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 $426.58 Median $1,023.29 Typical High $1,737.80 | Facility | None | $426.58 | $1,023.29 | $1,737.80 |
Aetna Setting Professional Modifier None (both parts) Typical Low $269.15 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $269.15 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $77.62 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $77.62 | $125.89 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $251.19 Typical High $436.52 | Professional | TC · Technical part | $186.21 | $251.19 | $436.52 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $199.53 Median $199.53 Typical High $204.17 | Professional | None (both parts) | $199.53 | $199.53 | $204.17 |
BCBS Arizona Setting Facility Modifier None Typical Low $134.90 Median $616.60 Typical High $933.25 | Facility | None | $134.90 | $616.60 | $933.25 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $234.42 Median $234.42 Typical High $446.68 | Professional | None (both parts) | $234.42 | $234.42 | $446.68 |
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 $169.82 Median $169.82 Typical High $331.13 | Professional | TC · Technical part | $169.82 | $169.82 | $331.13 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $467.74 Typical High $851.14 | Facility | None | $446.68 | $467.74 | $851.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $165.96 Median $363.08 Typical High $707.95 | Professional | None (both parts) | $165.96 | $363.08 | $707.95 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $44.67 Median $64.57 Typical High $131.83 | Professional | 26 · Professional part | $44.67 | $64.57 | $131.83 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $257.04 Typical High $549.54 | Professional | TC · Technical part | $114.82 | $257.04 | $549.54 |
Medica Setting Facility Modifier None Typical Low $295.12 Median $549.54 Typical High $2,570.40 | Facility | None | $295.12 | $549.54 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $199.53 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $199.53 | $2,818.38 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $57.54 Median $524.81 Typical High $524.81 | Professional | 26 · Professional part | $57.54 | $524.81 | $524.81 |
Medica Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $2,454.71 Typical High $2,454.71 | Professional | TC · Technical part | $138.04 | $2,454.71 | $2,454.71 |
United Setting Facility Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Facility | None | $398.11 | $398.11 | $398.11 |
United Setting Professional Modifier None (both parts) Typical Low $199.53 Median $281.84 Typical High $501.19 | Professional | None (both parts) | $199.53 | $281.84 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $54.95 Median $58.88 Typical High $114.82 | Professional | 26 · Professional part | $54.95 | $58.88 | $114.82 |
United Setting Professional Modifier TC · Technical part Typical Low $138.04 Median $194.98 Typical High $407.38 | Professional | TC · Technical part | $138.04 | $194.98 | $407.38 |
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 $158.49 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $158.49 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $64.57 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $64.57 | $75.86 | $75.86 |
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 13.5 times more in Vermont 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· 27th of 51
$372
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.