How much rates vary
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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.88 Typical High $44.67 | Professional | None (both parts) | $25.70 | $33.88 | $44.67 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $9.12 Typical High $12.88 | Professional | 26 · Professional part | $7.41 | $9.12 | $12.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $32.36 | Professional | TC · Technical part | $18.62 | $25.12 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $26.92 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $26.92 | $45.71 | $45.71 |
BCBS Arizona Setting Facility Modifier None Typical Low $17.38 Median $75.86 Typical High $112.20 | Facility | None | $17.38 | $75.86 | $112.20 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $52.48 | Professional | None (both parts) | $27.54 | $27.54 | $52.48 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $6.76 Typical High $12.88 | Professional | 26 · Professional part | $6.76 | $6.76 | $12.88 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $20.89 Typical High $39.81 | Professional | TC · Technical part | $20.89 | $20.89 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $102.33 Typical High $269.15 | Facility | None | $70.79 | $102.33 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $27.54 Typical High $54.95 | Professional | None (both parts) | $25.12 | $27.54 | $54.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $15.85 | Professional | 26 · Professional part | $7.08 | $8.32 | $15.85 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.95 Typical High $39.81 | Professional | TC · Technical part | $17.78 | $19.95 | $39.81 |
Medica Setting Facility Modifier None Typical Low $31.62 Median $37.15 Typical High $70.79 | Facility | None | $31.62 | $37.15 | $70.79 |
Medica Setting Professional Modifier None (both parts) Typical Low $27.54 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $27.54 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.13 Median $83.18 Typical High $83.18 | Professional | 26 · Professional part | $8.13 | $83.18 | $83.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $19.05 | $154.88 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $31.62 Typical High $50.12 | Professional | None (both parts) | $25.70 | $31.62 | $50.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $8.71 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $22.91 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $22.91 | $33.88 |
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 $14.45 Median $16.98 Typical High $16.98 | Professional | 52 · Reduced service | $14.45 | $16.98 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.76 Typical High $6.76 | Professional | 53 · Discontinued | $5.75 | $6.76 | $6.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $25.70 | $27.54 | $27.54 |
Where Arizona sits
The same service costs 4.1 times more in Alaska than in New York. 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· 35th of 51
$33.88
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.