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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None (both parts) Typical Low $28.84 Median $34.67 Typical High $50.12 | Professional | None (both parts) | $28.84 | $34.67 | $50.12 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $8.51 Median $9.77 Typical High $14.45 | Professional | 26 · Professional part | $8.51 | $9.77 | $14.45 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $24.55 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $24.55 | $35.48 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $22.39 Median $25.12 Typical High $33.88 | Professional | None (both parts) | $22.39 | $25.12 | $33.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $17.38 Median $74.13 Typical High $112.20 | Facility | None | $17.38 | $74.13 | $112.20 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $27.54 Median $27.54 Typical High $53.70 | Professional | None (both parts) | $27.54 | $27.54 | $53.70 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.24 Typical High $13.80 | Professional | 26 · Professional part | $7.24 | $7.24 | $13.80 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $20.42 Typical High $38.90 | Professional | TC · Technical part | $20.42 | $20.42 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $100.00 Typical High $269.15 | Facility | None | $75.86 | $100.00 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $27.54 Median $32.36 Typical High $60.26 | Professional | None (both parts) | $27.54 | $32.36 | $60.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $7.94 Median $9.77 Typical High $18.62 | Professional | 26 · Professional part | $7.94 | $9.77 | $18.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $22.39 Typical High $41.69 | Professional | TC · Technical part | $19.05 | $22.39 | $41.69 |
Medica Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $151.36 | Facility | None | $34.67 | $38.02 | $151.36 |
Medica Setting Professional Modifier None (both parts) Typical Low $31.62 Median $218.78 Typical High $218.78 | Professional | None (both parts) | $31.62 | $218.78 | $218.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $9.77 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $9.77 | $72.44 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $22.39 Median $199.53 Typical High $199.53 | Professional | TC · Technical part | $22.39 | $199.53 | $199.53 |
United Setting Professional Modifier None (both parts) Typical Low $29.51 Median $33.11 Typical High $51.29 | Professional | None (both parts) | $29.51 | $33.11 | $51.29 |
United Setting Professional Modifier 26 · Professional part Typical Low $9.33 Median $10.47 Typical High $16.22 | Professional | 26 · Professional part | $9.33 | $10.47 | $16.22 |
United Setting Professional Modifier TC · Technical part Typical Low $20.42 Median $22.91 Typical High $35.48 | Professional | TC · Technical part | $20.42 | $22.91 | $35.48 |
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 $14.79 Median $17.38 Typical High $17.38 | Professional | 52 · Reduced service | $14.79 | $17.38 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.92 Typical High $6.92 | Professional | 53 · Discontinued | $6.03 | $6.92 | $6.92 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | FX · Film X-ray | $27.54 | $27.54 | $27.54 |
Where Arizona sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 38th of 51
$34.67
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.