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 $32.36 Median $37.15 Typical High $69.18 | Facility | None | $32.36 | $37.15 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $32.36 Typical High $54.95 | Professional | None (both parts) | $25.12 | $32.36 | $54.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $8.32 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $8.32 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $23.99 Typical High $41.69 | Professional | TC · Technical part | $17.78 | $23.99 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $19.95 Median $22.91 Typical High $30.20 | Professional | None (both parts) | $19.95 | $22.91 | $30.20 |
BCBS Arizona Setting Facility Modifier None Typical Low $16.98 Median $74.13 Typical High $109.65 | Facility | None | $16.98 | $74.13 | $109.65 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $26.30 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $26.30 | $26.30 | $50.12 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.17 Median $6.17 Typical High $12.02 | Professional | 26 · Professional part | $6.17 | $6.17 | $12.02 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $19.95 Median $19.95 Typical High $38.90 | Professional | TC · Technical part | $19.95 | $19.95 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $97.72 Typical High $331.13 | Facility | None | $69.18 | $97.72 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $27.54 Typical High $53.70 | Professional | None (both parts) | $24.55 | $27.54 | $53.70 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $15.49 | Professional | 26 · Professional part | $6.76 | $7.59 | $15.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $19.50 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $19.50 | $38.90 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $35.48 Typical High $346.74 | Facility | None | $30.20 | $35.48 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.30 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $26.30 | $199.53 | $199.53 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $7.59 | $61.66 | $61.66 |
Medica Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $154.88 Typical High $154.88 | Professional | TC · Technical part | $18.20 | $154.88 | $154.88 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $30.90 Typical High $44.67 | Professional | None (both parts) | $25.70 | $30.90 | $44.67 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $8.71 Typical High $13.18 | Professional | 26 · Professional part | $7.24 | $8.71 | $13.18 |
United Setting Professional Modifier TC · Technical part Typical Low $17.38 Median $21.88 Typical High $31.62 | Professional | TC · Technical part | $17.38 | $21.88 | $31.62 |
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 $13.80 Median $16.22 Typical High $16.22 | Professional | 52 · Reduced service | $13.80 | $16.22 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $6.46 Typical High $6.46 | Professional | 53 · Discontinued | $5.50 | $6.46 | $6.46 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.12 Median $25.70 Typical High $25.70 | Professional | FX · Film X-ray | $25.12 | $25.70 | $25.70 |
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· 34th of 51
$31.62
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.