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 $288.40 Median $288.40 Typical High $478.63 | Professional | None (both parts) | $288.40 | $288.40 | $478.63 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $141.25 Median $199.53 Typical High $199.53 | Professional | 26 · Professional part | $141.25 | $199.53 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $338.84 | Professional | TC · Technical part | $229.09 | $229.09 | $338.84 |
BCBS Arizona Setting Facility Modifier None Typical Low $169.82 Median $776.25 Typical High $1,174.90 | Facility | None | $169.82 | $776.25 | $1,174.90 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $380.19 Median $380.19 Typical High $724.44 | Professional | None (both parts) | $380.19 | $380.19 | $724.44 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $162.18 Median $162.18 Typical High $309.03 | Professional | 26 · Professional part | $162.18 | $162.18 | $309.03 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $213.80 Typical High $416.87 | Professional | TC · Technical part | $213.80 | $213.80 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $457.09 Median $4,168.69 Typical High $7,585.78 | Facility | None | $457.09 | $4,168.69 | $7,585.78 |
Cigna Setting Professional Modifier None (both parts) Typical Low $1,122.02 Median $1,380.38 Typical High $2,570.40 | Professional | None (both parts) | $1,122.02 | $1,380.38 | $2,570.40 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $154.88 Typical High $295.12 | Professional | 26 · Professional part | $134.90 | $154.88 | $295.12 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $1,000.00 Median $1,258.93 Typical High $2,344.23 | Professional | TC · Technical part | $1,000.00 | $1,258.93 | $2,344.23 |
Medica Setting Facility Modifier None Typical Low $288.40 Median $933.25 Typical High $5,495.41 | Facility | None | $288.40 | $933.25 | $5,495.41 |
Medica Setting Professional Modifier None (both parts) Typical Low $295.12 Median $9,332.54 Typical High $9,332.54 | Professional | None (both parts) | $295.12 | $9,332.54 | $9,332.54 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $138.04 Median $1,000.00 Typical High $1,000.00 | Professional | 26 · Professional part | $138.04 | $1,000.00 | $1,000.00 |
Medica Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $9,120.11 Typical High $9,120.11 | Professional | TC · Technical part | $154.88 | $9,120.11 | $9,120.11 |
United Setting Professional Modifier None (both parts) Typical Low $295.12 Median $354.81 Typical High $831.76 | Professional | None (both parts) | $295.12 | $354.81 | $831.76 |
United Setting Professional Modifier 26 · Professional part Typical Low $134.90 Median $144.54 Typical High $288.40 | Professional | 26 · Professional part | $134.90 | $144.54 | $288.40 |
United Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $218.78 Typical High $478.63 | Professional | TC · Technical part | $154.88 | $218.78 | $478.63 |
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 $144.54 Median $144.54 Typical High $186.21 | Professional | 52 · Reduced service | $144.54 | $144.54 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $57.54 Median $57.54 Typical High $74.13 | Professional | 53 · Discontinued | $57.54 | $57.54 | $74.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $234.42 Median $234.42 Typical High $234.42 | Professional | FX · Film X-ray | $234.42 | $234.42 | $234.42 |
Where Arizona sits
The same service costs 13.5 times more in Wyoming than in Washington. 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· 33rd of 51
$513
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.