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 $512.86 Median $1,023.29 Typical High $1,819.70 | Facility | None | $512.86 | $1,023.29 | $1,819.70 |
Aetna Setting Professional Modifier None (both parts) Typical Low $416.87 Median $426.58 Typical High $707.95 | Professional | None (both parts) | $416.87 | $426.58 | $707.95 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $112.20 Median $131.83 Typical High $199.53 | Professional | 26 · Professional part | $112.20 | $131.83 | $199.53 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $288.40 Median $295.12 Typical High $478.63 | Professional | TC · Technical part | $288.40 | $295.12 | $478.63 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $275.42 Median $323.59 Typical High $323.59 | Professional | None (both parts) | $275.42 | $323.59 | $323.59 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $79.43 Median $85.11 Typical High $177.83 | Professional | 26 · Professional part | $79.43 | $85.11 | $177.83 |
BCBS Arizona Setting Facility Modifier None Typical Low $223.87 Median $1,000.00 Typical High $1,548.82 | Facility | None | $223.87 | $1,000.00 | $1,548.82 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $389.05 Median $389.05 Typical High $741.31 | Professional | None (both parts) | $389.05 | $389.05 | $741.31 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $104.71 Median $104.71 Typical High $199.53 | Professional | 26 · Professional part | $104.71 | $104.71 | $199.53 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $281.84 Median $281.84 Typical High $537.03 | Professional | TC · Technical part | $281.84 | $281.84 | $537.03 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $794.33 Typical High $1,445.44 | Facility | None | $758.58 | $794.33 | $1,445.44 |
Cigna Setting Professional Modifier None (both parts) Typical Low $281.84 Median $562.34 Typical High $1,202.26 | Professional | None (both parts) | $281.84 | $562.34 | $1,202.26 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $72.44 Median $104.71 Typical High $204.17 | Professional | 26 · Professional part | $72.44 | $104.71 | $204.17 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $199.53 Median $426.58 Typical High $1,047.13 | Professional | TC · Technical part | $199.53 | $426.58 | $1,047.13 |
Medica Setting Facility Modifier None Typical Low $426.58 Median $1,202.26 Typical High $3,311.31 | Facility | None | $426.58 | $1,202.26 | $3,311.31 |
Medica Setting Professional Modifier None (both parts) Typical Low $338.84 Median $6,025.60 Typical High $6,025.60 | Professional | None (both parts) | $338.84 | $6,025.60 | $6,025.60 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $93.33 Median $891.25 Typical High $891.25 | Professional | 26 · Professional part | $93.33 | $891.25 | $891.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $5,495.41 Typical High $5,495.41 | Professional | TC · Technical part | $239.88 | $5,495.41 | $5,495.41 |
United Setting Professional Modifier None (both parts) Typical Low $338.84 Median $501.19 Typical High $851.14 | Professional | None (both parts) | $338.84 | $501.19 | $851.14 |
United Setting Professional Modifier 26 · Professional part Typical Low $91.20 Median $97.72 Typical High $190.55 | Professional | 26 · Professional part | $91.20 | $97.72 | $190.55 |
United Setting Professional Modifier TC · Technical part Typical Low $239.88 Median $398.11 Typical High $724.44 | Professional | TC · Technical part | $239.88 | $398.11 | $724.44 |
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 $213.80 Median $213.80 Typical High $234.42 | Professional | 52 · Reduced service | $213.80 | $213.80 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $85.11 Median $85.11 Typical High $93.33 | Professional | 53 · Discontinued | $85.11 | $85.11 | $93.33 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | FX · Film X-ray | $346.74 | $346.74 | $346.74 |
Where Arizona sits
The same service costs 5.8 times more in Wyoming 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· 31st of 51
$525
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.