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 $302.00 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $302.00 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $83.18 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $83.18 | $125.89 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $204.17 Median $251.19 Typical High $436.52 | Professional | TC · Technical part | $204.17 | $251.19 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | None (both parts) | $223.87 | $223.87 | $223.87 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | 26 · Professional part | $66.07 | $66.07 | $66.07 |
BCBS Arizona Setting Facility Modifier None Typical Low $151.36 Median $691.83 Typical High $1,047.13 | Facility | None | $151.36 | $691.83 | $1,047.13 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $263.03 Median $263.03 Typical High $501.19 | Professional | None (both parts) | $263.03 | $263.03 | $501.19 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $131.83 | Professional | 26 · Professional part | $69.18 | $69.18 | $131.83 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $194.98 Median $194.98 Typical High $371.54 | Professional | TC · Technical part | $194.98 | $194.98 | $371.54 |
Cigna Setting Facility Modifier None Typical Low $512.86 Median $537.03 Typical High $977.24 | Facility | None | $512.86 | $537.03 | $977.24 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $407.38 Typical High $794.33 | Professional | None (both parts) | $190.55 | $407.38 | $794.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $69.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $134.90 Median $309.03 Typical High $660.69 | Professional | TC · Technical part | $134.90 | $309.03 | $660.69 |
Medica Setting Facility Modifier None Typical Low $331.13 Median $562.34 Typical High $2,570.40 | Facility | None | $331.13 | $562.34 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $229.09 Median $3,467.37 Typical High $3,467.37 | Professional | None (both parts) | $229.09 | $3,467.37 | $3,467.37 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $61.66 | $575.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $2,454.71 Typical High $2,454.71 | Professional | TC · Technical part | $165.96 | $2,454.71 | $2,454.71 |
United Setting Professional Modifier None (both parts) Typical Low $229.09 Median $354.81 Typical High $562.34 | Professional | None (both parts) | $229.09 | $354.81 | $562.34 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $63.10 Typical High $123.03 | Professional | 26 · Professional part | $58.88 | $63.10 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $165.96 Median $275.42 Typical High $436.52 | Professional | TC · Technical part | $165.96 | $275.42 | $436.52 |
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 $181.97 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $181.97 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $72.44 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $72.44 | $75.86 | $75.86 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | FX · Film X-ray | $302.00 | $302.00 | $302.00 |
Where Arizona sits
The same service costs 6.0 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· 27th of 51
$407
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.