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 $131.83 Median $562.34 Typical High $912.01 | Facility | TC · Technical part | $131.83 | $562.34 | $912.01 |
Aetna Setting Professional Modifier None (both parts) Typical Low $87.10 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $87.10 | $107.15 | $107.15 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.80 Median $15.85 Typical High $15.85 | Professional | 26 · Professional part | $13.80 | $15.85 | $15.85 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $91.20 Typical High $91.20 | Professional | TC · Technical part | $70.79 | $91.20 | $91.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $61.66 Median $269.15 Typical High $398.11 | Facility | None | $61.66 | $269.15 | $398.11 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $85.11 Median $85.11 Typical High $162.18 | Professional | None (both parts) | $85.11 | $85.11 | $162.18 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $12.02 Median $12.02 Typical High $22.91 | Professional | 26 · Professional part | $12.02 | $12.02 | $22.91 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $141.25 | Professional | TC · Technical part | $72.44 | $72.44 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $269.15 Typical High $363.08 | Facility | None | $190.55 | $269.15 | $363.08 |
Cigna Setting Professional Modifier None (both parts) Typical Low $69.18 Median $85.11 Typical High $165.96 | Professional | None (both parts) | $69.18 | $85.11 | $165.96 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $14.79 Typical High $28.84 | Professional | 26 · Professional part | $12.59 | $14.79 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $134.90 | Professional | TC · Technical part | $54.95 | $72.44 | $134.90 |
Medica Setting Facility Modifier None Typical Low $97.72 Median $117.49 Typical High $741.31 | Facility | None | $97.72 | $117.49 | $741.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $72.44 Median $616.60 Typical High $616.60 | Professional | None (both parts) | $72.44 | $616.60 | $616.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $14.79 Median $162.18 Typical High $162.18 | Professional | 26 · Professional part | $14.79 | $162.18 | $162.18 |
Medica Setting Professional Modifier TC · Technical part Typical Low $56.23 Median $512.86 Typical High $512.86 | Professional | TC · Technical part | $56.23 | $512.86 | $512.86 |
United Setting Professional Modifier None (both parts) Typical Low $67.61 Median $89.13 Typical High $134.90 | Professional | None (both parts) | $67.61 | $89.13 | $134.90 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.13 Median $15.14 Typical High $25.70 | Professional | 26 · Professional part | $14.13 | $15.14 | $25.70 |
United Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $74.13 Typical High $112.20 | Professional | TC · Technical part | $53.70 | $74.13 | $112.20 |
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 $43.65 Median $52.48 Typical High $52.48 | Professional | 52 · Reduced service | $43.65 | $52.48 | $52.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $17.38 Median $21.38 Typical High $21.38 | Professional | 53 · Discontinued | $17.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $75.86 Median $85.11 Typical High $85.11 | Professional | FX · Film X-ray | $75.86 | $85.11 | $85.11 |
Where Arizona sits
The same service costs 4.3 times more in Alaska than in New York. 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· 26th of 51
$105
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.