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 $346.74 Median $346.74 Typical High $549.54 | Professional | None (both parts) | $346.74 | $346.74 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $107.15 Typical High $162.18 | Professional | 26 · Professional part | $104.71 | $107.15 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $245.47 Typical High $389.05 | Professional | TC · Technical part | $245.47 | $245.47 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | None (both parts) | $131.83 | $131.83 | $131.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $181.97 Median $831.76 Typical High $1,258.93 | Facility | None | $181.97 | $831.76 | $1,258.93 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $316.23 Median $316.23 Typical High $602.56 | Professional | None (both parts) | $316.23 | $316.23 | $602.56 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $85.11 Median $85.11 Typical High $162.18 | Professional | 26 · Professional part | $85.11 | $85.11 | $162.18 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $446.68 | Professional | TC · Technical part | $229.09 | $229.09 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $645.65 Typical High $1,174.90 | Facility | None | $616.60 | $645.65 | $1,174.90 |
Cigna Setting Professional Modifier None (both parts) Typical Low $229.09 Median $457.09 Typical High $933.25 | Professional | None (both parts) | $229.09 | $457.09 | $933.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $87.10 Typical High $173.78 | Professional | 26 · Professional part | $58.88 | $87.10 | $173.78 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $346.74 Typical High $741.31 | Professional | TC · Technical part | $158.49 | $346.74 | $741.31 |
Medica Setting Facility Modifier None Typical Low $346.74 Median $691.83 Typical High $2,691.53 | Facility | None | $346.74 | $691.83 | $2,691.53 |
Medica Setting Professional Modifier None (both parts) Typical Low $275.42 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $275.42 | $3,467.37 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $645.65 Typical High $645.65 | Professional | 26 · Professional part | $77.62 | $645.65 | $645.65 |
Medica Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $3,019.95 Typical High $3,019.95 | Professional | TC · Technical part | $194.98 | $3,019.95 | $3,019.95 |
United Setting Professional Modifier None (both parts) Typical Low $275.42 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $275.42 | $407.38 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $79.43 Typical High $154.88 | Professional | 26 · Professional part | $77.62 | $79.43 | $154.88 |
United Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $295.12 Typical High $489.78 | Professional | TC · Technical part | $194.98 | $295.12 | $489.78 |
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 $173.78 Median $173.78 Typical High $208.93 | Professional | 52 · Reduced service | $173.78 | $173.78 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $70.79 Median $70.79 Typical High $83.18 | Professional | 53 · Discontinued | $70.79 | $70.79 | $83.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | FX · Film X-ray | $281.84 | $281.84 | $281.84 |
Where Arizona sits
The same service costs 5.9 times more in Wyoming 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· 24th of 51
$468
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.