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 $51.29 Median $51.29 Typical High $97.72 | Facility | None | $51.29 | $51.29 | $97.72 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $51.29 Typical High $87.10 | Professional | None (both parts) | $43.65 | $51.29 | $87.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $13.49 Median $15.85 Typical High $25.12 | Professional | 26 · Professional part | $13.49 | $15.85 | $25.12 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $30.20 Median $35.48 Typical High $61.66 | Professional | TC · Technical part | $30.20 | $35.48 | $61.66 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $32.36 Median $40.74 Typical High $46.77 | Professional | None (both parts) | $32.36 | $40.74 | $46.77 |
BCBS Arizona Setting Facility Modifier None Typical Low $25.12 Median $107.15 Typical High $162.18 | Facility | None | $25.12 | $107.15 | $162.18 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $79.43 | Professional | None (both parts) | $41.69 | $41.69 | $79.43 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $11.75 Median $11.75 Typical High $22.39 | Professional | 26 · Professional part | $11.75 | $11.75 | $22.39 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $29.51 Median $29.51 Typical High $56.23 | Professional | TC · Technical part | $29.51 | $29.51 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $144.54 Typical High $331.13 | Facility | None | $109.65 | $144.54 | $331.13 |
Cigna Setting Professional Modifier None (both parts) Typical Low $40.74 Median $46.77 Typical High $89.13 | Professional | None (both parts) | $40.74 | $46.77 | $89.13 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $13.18 Median $15.14 Typical High $28.84 | Professional | 26 · Professional part | $13.18 | $15.14 | $28.84 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $27.54 Median $30.20 Typical High $60.26 | Professional | TC · Technical part | $27.54 | $30.20 | $60.26 |
Medica Setting Facility Modifier None Typical Low $50.12 Median $57.54 Typical High $107.15 | Facility | None | $50.12 | $57.54 | $107.15 |
Medica Setting Professional Modifier None (both parts) Typical Low $45.71 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $45.71 | $323.59 | $323.59 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $128.82 Typical High $128.82 | Professional | 26 · Professional part | $15.14 | $128.82 | $128.82 |
Medica Setting Professional Modifier TC · Technical part Typical Low $30.90 Median $251.19 Typical High $251.19 | Professional | TC · Technical part | $30.90 | $251.19 | $251.19 |
United Setting Professional Modifier None (both parts) Typical Low $44.67 Median $48.98 Typical High $75.86 | Professional | None (both parts) | $44.67 | $48.98 | $75.86 |
United Setting Professional Modifier 26 · Professional part Typical Low $14.45 Median $16.22 Typical High $26.30 | Professional | 26 · Professional part | $14.45 | $16.22 | $26.30 |
United Setting Professional Modifier TC · Technical part Typical Low $28.18 Median $33.11 Typical High $51.29 | Professional | TC · Technical part | $28.18 | $33.11 | $51.29 |
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 $22.39 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $22.39 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $8.91 | $10.23 | $10.23 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | FX · Film X-ray | $40.74 | $41.69 | $41.69 |
Where Arizona sits
The same service costs 4.5 times more in Alaska 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· 35th of 51
$51.29
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.