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 $63.10 Median $63.10 Typical High $123.03 | Facility | None | $63.10 | $63.10 | $123.03 |
Aetna Setting Professional Modifier None (both parts) Typical Low $61.66 Median $63.10 Typical High $104.71 | Professional | None (both parts) | $61.66 | $63.10 | $104.71 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $15.14 Typical High $23.44 | Professional | 26 · Professional part | $14.45 | $15.14 | $23.44 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $47.86 Typical High $81.28 | Professional | TC · Technical part | $46.77 | $47.86 | $81.28 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $60.26 Median $61.66 Typical High $61.66 | Professional | None (both parts) | $60.26 | $61.66 | $61.66 |
BCBS Arizona Setting Facility Modifier None Typical Low $34.67 Median $147.91 Typical High $223.87 | Facility | None | $34.67 | $147.91 | $223.87 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $52.48 Median $52.48 Typical High $100.00 | Professional | None (both parts) | $52.48 | $52.48 | $100.00 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $11.22 Median $11.22 Typical High $21.38 | Professional | 26 · Professional part | $11.22 | $11.22 | $21.38 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $40.74 Median $40.74 Typical High $77.62 | Professional | TC · Technical part | $40.74 | $40.74 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $194.98 Typical High $331.13 | Facility | None | $158.49 | $194.98 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $51.29 Median $64.57 Typical High $120.23 | Professional | None (both parts) | $51.29 | $64.57 | $120.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $12.59 Median $16.60 Typical High $31.62 | Professional | 26 · Professional part | $12.59 | $16.60 | $31.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $47.86 Typical High $89.13 | Professional | TC · Technical part | $39.81 | $47.86 | $89.13 |
Medica Setting Facility Modifier None Typical Low $63.10 Median $69.18 Typical High $131.83 | Facility | None | $63.10 | $69.18 | $131.83 |
Medica Setting Professional Modifier None (both parts) Typical Low $60.26 Median $398.11 Typical High $398.11 | Professional | None (both parts) | $60.26 | $398.11 | $398.11 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $151.36 Typical High $151.36 | Professional | 26 · Professional part | $15.49 | $151.36 | $151.36 |
Medica Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $309.03 Typical High $309.03 | Professional | TC · Technical part | $44.67 | $309.03 | $309.03 |
United Setting Professional Modifier None (both parts) Typical Low $60.26 Median $66.07 Typical High $107.15 | Professional | None (both parts) | $60.26 | $66.07 | $107.15 |
United Setting Professional Modifier 26 · Professional part Typical Low $15.49 Median $16.98 Typical High $26.92 | Professional | 26 · Professional part | $15.49 | $16.98 | $26.92 |
United Setting Professional Modifier TC · Technical part Typical Low $44.67 Median $48.98 Typical High $77.62 | Professional | TC · Technical part | $44.67 | $48.98 | $77.62 |
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 $28.18 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $28.18 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.48 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.48 | $12.59 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | FX · Film X-ray | $51.29 | $51.29 | $51.29 |
Where Arizona sits
The same service costs 3.6 times more in Alaska than in Texas. 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
$67.61
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.