How much rates vary
Facilitymedian $3,802 · 10th to 90th $1,380 to $9,120Professionalmedian $1,549 · 10th to 90th $1,047 to $10,000
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 $1,819.70 Median $3,090.30 Typical High $3,801.89 | Facility | None | $1,819.70 | $3,090.30 | $3,801.89 |
Aetna Setting Professional Modifier None (both parts) Typical Low $1,230.27 Median $1,230.27 Typical High $2,511.89 | Professional | None (both parts) | $1,230.27 | $1,230.27 | $2,511.89 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $154.88 Typical High $245.47 | Professional | 26 · Professional part | $95.50 | $154.88 | $245.47 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $1,071.52 Median $1,071.52 Typical High $2,630.27 | Professional | TC · Technical part | $1,071.52 | $1,071.52 | $2,630.27 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None (both parts) | $1,548.82 | $1,548.82 | $1,548.82 |
BCBS Setting Facility Modifier None Typical Low $1,479.11 Median $6,309.57 Typical High $9,549.93 | Facility | None | $1,479.11 | $6,309.57 | $9,549.93 |
BCBS Setting Professional Modifier None (both parts) Typical Low $1,862.09 Median $1,862.09 Typical High $4,365.16 | Professional | None (both parts) | $1,862.09 | $1,862.09 | $4,365.16 |
BCBS Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $199.53 | Professional | 26 · Professional part | $85.11 | $85.11 | $199.53 |
BCBS Setting Professional Modifier TC · Technical part Typical Low $1,778.28 Median $1,778.28 Typical High $4,168.69 | Professional | TC · Technical part | $1,778.28 | $1,778.28 | $4,168.69 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $1,412.54 Typical High $3,801.89 | Facility | None | $1,380.38 | $1,412.54 | $3,801.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $371.54 Median $851.14 Typical High $1,737.80 | Professional | None (both parts) | $371.54 | $851.14 | $1,737.80 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $97.72 Typical High $165.96 | Professional | 26 · Professional part | $57.54 | $97.72 | $165.96 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $1,348.96 Typical High $1,778.28 | Facility | None | $371.54 | $1,348.96 | $1,778.28 |
Medica Setting Professional Modifier None (both parts) Typical Low $1,047.13 Median $2,818.38 Typical High $10,000.00 | Professional | None (both parts) | $1,047.13 | $2,818.38 | $10,000.00 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $181.97 Typical High $2,691.53 | Professional | 26 · Professional part | $75.86 | $181.97 | $2,691.53 |
Medica Setting Professional Modifier TC · Technical part Typical Low $977.24 Median $2,630.27 Typical High $7,244.36 | Professional | TC · Technical part | $977.24 | $2,630.27 | $7,244.36 |
United Setting Professional Modifier None (both parts) Typical Low $758.58 Median $1,288.25 Typical High $3,235.94 | Professional | None (both parts) | $758.58 | $1,288.25 | $3,235.94 |
United Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $83.18 Typical High $169.82 | Professional | 26 · Professional part | $75.86 | $83.18 | $169.82 |
United Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $1,230.27 Typical High $3,090.30 | Professional | TC · Technical part | $676.08 | $1,230.27 | $3,090.30 |
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 $616.60 Median $616.60 Typical High $616.60 | Professional | 52 · Reduced service | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | 53 · Discontinued | $245.47 | $245.47 | $245.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $1,000.00 Median $1,000.00 Typical High $1,000.00 | Professional | FX · Film X-ray | $1,000.00 | $1,000.00 | $1,000.00 |
Where Arizona sits
The same service costs 15.1 times more in Nebraska than in Washington. 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· 12th of 51
$1,862
NE $3,090WA $204
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.