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 $1,819.70 | Facility | None | $512.86 | $1,023.29 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $398.11 Median $436.52 Typical High $645.65 | Professional | None (both parts) | $398.11 | $436.52 | $645.65 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $95.50 | $107.15 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $309.03 Median $331.13 Typical High $467.74 | Professional | TC · Technical part | $309.03 | $331.13 | $467.74 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $338.84 Median $338.84 Typical High $338.84 | Professional | None (both parts) | $338.84 | $338.84 | $338.84 |
BCBS Arizona Setting Facility Modifier None Typical Low $245.47 Median $1,122.02 Typical High $1,698.24 | Facility | None | $245.47 | $1,122.02 | $1,698.24 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $398.11 Median $398.11 Typical High $758.58 | Professional | None (both parts) | $398.11 | $398.11 | $758.58 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $85.11 | $162.18 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $316.23 Median $316.23 Typical High $602.56 | Professional | TC · Technical part | $316.23 | $316.23 | $602.56 |
Cigna Setting Facility Modifier None Typical Low $851.14 Median $870.96 Typical High $1,584.89 | Facility | None | $851.14 | $870.96 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $645.65 Typical High $1,288.25 | Professional | None (both parts) | $288.40 | $645.65 | $1,288.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $85.11 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $501.19 Typical High $1,148.15 | Professional | TC · Technical part | $218.78 | $501.19 | $1,148.15 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $1,047.13 Typical High $3,388.44 | Facility | None | $436.52 | $1,047.13 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $5,370.32 Typical High $5,370.32 | Professional | None (both parts) | $338.84 | $5,370.32 | $5,370.32 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $812.83 Typical High $812.83 | Professional | 26 · Professional part | $74.13 | $812.83 | $812.83 |
Medica Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $4,897.79 Typical High $4,897.79 | Professional | TC · Technical part | $257.04 | $4,897.79 | $4,897.79 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $537.03 Typical High $891.25 | Professional | None (both parts) | $338.84 | $537.03 | $891.25 |
United Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $74.13 | $79.43 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $446.68 Typical High $794.33 | Professional | TC · Technical part | $257.04 | $446.68 | $794.33 |
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 $213.80 Median $218.78 Typical High $239.88 | Professional | 52 · Reduced service | $213.80 | $218.78 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $87.10 Typical High $95.50 | Professional | 53 · Discontinued | $85.11 | $87.10 | $95.50 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | FX · Film X-ray | $354.81 | $354.81 | $354.81 |
Where Arizona sits
The same service costs 5.6 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· 32nd of 51
$537
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.