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 $489.78 Median $776.25 Typical High $776.25 | Professional | None (both parts) | $489.78 | $776.25 | $776.25 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $144.54 Median $190.55 Typical High $190.55 | Professional | 26 · Professional part | $144.54 | $190.55 | $190.55 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $457.09 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $457.09 | $707.95 | $707.95 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | 26 · Professional part | $147.91 | $147.91 | $147.91 |
BCBS Arizona Setting Facility Modifier None Typical Low $537.03 Median $2,398.83 Typical High $3,630.78 | Facility | None | $537.03 | $2,398.83 | $3,630.78 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $1,584.89 | Professional | None (both parts) | $831.76 | $831.76 | $1,584.89 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $158.49 Median $158.49 Typical High $302.00 | Professional | 26 · Professional part | $158.49 | $158.49 | $302.00 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $676.08 Median $676.08 Typical High $1,288.25 | Professional | TC · Technical part | $676.08 | $676.08 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $1,380.38 Median $3,981.07 Typical High $7,244.36 | Facility | None | $1,380.38 | $3,981.07 | $7,244.36 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,071.52 Median $1,288.25 Typical High $2,570.40 | Professional | None (both parts) | $1,071.52 | $1,288.25 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $144.54 Typical High $288.40 | Professional | 26 · Professional part | $125.89 | $144.54 | $288.40 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,174.90 Typical High $2,290.87 | Professional | TC · Technical part | $1,000.00 | $1,174.90 | $2,290.87 |
Medica Setting Facility Modifier None Typical Low $691.83 Median $851.14 Typical High $4,466.84 | Facility | None | $691.83 | $851.14 | $4,466.84 |
Medica Setting Professional Modifier None (both parts) Typical Low $323.59 Median $7,079.46 Typical High $7,079.46 | Professional | None (both parts) | $323.59 | $7,079.46 | $7,079.46 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $125.89 Median $1,659.59 Typical High $1,659.59 | Professional | 26 · Professional part | $125.89 | $1,659.59 | $1,659.59 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $6,918.31 Typical High $6,918.31 | Professional | TC · Technical part | $190.55 | $6,918.31 | $6,918.31 |
United Setting Professional Modifier None (both parts) Typical Low $309.03 Median $549.54 Typical High $1,047.13 | Professional | None (both parts) | $309.03 | $549.54 | $1,047.13 |
United Setting Professional Modifier 26 · Professional part Typical Low $120.23 Median $141.25 Typical High $263.03 | Professional | 26 · Professional part | $120.23 | $141.25 | $263.03 |
United Setting Professional Modifier TC · Technical part Typical Low $177.83 Median $407.38 Typical High $812.83 | Professional | TC · Technical part | $177.83 | $407.38 | $812.83 |
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 $257.04 Median $389.05 Typical High $389.05 | Professional | 52 · Reduced service | $257.04 | $389.05 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $102.33 Median $154.88 Typical High $154.88 | Professional | 53 · Discontinued | $102.33 | $154.88 | $154.88 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $616.60 Median $616.60 Typical High $616.60 | Professional | FX · Film X-ray | $616.60 | $616.60 | $616.60 |
Where Arizona sits
The same service costs 12.3 times more in Wyoming than in Hawaii. 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· 22nd of 51
$832
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.