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 $257.04 Median $371.54 Typical High $602.56 | Professional | None (both parts) | $257.04 | $371.54 | $602.56 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $81.28 Median $125.89 Typical High $162.18 | Professional | 26 · Professional part | $81.28 | $125.89 | $162.18 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $173.78 Median $251.19 Typical High $407.38 | Professional | TC · Technical part | $173.78 | $251.19 | $407.38 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None (both parts) | $190.55 | $190.55 | $190.55 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $66.07 Median $66.07 Typical High $95.50 | Professional | 26 · Professional part | $66.07 | $66.07 | $95.50 |
BCBS Arizona Setting Facility Modifier None Typical Low $120.23 Median $549.54 Typical High $831.76 | Facility | None | $120.23 | $549.54 | $831.76 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $223.87 Median $223.87 Typical High $426.58 | Professional | None (both parts) | $223.87 | $223.87 | $426.58 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $67.61 Median $67.61 Typical High $131.83 | Professional | 26 · Professional part | $67.61 | $67.61 | $131.83 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $154.88 Median $154.88 Typical High $295.12 | Professional | TC · Technical part | $154.88 | $154.88 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $426.58 Typical High $776.25 | Facility | None | $407.38 | $426.58 | $776.25 |
Cigna Setting Professional Modifier None (both parts) Typical Low $162.18 Median $363.08 Typical High $741.31 | Professional | None (both parts) | $162.18 | $363.08 | $741.31 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $47.86 Median $69.18 Typical High $134.90 | Professional | 26 · Professional part | $47.86 | $69.18 | $134.90 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $107.15 Median $275.42 Typical High $575.44 | Professional | TC · Technical part | $107.15 | $275.42 | $575.44 |
Medica Setting Facility Modifier None Typical Low $281.84 Median $562.34 Typical High $2,570.40 | Facility | None | $281.84 | $562.34 | $2,570.40 |
Medica Setting Professional Modifier None (both parts) Typical Low $194.98 Median $2,818.38 Typical High $2,818.38 | Professional | None (both parts) | $194.98 | $2,818.38 | $2,818.38 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $575.44 Typical High $575.44 | Professional | 26 · Professional part | $60.26 | $575.44 | $575.44 |
Medica Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $2,454.71 Typical High $2,454.71 | Professional | TC · Technical part | $131.83 | $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 $194.98 Median $316.23 Typical High $501.19 | Professional | None (both parts) | $194.98 | $316.23 | $501.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $60.26 Median $63.10 Typical High $123.03 | Professional | 26 · Professional part | $60.26 | $63.10 | $123.03 |
United Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $229.09 Typical High $398.11 | Professional | TC · Technical part | $131.83 | $229.09 | $398.11 |
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 $154.88 Median $186.21 Typical High $186.21 | Professional | 52 · Reduced service | $154.88 | $186.21 | $186.21 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $61.66 Median $75.86 Typical High $75.86 | Professional | 53 · Discontinued | $61.66 | $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 6.6 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· 29th 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.