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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $141.25 Typical High $194.98 | Professional | None (both parts) | $109.65 | $141.25 | $194.98 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $30.20 Median $43.65 Typical High $58.88 | Professional | 26 · Professional part | $30.20 | $43.65 | $58.88 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $97.72 Typical High $138.04 | Professional | TC · Technical part | $79.43 | $97.72 | $138.04 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None (both parts) | $134.90 | $134.90 | $134.90 |
BCBS Arizona Setting Facility Modifier None Typical Low $67.61 Median $295.12 Typical High $436.52 | Facility | None | $67.61 | $295.12 | $436.52 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $213.80 | Professional | None (both parts) | $112.20 | $112.20 | $213.80 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $32.36 Typical High $61.66 | Professional | 26 · Professional part | $32.36 | $32.36 | $61.66 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $79.43 Typical High $154.88 | Professional | TC · Technical part | $79.43 | $79.43 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $389.05 Typical High $549.54 | Facility | None | $295.12 | $389.05 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $107.15 Median $117.49 Typical High $245.47 | Professional | None (both parts) | $107.15 | $117.49 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $30.90 Median $35.48 Typical High $70.79 | Professional | 26 · Professional part | $30.90 | $35.48 | $70.79 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $75.86 Median $83.18 Typical High $181.97 | Professional | TC · Technical part | $75.86 | $83.18 | $181.97 |
Medica Setting Facility Modifier None Typical Low $128.82 Median $154.88 Typical High $354.81 | Facility | None | $128.82 | $154.88 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $117.49 Median $933.25 Typical High $933.25 | Professional | None (both parts) | $117.49 | $933.25 | $933.25 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $269.15 Typical High $269.15 | Professional | 26 · Professional part | $33.11 | $269.15 | $269.15 |
Medica Setting Professional Modifier TC · Technical part Typical Low $83.18 Median $660.69 Typical High $660.69 | Professional | TC · Technical part | $83.18 | $660.69 | $660.69 |
United Setting Professional Modifier None (both parts) Typical Low $109.65 Median $134.90 Typical High $204.17 | Professional | None (both parts) | $109.65 | $134.90 | $204.17 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $39.81 Typical High $63.10 | Professional | 26 · Professional part | $32.36 | $39.81 | $63.10 |
United Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $95.50 Typical High $147.91 | Professional | TC · Technical part | $79.43 | $95.50 | $147.91 |
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 $63.10 Median $70.79 Typical High $70.79 | Professional | 52 · Reduced service | $63.10 | $70.79 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $28.18 Typical High $28.18 | Professional | 53 · Discontinued | $25.12 | $28.18 | $28.18 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $109.65 Median $112.20 Typical High $112.20 | Professional | FX · Film X-ray | $109.65 | $112.20 | $112.20 |
Where Arizona sits
The same service costs 3.9 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· 39th of 51
$141
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.