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 $61.66 Median $70.79 Typical High $93.33 | Facility | None | $61.66 | $70.79 | $93.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $39.81 Median $48.98 Typical High $70.79 | Professional | None (both parts) | $39.81 | $48.98 | $70.79 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $13.80 Typical High $19.50 | Professional | 26 · Professional part | $12.02 | $13.80 | $19.50 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $35.48 Typical High $48.98 | Professional | TC · Technical part | $28.18 | $35.48 | $48.98 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $22.39 Typical High $35.48 | Professional | None (both parts) | $22.39 | $22.39 | $35.48 |
BCBS Arizona Setting Facility Modifier None Typical Low $24.55 Median $107.15 Typical High $158.49 | Facility | None | $24.55 | $107.15 | $158.49 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $38.90 Median $38.90 Typical High $75.86 | Professional | None (both parts) | $38.90 | $38.90 | $75.86 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.00 Typical High $19.50 | Professional | 26 · Professional part | $10.00 | $10.00 | $19.50 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $28.84 Typical High $56.23 | Professional | TC · Technical part | $28.84 | $28.84 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $331.13 | Facility | None | $107.15 | $144.54 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $38.02 Median $43.65 Typical High $83.18 | Professional | None (both parts) | $38.02 | $43.65 | $83.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $13.18 Typical High $25.70 | Professional | 26 · Professional part | $11.48 | $13.18 | $25.70 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.20 Typical High $57.54 | Professional | TC · Technical part | $26.92 | $30.20 | $57.54 |
Medica Setting Facility Modifier None Typical Low $48.98 Median $53.70 Typical High $102.33 | Facility | None | $48.98 | $53.70 | $102.33 |
Medica Setting Professional Modifier None (both parts) Typical Low $42.66 Median $436.52 Typical High $436.52 | Professional | None (both parts) | $42.66 | $436.52 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $97.72 Typical High $97.72 | Professional | 26 · Professional part | $13.18 | $97.72 | $97.72 |
Medica Setting Professional Modifier TC · Technical part Typical Low $28.84 Median $426.58 Typical High $426.58 | Professional | TC · Technical part | $28.84 | $426.58 | $426.58 |
United Setting Professional Modifier None (both parts) Typical Low $41.69 Median $46.77 Typical High $70.79 | Professional | None (both parts) | $41.69 | $46.77 | $70.79 |
United Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.45 Typical High $22.91 | Professional | 26 · Professional part | $12.59 | $14.45 | $22.91 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $48.98 | Professional | TC · Technical part | $28.18 | $33.11 | $48.98 |
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 $21.38 Median $24.55 Typical High $24.55 | Professional | 52 · Reduced service | $21.38 | $24.55 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $9.77 Typical High $9.77 | Professional | 53 · Discontinued | $8.51 | $9.77 | $9.77 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $38.90 Median $39.81 Typical High $39.81 | Professional | FX · Film X-ray | $38.90 | $39.81 | $39.81 |
Where Arizona sits
The same service costs 4.1 times more in Alaska than in Utah. 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· 37th of 51
$48.98
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.