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 $371.54 Median $407.38 Typical High $660.69 | Professional | None (both parts) | $371.54 | $407.38 | $660.69 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $114.82 Median $138.04 Typical High $199.53 | Professional | 26 · Professional part | $114.82 | $138.04 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $269.15 Typical High $457.09 | Professional | TC · Technical part | $263.03 | $269.15 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $302.00 Median $316.23 Typical High $316.23 | Professional | None (both parts) | $302.00 | $316.23 | $316.23 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $89.13 Typical High $104.71 | Professional | 26 · Professional part | $67.61 | $89.13 | $104.71 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | TC · Technical part | $204.17 | $204.17 | $204.17 |
BCBS Arizona Setting Facility Modifier None Typical Low $199.53 Median $912.01 Typical High $1,380.38 | Facility | None | $199.53 | $912.01 | $1,380.38 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $363.08 Median $363.08 Typical High $691.83 | Professional | None (both parts) | $363.08 | $363.08 | $691.83 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $208.93 | Professional | 26 · Professional part | $107.15 | $107.15 | $208.93 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $257.04 Median $257.04 Typical High $489.78 | Professional | TC · Technical part | $257.04 | $257.04 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $707.95 Typical High $1,288.25 | Facility | None | $676.08 | $707.95 | $1,288.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $263.03 Median $537.03 Typical High $1,202.26 | Professional | None (both parts) | $263.03 | $537.03 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $75.86 Median $109.65 Typical High $213.80 | Professional | 26 · Professional part | $75.86 | $109.65 | $213.80 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $380.19 Typical High $1,071.52 | Professional | TC · Technical part | $173.78 | $380.19 | $1,071.52 |
Medica Setting Facility Modifier None Typical Low $407.38 Median $1,202.26 Typical High $3,090.30 | Facility | None | $407.38 | $1,202.26 | $3,090.30 |
Medica Setting Professional Modifier None (both parts) Typical Low $316.23 Median $6,165.95 Typical High $6,165.95 | Professional | None (both parts) | $316.23 | $6,165.95 | $6,165.95 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $97.72 Median $912.01 Typical High $912.01 | Professional | 26 · Professional part | $97.72 | $912.01 | $912.01 |
Medica Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $5,495.41 Typical High $5,495.41 | Professional | TC · Technical part | $213.80 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $316.23 Median $467.74 Typical High $812.83 | Professional | None (both parts) | $316.23 | $467.74 | $812.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $95.50 Median $100.00 Typical High $194.98 | Professional | 26 · Professional part | $95.50 | $100.00 | $194.98 |
United Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $331.13 Typical High $724.44 | Professional | TC · Technical part | $213.80 | $331.13 | $724.44 |
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 $204.17 Median $204.17 Typical High $218.78 | Professional | 52 · Reduced service | $204.17 | $204.17 | $218.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $89.13 | Professional | 53 · Discontinued | $81.28 | $81.28 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $323.59 Median $323.59 Typical High $323.59 | Professional | FX · Film X-ray | $323.59 | $323.59 | $323.59 |
Where Arizona sits
The same service costs 6.6 times more in Vermont 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· 31st of 51
$501
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.