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 $22.39 Median $22.39 Typical High $32.36 | Facility | None | $22.39 | $22.39 | $32.36 |
Aetna Setting Professional Modifier None (both parts) Typical Low $21.38 Median $22.39 Typical High $39.81 | Professional | None (both parts) | $21.38 | $22.39 | $39.81 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.46 Median $7.59 Typical High $12.02 | Professional | 26 · Professional part | $6.46 | $7.59 | $12.02 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $14.13 Median $14.79 Typical High $26.30 | Professional | TC · Technical part | $14.13 | $14.79 | $26.30 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $14.45 Median $16.98 Typical High $19.50 | Professional | None (both parts) | $14.45 | $16.98 | $19.50 |
BCBS Arizona Setting Facility Modifier None Typical Low $10.47 Median $44.67 Typical High $67.61 | Facility | None | $10.47 | $44.67 | $67.61 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $18.20 Median $18.20 Typical High $34.67 | Professional | None (both parts) | $18.20 | $18.20 | $34.67 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $5.75 Median $5.75 Typical High $10.96 | Professional | 26 · Professional part | $5.75 | $5.75 | $10.96 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $12.30 Median $12.30 Typical High $23.44 | Professional | TC · Technical part | $12.30 | $12.30 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $60.26 Typical High $269.15 | Facility | None | $47.86 | $60.26 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $18.20 Median $23.44 Typical High $42.66 | Professional | None (both parts) | $18.20 | $23.44 | $42.66 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $7.08 Typical High $14.13 | Professional | 26 · Professional part | $6.17 | $7.08 | $14.13 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $12.02 Median $15.14 Typical High $28.18 | Professional | TC · Technical part | $12.02 | $15.14 | $28.18 |
Medica Setting Facility Modifier None Typical Low $22.39 Median $24.55 Typical High $173.78 | Facility | None | $22.39 | $24.55 | $173.78 |
Medica Setting Professional Modifier None (both parts) Typical Low $21.88 Median $173.78 Typical High $173.78 | Professional | None (both parts) | $21.88 | $173.78 | $173.78 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $72.44 Typical High $72.44 | Professional | 26 · Professional part | $7.24 | $72.44 | $72.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $13.80 | $147.91 | $147.91 |
United Setting Professional Modifier None (both parts) Typical Low $21.88 Median $23.44 Typical High $35.48 | Professional | None (both parts) | $21.88 | $23.44 | $35.48 |
United Setting Professional Modifier 26 · Professional part Typical Low $6.92 Median $7.94 Typical High $12.59 | Professional | 26 · Professional part | $6.92 | $7.94 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $13.80 Median $15.49 Typical High $23.99 | Professional | TC · Technical part | $13.80 | $15.49 | $23.99 |
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 $10.00 Median $11.22 Typical High $11.22 | Professional | 52 · Reduced service | $10.00 | $11.22 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.47 Typical High $4.47 | Professional | 53 · Discontinued | $4.07 | $4.47 | $4.47 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $17.38 Median $17.78 Typical High $17.78 | Professional | FX · Film X-ray | $17.38 | $17.78 | $17.78 |
Where Arizona sits
The same service costs 3.7 times more in Alaska than in Florida. 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· 37th of 51
$23.99
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.