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 $33.11 Median $33.11 Typical High $69.18 | Facility | None | $33.11 | $33.11 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $25.70 Median $33.11 Typical High $56.23 | Professional | None (both parts) | $25.70 | $33.11 | $56.23 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $7.08 Median $7.94 Typical High $13.49 | Professional | 26 · Professional part | $7.08 | $7.94 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $18.62 Median $25.12 Typical High $41.69 | Professional | TC · Technical part | $18.62 | $25.12 | $41.69 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $23.44 Median $23.44 Typical High $32.36 | Professional | None (both parts) | $23.44 | $23.44 | $32.36 |
BCBS Arizona Setting Facility Modifier None Typical Low $17.78 Median $75.86 Typical High $114.82 | Facility | None | $17.78 | $75.86 | $114.82 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $26.92 Median $26.92 Typical High $52.48 | Professional | None (both parts) | $26.92 | $26.92 | $52.48 |
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 $20.89 Median $20.89 Typical High $39.81 | Professional | TC · Technical part | $20.89 | $20.89 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $102.33 Typical High $269.15 | Facility | None | $69.18 | $102.33 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $25.12 Median $28.18 Typical High $56.23 | Professional | None (both parts) | $25.12 | $28.18 | $56.23 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $15.14 | Professional | 26 · Professional part | $6.76 | $7.59 | $15.14 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $20.42 Typical High $41.69 | Professional | TC · Technical part | $18.20 | $20.42 | $41.69 |
Medica Setting Facility Modifier None Typical Low $30.20 Median $36.31 Typical High $346.74 | Facility | None | $30.20 | $36.31 | $346.74 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.92 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $26.92 | $208.93 | $208.93 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.59 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $7.59 | $67.61 | $67.61 |
Medica Setting Professional Modifier TC · Technical part Typical Low $19.05 Median $158.49 Typical High $158.49 | Professional | TC · Technical part | $19.05 | $158.49 | $158.49 |
United Setting Professional Modifier None (both parts) Typical Low $25.70 Median $32.36 Typical High $46.77 | Professional | None (both parts) | $25.70 | $32.36 | $46.77 |
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 $18.20 Median $23.44 Typical High $33.88 | Professional | TC · Technical part | $18.20 | $23.44 | $33.88 |
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 $14.13 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $14.13 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $5.75 | $6.61 | $6.61 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $25.70 Median $26.30 Typical High $26.30 | Professional | FX · Film X-ray | $25.70 | $26.30 | $26.30 |
Where Arizona sits
The same service costs 3.8 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· 35th of 51
$33.11
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.