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 $338.84 Median $338.84 Typical High $524.81 | Professional | None (both parts) | $338.84 | $338.84 | $524.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $102.33 Median $102.33 Typical High $147.91 | Professional | 26 · Professional part | $102.33 | $102.33 | $147.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $239.88 Typical High $371.54 | Professional | TC · Technical part | $239.88 | $239.88 | $371.54 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $204.17 | Professional | None (both parts) | $181.97 | $181.97 | $204.17 |
BCBS Arizona Setting Facility Modifier None Typical Low $177.83 Median $812.83 Typical High $1,230.27 | Facility | None | $177.83 | $812.83 | $1,230.27 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $309.03 Median $309.03 Typical High $588.84 | Professional | None (both parts) | $309.03 | $309.03 | $588.84 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $81.28 Typical High $158.49 | Professional | 26 · Professional part | $81.28 | $81.28 | $158.49 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $229.09 Median $229.09 Typical High $436.52 | Professional | TC · Technical part | $229.09 | $229.09 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $630.96 Typical High $1,148.15 | Facility | None | $602.56 | $630.96 | $1,148.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $223.87 Median $446.68 Typical High $891.25 | Professional | None (both parts) | $223.87 | $446.68 | $891.25 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $81.28 Typical High $162.18 | Professional | 26 · Professional part | $57.54 | $81.28 | $162.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $158.49 Median $354.81 Typical High $741.31 | Professional | TC · Technical part | $158.49 | $354.81 | $741.31 |
Medica Setting Facility Modifier None Typical Low $338.84 Median $676.08 Typical High $2,630.27 | Facility | None | $338.84 | $676.08 | $2,630.27 |
Medica Setting Professional Modifier None (both parts) Typical Low $269.15 Median $3,388.44 Typical High $3,388.44 | Professional | None (both parts) | $269.15 | $3,388.44 | $3,388.44 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $660.69 Typical High $660.69 | Professional | 26 · Professional part | $72.44 | $660.69 | $660.69 |
Medica Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $2,951.21 Typical High $2,951.21 | Professional | TC · Technical part | $190.55 | $2,951.21 | $2,951.21 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $269.15 Median $407.38 Typical High $645.65 | Professional | None (both parts) | $269.15 | $407.38 | $645.65 |
United Setting Professional Modifier 26 · Professional part Typical Low $70.79 Median $75.86 Typical High $144.54 | Professional | 26 · Professional part | $70.79 | $75.86 | $144.54 |
United Setting Professional Modifier TC · Technical part Typical Low $190.55 Median $316.23 Typical High $501.19 | Professional | TC · Technical part | $190.55 | $316.23 | $501.19 |
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 $169.82 Median $169.82 Typical High $204.17 | Professional | 52 · Reduced service | $169.82 | $169.82 | $204.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $67.61 Median $67.61 Typical High $81.28 | Professional | 53 · Discontinued | $67.61 | $67.61 | $81.28 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | FX · Film X-ray | $275.42 | $275.42 | $275.42 |
Where Arizona sits
The same service costs 5.6 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· 27th of 51
$457
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.