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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None (both parts) Typical Low $42.66 Median $45.71 Typical High $75.86 | Professional | None (both parts) | $42.66 | $45.71 | $75.86 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $13.80 Typical High $21.38 | Professional | 26 · Professional part | $13.49 | $13.80 | $21.38 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $32.36 Typical High $53.70 | Professional | TC · Technical part | $28.18 | $32.36 | $53.70 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $28.84 Median $35.48 Typical High $38.90 | Professional | None (both parts) | $28.84 | $35.48 | $38.90 |
BCBS Arizona Setting Facility Modifier None Typical Low $22.39 Median $95.50 Typical High $144.54 | Facility | None | $22.39 | $95.50 | $144.54 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $70.79 | Professional | None (both parts) | $36.31 | $36.31 | $70.79 |
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 $26.30 Median $26.30 Typical High $51.29 | Professional | TC · Technical part | $26.30 | $26.30 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $100.00 Median $131.83 Typical High $331.13 | Facility | None | $100.00 | $131.83 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $37.15 Median $46.77 Typical High $87.10 | Professional | None (both parts) | $37.15 | $46.77 | $87.10 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $11.48 Median $15.49 Typical High $30.20 | Professional | 26 · Professional part | $11.48 | $15.49 | $30.20 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $25.70 Median $30.20 Typical High $56.23 | Professional | TC · Technical part | $25.70 | $30.20 | $56.23 |
Medica Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $95.50 | Facility | None | $45.71 | $51.29 | $95.50 |
Medica Setting Professional Modifier None (both parts) Typical Low $44.67 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $44.67 | $316.23 | $316.23 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $107.15 Typical High $107.15 | Professional | 26 · Professional part | $14.79 | $107.15 | $107.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $295.12 Typical High $295.12 | Professional | TC · Technical part | $30.20 | $295.12 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $47.86 Typical High $77.62 | Professional | None (both parts) | $44.67 | $47.86 | $77.62 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $16.22 Typical High $25.70 | Professional | 26 · Professional part | $14.79 | $16.22 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $30.90 Typical High $48.98 | Professional | TC · Technical part | $28.18 | $30.90 | $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 $20.89 Median $22.91 Typical High $22.91 | Professional | 52 · Reduced service | $20.89 | $22.91 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.32 Median $9.33 Typical High $9.33 | Professional | 53 · Discontinued | $8.32 | $9.33 | $9.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | FX · Film X-ray | $37.15 | $37.15 | $37.15 |
Where Arizona sits
The same service costs 4.0 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· 38th of 51
$47.86
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.