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 $41.69 Median $147.91 Typical High $281.84 | Facility | None | $41.69 | $147.91 | $281.84 |
Aetna Setting Professional Modifier None (both parts) Typical Low $33.88 Median $37.15 Typical High $66.07 | Professional | None (both parts) | $33.88 | $37.15 | $66.07 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.91 Median $9.12 Typical High $15.49 | Professional | 26 · Professional part | $8.91 | $9.12 | $15.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $28.18 Typical High $47.86 | Professional | TC · Technical part | $22.91 | $28.18 | $47.86 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $27.54 Typical High $37.15 | Professional | None (both parts) | $23.44 | $27.54 | $37.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $19.50 Median $85.11 Typical High $125.89 | Facility | None | $19.50 | $85.11 | $125.89 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $57.54 | Professional | None (both parts) | $30.20 | $30.20 | $57.54 |
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 $23.44 Median $23.44 Typical High $44.67 | Professional | TC · Technical part | $23.44 | $23.44 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $114.82 Typical High $331.13 | Facility | None | $87.10 | $114.82 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $30.20 Median $35.48 Typical High $69.18 | Professional | None (both parts) | $30.20 | $35.48 | $69.18 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $10.72 Typical High $20.42 | Professional | 26 · Professional part | $7.41 | $10.72 | $20.42 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $21.88 Median $23.99 Typical High $47.86 | Professional | TC · Technical part | $21.88 | $23.99 | $47.86 |
Medica Setting Facility Modifier None Typical Low $37.15 Median $40.74 Typical High $346.74 | Facility | None | $37.15 | $40.74 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $35.48 Median $229.09 Typical High $229.09 | Professional | None (both parts) | $35.48 | $229.09 | $229.09 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $10.47 Median $77.62 Typical High $77.62 | Professional | 26 · Professional part | $10.47 | $77.62 | $77.62 |
Medica Setting Professional Modifier TC · Technical part Typical Low $23.44 Median $213.80 Typical High $213.80 | Professional | TC · Technical part | $23.44 | $213.80 | $213.80 |
United Setting Professional Modifier None (both parts) Typical Low $33.88 Median $36.31 Typical High $56.23 | Professional | None (both parts) | $33.88 | $36.31 | $56.23 |
United Setting Professional Modifier 26 · Professional part Typical Low $10.00 Median $10.96 Typical High $17.78 | Professional | 26 · Professional part | $10.00 | $10.96 | $17.78 |
United Setting Professional Modifier TC · Technical part Typical Low $22.91 Median $25.70 Typical High $39.81 | Professional | TC · Technical part | $22.91 | $25.70 | $39.81 |
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 $16.60 Median $18.62 Typical High $18.62 | Professional | 52 · Reduced service | $16.60 | $18.62 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $7.41 Typical High $7.41 | Professional | 53 · Discontinued | $6.61 | $7.41 | $7.41 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | FX · Film X-ray | $29.51 | $29.51 | $29.51 |
Where Arizona sits
The same service costs 3.6 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· 40th of 51
$37.15
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.