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 $125.89 Median $181.97 Typical High $239.88 | Facility | None | $125.89 | $181.97 | $239.88 |
Aetna Setting Professional Modifier None (both parts) Typical Low $100.00 Median $125.89 Typical High $208.93 | Professional | None (both parts) | $100.00 | $125.89 | $208.93 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $39.81 Typical High $60.26 | Professional | 26 · Professional part | $30.20 | $39.81 | $60.26 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $70.79 Median $85.11 Typical High $147.91 | Professional | TC · Technical part | $70.79 | $85.11 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None (both parts) | $107.15 | $107.15 | $107.15 |
BCBS Arizona Setting Facility Modifier None Typical Low $61.66 Median $263.03 Typical High $398.11 | Facility | None | $61.66 | $263.03 | $398.11 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $102.33 Median $102.33 Typical High $194.98 | Professional | None (both parts) | $102.33 | $102.33 | $194.98 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $29.51 Median $29.51 Typical High $56.23 | Professional | 26 · Professional part | $29.51 | $29.51 | $56.23 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $72.44 Median $72.44 Typical High $138.04 | Professional | TC · Technical part | $72.44 | $72.44 | $138.04 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $346.74 Typical High $549.54 | Facility | None | $263.03 | $346.74 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $95.50 Median $104.71 Typical High $218.78 | Professional | None (both parts) | $95.50 | $104.71 | $218.78 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $33.88 Typical High $69.18 | Professional | 26 · Professional part | $30.20 | $33.88 | $69.18 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $64.57 Median $72.44 Typical High $154.88 | Professional | TC · Technical part | $64.57 | $72.44 | $154.88 |
Medica Setting Facility Modifier None Typical Low $114.82 Median $138.04 Typical High $371.54 | Facility | None | $114.82 | $138.04 | $371.54 |
Medica Setting Professional Modifier None (both parts) Typical Low $102.33 Median $812.83 Typical High $812.83 | Professional | None (both parts) | $102.33 | $812.83 | $812.83 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $239.88 Typical High $239.88 | Professional | 26 · Professional part | $33.11 | $239.88 | $239.88 |
Medica Setting Professional Modifier TC · Technical part Typical Low $69.18 Median $575.44 Typical High $575.44 | Professional | TC · Technical part | $69.18 | $575.44 | $575.44 |
United Setting Professional Modifier None (both parts) Typical Low $97.72 Median $123.03 Typical High $177.83 | Professional | None (both parts) | $97.72 | $123.03 | $177.83 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $38.02 Typical High $58.88 | Professional | 26 · Professional part | $32.36 | $38.02 | $58.88 |
United Setting Professional Modifier TC · Technical part Typical Low $66.07 Median $81.28 Typical High $125.89 | Professional | TC · Technical part | $66.07 | $81.28 | $125.89 |
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 $54.95 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.88 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $21.88 | $25.12 | $25.12 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | FX · Film X-ray | $100.00 | $100.00 | $100.00 |
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· 36th of 51
$126
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.