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 Professional Modifier None (both parts) Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | None (both parts) | $28.18 | $33.11 | $43.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.71 Typical High $11.22 | Professional | 26 · Professional part | $7.59 | $8.71 | $11.22 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $32.36 | Professional | TC · Technical part | $20.42 | $24.55 | $32.36 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None (both parts) | $32.36 | $32.36 | $32.36 |
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 $26.92 Median $26.92 Typical High $52.48 | Professional | None (both parts) | $26.92 | $26.92 | $52.48 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $6.46 Typical High $12.30 | Professional | 26 · Professional part | $6.46 | $6.46 | $12.30 |
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 $75.86 Median $100.00 Typical High $269.15 | Facility | None | $75.86 | $100.00 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $26.92 Median $30.20 Typical High $58.88 | Professional | None (both parts) | $26.92 | $30.20 | $58.88 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $16.22 | Professional | 26 · Professional part | $7.08 | $7.94 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.50 Median $21.38 Typical High $42.66 | Professional | TC · Technical part | $19.50 | $21.38 | $42.66 |
Medica Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $69.18 | Facility | None | $33.11 | $37.15 | $69.18 |
Medica Setting Professional Modifier None (both parts) Typical Low $29.51 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $29.51 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $7.94 | $66.07 | $66.07 |
Medica Setting Professional Modifier TC · Technical part Typical Low $21.38 Median $186.21 Typical High $186.21 | Professional | TC · Technical part | $21.38 | $186.21 | $186.21 |
United Setting Professional Modifier None (both parts) Typical Low $28.84 Median $31.62 Typical High $47.86 | Professional | None (both parts) | $28.84 | $31.62 | $47.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.91 Typical High $14.13 | Professional | 26 · Professional part | $7.59 | $8.91 | $14.13 |
United Setting Professional Modifier TC · Technical part Typical Low $20.89 Median $22.39 Typical High $34.67 | Professional | TC · Technical part | $20.89 | $22.39 | $34.67 |
4 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 Facility Modifier FX · Film X-ray Typical Low $28.84 Median $123.03 Typical High $199.53 | Facility | FX · Film X-ray | $28.84 | $123.03 | $199.53 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.45 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $14.45 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.75 | $6.61 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $26.30 Median $26.92 Typical High $26.92 | Professional | FX · Film X-ray | $26.30 | $26.92 | $26.92 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 38th of 51
$33.11
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.