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 TC · Technical part Typical Low $380.19 Median $1,584.89 Typical High $2,570.40 | Facility | TC · Technical part | $380.19 | $1,584.89 | $2,570.40 |
Aetna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $263.03 Typical High $263.03 | Professional | None (both parts) | $223.87 | $263.03 | $263.03 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.88 Median $14.79 Typical High $14.79 | Professional | 26 · Professional part | $12.88 | $14.79 | $14.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $257.04 Typical High $257.04 | Professional | TC · Technical part | $218.78 | $257.04 | $257.04 |
BCBS Arizona Setting Facility Modifier None Typical Low $177.83 Median $758.58 Typical High $1,148.15 | Facility | None | $177.83 | $758.58 | $1,148.15 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $218.78 Median $218.78 Typical High $426.58 | Professional | None (both parts) | $218.78 | $218.78 | $426.58 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $10.96 Median $10.96 Typical High $20.89 | Professional | 26 · Professional part | $10.96 | $10.96 | $20.89 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $208.93 Median $208.93 Typical High $407.38 | Professional | TC · Technical part | $208.93 | $208.93 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $144.54 Typical High $724.44 | Facility | None | $120.23 | $144.54 | $724.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $51.29 Typical High $95.50 | Professional | None (both parts) | $40.74 | $51.29 | $95.50 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.30 Median $14.13 Typical High $28.18 | Professional | 26 · Professional part | $12.30 | $14.13 | $28.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $35.48 Typical High $67.61 | Professional | TC · Technical part | $28.84 | $35.48 | $67.61 |
Medica Setting Facility Modifier None Typical Low $25.12 Median $263.03 Typical High $371.54 | Facility | None | $25.12 | $263.03 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $52.48 Median $1,288.25 Typical High $1,288.25 | Professional | None (both parts) | $52.48 | $1,288.25 | $1,288.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $14.13 | $89.13 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $38.02 Median $1,258.93 Typical High $1,258.93 | Professional | TC · Technical part | $38.02 | $1,258.93 | $1,258.93 |
United Setting Professional Modifier None (both parts) Typical Low $50.12 Median $245.47 Typical High $380.19 | Professional | None (both parts) | $50.12 | $245.47 | $380.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $24.55 | Professional | 26 · Professional part | $13.18 | $15.14 | $24.55 |
United Setting Professional Modifier TC · Technical part Typical Low $35.48 Median $234.42 Typical High $371.54 | Professional | TC · Technical part | $35.48 | $234.42 | $371.54 |
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 $112.20 Median $131.83 Typical High $131.83 | Professional | 52 · Reduced service | $112.20 | $131.83 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $44.67 Median $52.48 Typical High $52.48 | Professional | 53 · Discontinued | $44.67 | $52.48 | $52.48 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | FX · Film X-ray | $208.93 | $208.93 | $208.93 |
Where Arizona sits
The same service costs 6.6 times more in Colorado 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· 9th of 51
$245
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.