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 $33.88 Median $38.90 Typical High $38.90 | Professional | None (both parts) | $33.88 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $8.32 Typical High $8.32 | Professional | 26 · Professional part | $7.59 | $8.32 | $8.32 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $26.92 Median $30.20 Typical High $30.20 | Professional | TC · Technical part | $26.92 | $30.20 | $30.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $20.89 Median $91.20 Typical High $134.90 | Facility | None | $20.89 | $91.20 | $134.90 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $30.90 Median $30.90 Typical High $58.88 | Professional | None (both parts) | $30.90 | $30.90 | $58.88 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $12.02 | Professional | 26 · Professional part | $6.17 | $6.17 | $12.02 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $24.55 Median $24.55 Typical High $47.86 | Professional | TC · Technical part | $24.55 | $24.55 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $269.15 | Facility | None | $93.33 | $123.03 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $31.62 Median $36.31 Typical High $67.61 | Professional | None (both parts) | $31.62 | $36.31 | $67.61 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $8.32 Typical High $16.22 | Professional | 26 · Professional part | $6.76 | $8.32 | $16.22 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $26.92 Typical High $52.48 | Professional | TC · Technical part | $23.99 | $26.92 | $52.48 |
Medica Setting Facility Modifier None Typical Low $38.90 Median $42.66 Typical High $79.43 | Facility | None | $38.90 | $42.66 | $79.43 |
Medica Setting Professional Modifier None (both parts) Typical Low $36.31 Median $245.47 Typical High $245.47 | Professional | None (both parts) | $36.31 | $245.47 | $245.47 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $8.32 Median $89.13 Typical High $89.13 | Professional | 26 · Professional part | $8.32 | $89.13 | $89.13 |
Medica Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $190.55 Typical High $190.55 | Professional | TC · Technical part | $27.54 | $190.55 | $190.55 |
United Setting Professional Modifier None (both parts) Typical Low $34.67 Median $36.31 Typical High $57.54 | Professional | None (both parts) | $34.67 | $36.31 | $57.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $8.71 Typical High $13.80 | Professional | 26 · Professional part | $7.94 | $8.71 | $13.80 |
United Setting Professional Modifier TC · Technical part Typical Low $26.30 Median $28.18 Typical High $45.71 | Professional | TC · Technical part | $26.30 | $28.18 | $45.71 |
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 $35.48 Median $151.36 Typical High $239.88 | Facility | FX · Film X-ray | $35.48 | $151.36 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $16.98 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $16.98 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $6.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $30.90 Median $30.90 Typical High $30.90 | Professional | FX · Film X-ray | $30.90 | $30.90 | $30.90 |
Where Arizona sits
The same service costs 3.7 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
$38.90
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.