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 $29.51 Median $33.11 Typical High $69.18 | Facility | None | $29.51 | $33.11 | $69.18 |
Aetna Setting Professional Modifier None (both parts) Typical Low $24.55 Median $29.51 Typical High $52.48 | Professional | None (both parts) | $24.55 | $29.51 | $52.48 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $6.76 Median $7.59 Typical High $13.49 | Professional | 26 · Professional part | $6.76 | $7.59 | $13.49 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $21.38 Typical High $38.90 | Professional | TC · Technical part | $17.78 | $21.38 | $38.90 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $18.20 Median $20.89 Typical High $28.18 | Professional | None (both parts) | $18.20 | $20.89 | $28.18 |
Ambetter Setting Professional Modifier TC · Technical part Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | TC · Technical part | $15.14 | $15.14 | $15.14 |
BCBS Arizona Setting Facility Modifier None Typical Low $15.49 Median $66.07 Typical High $100.00 | Facility | None | $15.49 | $66.07 | $100.00 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $23.99 Median $23.99 Typical High $45.71 | Professional | None (both parts) | $23.99 | $23.99 | $45.71 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $6.03 Median $6.03 Typical High $11.48 | Professional | 26 · Professional part | $6.03 | $6.03 | $11.48 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $18.20 Median $18.20 Typical High $34.67 | Professional | TC · Technical part | $18.20 | $18.20 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $87.10 Typical High $269.15 | Facility | None | $66.07 | $87.10 | $269.15 |
Cigna Setting Professional Modifier None (both parts) Typical Low $23.44 Median $26.30 Typical High $50.12 | Professional | None (both parts) | $23.44 | $26.30 | $50.12 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $6.31 Median $7.59 Typical High $14.45 | Professional | 26 · Professional part | $6.31 | $7.59 | $14.45 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $16.98 Median $19.05 Typical High $36.31 | Professional | TC · Technical part | $16.98 | $19.05 | $36.31 |
Medica Setting Facility Modifier None Typical Low $29.51 Median $32.36 Typical High $60.26 | Facility | None | $29.51 | $32.36 | $60.26 |
Medica Setting Professional Modifier None (both parts) Typical Low $26.30 Median $181.97 Typical High $181.97 | Professional | None (both parts) | $26.30 | $181.97 | $181.97 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $7.41 Median $67.61 Typical High $67.61 | Professional | 26 · Professional part | $7.41 | $67.61 | $67.61 |
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 $25.12 Median $28.18 Typical High $41.69 | Professional | None (both parts) | $25.12 | $28.18 | $41.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $7.24 Median $7.94 Typical High $12.59 | Professional | 26 · Professional part | $7.24 | $7.94 | $12.59 |
United Setting Professional Modifier TC · Technical part Typical Low $17.78 Median $20.42 Typical High $30.20 | Professional | TC · Technical part | $17.78 | $20.42 | $30.20 |
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 $12.59 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $12.59 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $5.01 | $5.89 | $5.89 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $22.91 Median $23.44 Typical High $23.44 | Professional | FX · Film X-ray | $22.91 | $23.44 | $23.44 |
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
$29.51
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.