82 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 26 · Professional part | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | TC · Technical part | $102.33 | $102.33 | $102.33 |
BCBS Arizona Setting Facility Modifier None Typical Low $104.71 Median $446.68 Typical High $676.08 | Facility | None | $104.71 | $446.68 | $676.08 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $147.91 Median $147.91 Typical High $354.81 | Professional | None (both parts) | $147.91 | $147.91 | $354.81 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $24.55 Median $24.55 Typical High $58.88 | Professional | 26 · Professional part | $24.55 | $24.55 | $58.88 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $123.03 Median $123.03 Typical High $295.12 | Professional | TC · Technical part | $123.03 | $123.03 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $616.60 Typical High $1,023.29 | Facility | None | $457.09 | $616.60 | $1,023.29 |
Cigna Setting Professional Modifier None (both parts) Typical Low $102.33 Median $177.83 Typical High $302.00 | Professional | None (both parts) | $102.33 | $177.83 | $302.00 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $20.42 Median $29.51 Typical High $51.29 | Professional | 26 · Professional part | $20.42 | $29.51 | $51.29 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $141.25 Typical High $251.19 | Professional | TC · Technical part | $81.28 | $141.25 | $251.19 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $141.25 Typical High $363.08 | Facility | None | $128.82 | $141.25 | $363.08 |
Medica Setting Professional Modifier None (both parts) Typical Low $109.65 Median $331.13 Typical High $1,778.28 | Professional | None (both parts) | $109.65 | $331.13 | $1,778.28 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $58.88 Typical High $446.68 | Professional | 26 · Professional part | $22.39 | $58.88 | $446.68 |
Medica Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $281.84 Typical High $1,621.81 | Professional | TC · Technical part | $87.10 | $281.84 | $1,621.81 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $295.12 | Professional | None (both parts) | $109.65 | $154.88 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $22.39 Median $26.30 Typical High $51.29 | Professional | 26 · Professional part | $22.39 | $26.30 | $51.29 |
United Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $125.89 Typical High $245.47 | Professional | TC · Technical part | $87.10 | $125.89 | $245.47 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | 52 · Reduced service | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | 53 · Discontinued | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $102.33 Median $102.33 Typical High $102.33 | Professional | FX · Film X-ray | $102.33 | $102.33 | $102.33 |
Where Arizona sits
The same service costs 5.2 times more in Alabama than in Texas. 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· 20th of 51
$224
AL $550TX $105
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.