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 $512.86 Median $1,023.29 Typical High $1,737.80 | Facility | None | $512.86 | $1,023.29 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $309.03 Median $371.54 Typical High $524.81 | Professional | None (both parts) | $309.03 | $371.54 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $125.89 Typical High $141.25 | Professional | 26 · Professional part | $81.28 | $125.89 | $141.25 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $251.19 Typical High $371.54 | Professional | TC · Technical part | $218.78 | $251.19 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
BCBS Arizona Setting Facility Modifier None Typical Low $154.88 Median $707.95 Typical High $1,071.52 | Facility | None | $154.88 | $707.95 | $1,071.52 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $257.04 Median $257.04 Typical High $501.19 | Professional | None (both parts) | $257.04 | $257.04 | $501.19 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $63.10 Typical High $123.03 | Professional | 26 · Professional part | $63.10 | $63.10 | $123.03 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $380.19 | Professional | TC · Technical part | $194.98 | $194.98 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $549.54 Typical High $1,000.00 | Facility | None | $524.81 | $549.54 | $1,000.00 |
Cigna Setting Professional Modifier None (both parts) Typical Low $186.21 Median $389.05 Typical High $776.25 | Professional | None (both parts) | $186.21 | $389.05 | $776.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $44.67 | $64.57 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $309.03 Typical High $645.65 | Professional | TC · Technical part | $134.90 | $309.03 | $645.65 |
Medica Setting Facility Modifier None Typical Low $323.59 Median $549.54 Typical High $2,570.40 | Facility | None | $323.59 | $549.54 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $223.87 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $223.87 | $2,818.38 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $630.96 Typical High $630.96 | Professional | 26 · Professional part | $56.23 | $630.96 | $630.96 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $2,454.71 Typical High $2,454.71 | Professional | TC · Technical part | $165.96 | $2,454.71 | $2,454.71 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $223.87 | $346.74 | $549.54 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $58.88 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $275.42 Typical High $446.68 | Professional | TC · Technical part | $165.96 | $275.42 | $446.68 |
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 $181.97 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $181.97 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $72.44 | $75.86 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | FX · Film X-ray | $302.00 | $302.00 | $302.00 |
Where Arizona sits
The same service costs 5.8 times more in Wyoming 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· 29th of 51
$398
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.