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 $371.54 Median $371.54 Typical High $630.96 | Professional | None (both parts) | $371.54 | $371.54 | $630.96 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $125.89 Typical High $154.88 | Professional | 26 · Professional part | $72.44 | $125.89 | $154.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $251.19 Median $257.04 Typical High $457.09 | Professional | TC · Technical part | $251.19 | $257.04 | $457.09 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | None (both parts) | $302.00 | $302.00 | $302.00 |
BCBS Arizona Setting Facility Modifier None Typical Low $229.09 Median $1,047.13 Typical High $1,584.89 | Facility | None | $229.09 | $1,047.13 | $1,584.89 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $354.81 Median $354.81 Typical High $676.08 | Professional | None (both parts) | $354.81 | $354.81 | $676.08 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $64.57 Median $64.57 Typical High $123.03 | Professional | 26 · Professional part | $64.57 | $64.57 | $123.03 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $288.40 Typical High $562.34 | Professional | TC · Technical part | $288.40 | $288.40 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $1,445.44 | Facility | None | $602.56 | $794.33 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $446.68 Typical High $954.99 | Professional | None (both parts) | $251.19 | $446.68 | $954.99 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $125.89 | Professional | 26 · Professional part | $44.67 | $64.57 | $125.89 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $346.74 Typical High $776.25 | Professional | TC · Technical part | $199.53 | $346.74 | $776.25 |
Medica Setting Facility Modifier None Typical Low $371.54 Median $549.54 Typical High $2,818.38 | Facility | None | $371.54 | $549.54 | $2,818.38 |
Medica Setting Professional Modifier None (both parts) Typical Low $302.00 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $302.00 | $2,818.38 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $56.23 Median $467.74 Typical High $467.74 | Professional | 26 · Professional part | $56.23 | $467.74 | $467.74 |
Medica Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $2,511.89 Typical High $2,511.89 | Professional | TC · Technical part | $245.47 | $2,511.89 | $2,511.89 |
United Setting Professional Modifier None (both parts) Typical Low $302.00 Median $407.38 Typical High $630.96 | Professional | None (both parts) | $302.00 | $407.38 | $630.96 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $112.20 | Professional | 26 · Professional part | $54.95 | $58.88 | $112.20 |
United Setting Professional Modifier TC · Technical part Typical Low $245.47 Median $338.84 Typical High $537.03 | Professional | TC · Technical part | $245.47 | $338.84 | $537.03 |
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 $186.21 Median $186.21 Typical High $213.80 | Professional | 52 · Reduced service | $186.21 | $186.21 | $213.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $75.86 Median $75.86 Typical High $85.11 | Professional | 53 · Discontinued | $75.86 | $75.86 | $85.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $302.00 Median $302.00 Typical High $302.00 | Professional | FX · Film X-ray | $302.00 | $302.00 | $302.00 |
Where Arizona sits
The same service costs 5.1 times more in Wyoming 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· 30th 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.