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 TC · Technical part Typical Low $95.50 Median $407.38 Typical High $645.65 | Facility | TC · Technical part | $95.50 | $407.38 | $645.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $109.65 Typical High $114.82 | Professional | None (both parts) | $107.15 | $109.65 | $114.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $44.67 Typical High $44.67 | Professional | 26 · Professional part | $40.74 | $44.67 | $44.67 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $64.57 Typical High $70.79 | Professional | TC · Technical part | $63.10 | $64.57 | $70.79 |
BCBS Arizona Setting Facility Modifier None Typical Low $42.66 Median $194.98 Typical High $295.12 | Facility | None | $42.66 | $194.98 | $295.12 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $87.10 Median $87.10 Typical High $165.96 | Professional | None (both parts) | $87.10 | $87.10 | $165.96 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $32.36 | $63.10 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $53.70 Median $53.70 Typical High $102.33 | Professional | TC · Technical part | $53.70 | $53.70 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $208.93 Median $331.13 Typical High $2,290.87 | Facility | None | $208.93 | $331.13 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $93.33 Median $123.03 Typical High $234.42 | Professional | None (both parts) | $93.33 | $123.03 | $234.42 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $38.02 Median $42.66 Typical High $83.18 | Professional | 26 · Professional part | $38.02 | $42.66 | $83.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $54.95 Median $72.44 Typical High $162.18 | Professional | TC · Technical part | $54.95 | $72.44 | $162.18 |
Medica Setting Facility Modifier None Typical Low $109.65 Median $239.88 Typical High $501.19 | Facility | None | $109.65 | $239.88 | $501.19 |
Medica Setting Professional Modifier None (both parts) Typical Low $114.82 Median $1,174.90 Typical High $1,174.90 | Professional | None (both parts) | $114.82 | $1,174.90 | $1,174.90 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $42.66 Median $346.74 Typical High $346.74 | Professional | 26 · Professional part | $42.66 | $346.74 | $346.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $954.99 Typical High $954.99 | Professional | TC · Technical part | $66.07 | $954.99 | $954.99 |
United Setting Professional Modifier None (both parts) Typical Low $104.71 Median $131.83 Typical High $199.53 | Professional | None (both parts) | $104.71 | $131.83 | $199.53 |
United Setting Professional Modifier 26 · Professional part Typical Low $40.74 Median $47.86 Typical High $72.44 | Professional | 26 · Professional part | $40.74 | $47.86 | $72.44 |
United Setting Professional Modifier TC · Technical part Typical Low $61.66 Median $89.13 Typical High $131.83 | Professional | TC · Technical part | $61.66 | $89.13 | $131.83 |
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 $52.48 Median $54.95 Typical High $57.54 | Professional | 52 · Reduced service | $52.48 | $54.95 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $23.44 | Professional | 53 · Discontinued | $20.89 | $21.88 | $23.44 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | FX · Film X-ray | $87.10 | $87.10 | $87.10 |
Where Arizona sits
The same service costs 4.6 times more in Alaska 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· 34th of 51
$135
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.