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 $128.82 Median $549.54 Typical High $891.25 | Facility | TC · Technical part | $128.82 | $549.54 | $891.25 |
Aetna Setting Professional Modifier None (both parts) Typical Low $147.91 Median $158.49 Typical High $169.82 | Professional | None (both parts) | $147.91 | $158.49 | $169.82 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $60.26 | $67.61 | $67.61 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $89.13 Typical High $102.33 | Professional | TC · Technical part | $87.10 | $89.13 | $102.33 |
BCBS Arizona Setting Facility Modifier None Typical Low $50.12 Median $229.09 Typical High $346.74 | Facility | None | $50.12 | $229.09 | $346.74 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $109.65 Median $109.65 Typical High $208.93 | Professional | None (both parts) | $109.65 | $109.65 | $208.93 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $46.77 Median $46.77 Typical High $89.13 | Professional | 26 · Professional part | $46.77 | $46.77 | $89.13 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $63.10 Median $63.10 Typical High $120.23 | Professional | TC · Technical part | $63.10 | $63.10 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $489.78 Typical High $2,290.87 | Facility | None | $281.84 | $489.78 | $2,290.87 |
Cigna Setting Professional Modifier None (both parts) Typical Low $125.89 Median $173.78 Typical High $338.84 | Professional | None (both parts) | $125.89 | $173.78 | $338.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $63.10 Typical High $120.23 | Professional | 26 · Professional part | $54.95 | $63.10 | $120.23 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $67.61 Median $93.33 Typical High $245.47 | Professional | TC · Technical part | $67.61 | $93.33 | $245.47 |
Medica Setting Facility Modifier None Typical Low $158.49 Median $338.84 Typical High $977.24 | Facility | None | $158.49 | $338.84 | $977.24 |
Medica Setting Professional Modifier None (both parts) Typical Low $144.54 Median $1,698.24 Typical High $1,698.24 | Professional | None (both parts) | $144.54 | $1,698.24 | $1,698.24 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $489.78 Typical High $489.78 | Professional | 26 · Professional part | $63.10 | $489.78 | $489.78 |
Medica Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $1,348.96 Typical High $1,348.96 | Professional | TC · Technical part | $75.86 | $1,348.96 | $1,348.96 |
United Setting Professional Modifier None (both parts) Typical Low $134.90 Median $208.93 Typical High $295.12 | Professional | None (both parts) | $134.90 | $208.93 | $295.12 |
United Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $69.18 Typical High $107.15 | Professional | 26 · Professional part | $58.88 | $69.18 | $107.15 |
United Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $134.90 Typical High $194.98 | Professional | TC · Technical part | $72.44 | $134.90 | $194.98 |
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 $74.13 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $74.13 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 53 · Discontinued | $29.51 | $31.62 | $31.62 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $125.89 | $125.89 | $125.89 |
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· 28th of 51
$204
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.