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 $426.58 Median $436.52 Typical High $489.78 | Professional | None (both parts) | $426.58 | $436.52 | $489.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $107.15 Median $107.15 Typical High $125.89 | Professional | 26 · Professional part | $107.15 | $107.15 | $125.89 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $302.00 Median $323.59 Typical High $346.74 | Professional | TC · Technical part | $302.00 | $323.59 | $346.74 |
BCBS Arizona Setting Facility Modifier None Typical Low $239.88 Median $1,096.48 Typical High $1,659.59 | Facility | None | $239.88 | $1,096.48 | $1,659.59 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $758.58 | Professional | None (both parts) | $389.05 | $389.05 | $758.58 |
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 $309.03 Median $309.03 Typical High $588.84 | Professional | TC · Technical part | $309.03 | $309.03 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $870.96 Typical High $1,584.89 | Facility | None | $676.08 | $870.96 | $1,584.89 |
Cigna Setting Professional Modifier None (both parts) Typical Low $288.40 Median $501.19 Typical High $1,096.48 | Professional | None (both parts) | $288.40 | $501.19 | $1,096.48 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $85.11 Typical High $165.96 | Professional | 26 · Professional part | $60.26 | $85.11 | $165.96 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $213.80 Median $389.05 Typical High $851.14 | Professional | TC · Technical part | $213.80 | $389.05 | $851.14 |
Medica Setting Facility Modifier None Typical Low $436.52 Median $645.65 Typical High $3,388.44 | Facility | None | $436.52 | $645.65 | $3,388.44 |
Medica Setting Professional Modifier None (both parts) Typical Low $346.74 Median $3,235.94 Typical High $3,235.94 | Professional | None (both parts) | $346.74 | $3,235.94 | $3,235.94 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $74.13 Median $616.60 Typical High $616.60 | Professional | 26 · Professional part | $74.13 | $616.60 | $616.60 |
Medica Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $2,754.23 Typical High $2,754.23 | Professional | TC · Technical part | $263.03 | $2,754.23 | $2,754.23 |
United Setting Professional Modifier None (both parts) Typical Low $346.74 Median $457.09 Typical High $741.31 | Professional | None (both parts) | $346.74 | $457.09 | $741.31 |
United Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $79.43 Typical High $151.36 | Professional | 26 · Professional part | $72.44 | $79.43 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $263.03 Median $371.54 Typical High $588.84 | Professional | TC · Technical part | $263.03 | $371.54 | $588.84 |
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 $213.80 Median $218.78 Typical High $234.42 | Professional | 52 · Reduced service | $213.80 | $218.78 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $87.10 Typical High $93.33 | Professional | 53 · Discontinued | $85.11 | $87.10 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | FX · Film X-ray | $346.74 | $346.74 | $346.74 |
Where Arizona sits
The same service costs 5.4 times more in Wyoming 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· 33rd of 51
$501
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.