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 $223.87 Median $223.87 Typical High $295.12 | Facility | None | $223.87 | $223.87 | $295.12 |
Aetna Setting Professional Modifier None (both parts) Typical Low $109.65 Median $154.88 Typical High $218.78 | Professional | None (both parts) | $109.65 | $154.88 | $218.78 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $50.12 Typical High $70.79 | Professional | 26 · Professional part | $31.62 | $50.12 | $70.79 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $79.43 Median $104.71 Typical High $147.91 | Professional | TC · Technical part | $79.43 | $104.71 | $147.91 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
BCBS Arizona Setting Facility Modifier None Typical Low $74.13 Median $316.23 Typical High $478.63 | Facility | None | $74.13 | $316.23 | $478.63 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $123.03 Median $123.03 Typical High $239.88 | Professional | None (both parts) | $123.03 | $123.03 | $239.88 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $37.15 Typical High $70.79 | Professional | 26 · Professional part | $37.15 | $37.15 | $70.79 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $87.10 Median $87.10 Typical High $165.96 | Professional | TC · Technical part | $87.10 | $87.10 | $165.96 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $416.87 Typical High $549.54 | Facility | None | $338.84 | $416.87 | $549.54 |
Cigna Setting Professional Modifier None (both parts) Typical Low $120.23 Median $134.90 Typical High $281.84 | Professional | None (both parts) | $120.23 | $134.90 | $281.84 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $31.62 Median $41.69 Typical High $77.62 | Professional | 26 · Professional part | $31.62 | $41.69 | $77.62 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $85.11 Median $97.72 Typical High $204.17 | Professional | TC · Technical part | $85.11 | $97.72 | $204.17 |
Medica Setting Facility Modifier None Typical Low $144.54 Median $169.82 Typical High $354.81 | Facility | None | $144.54 | $169.82 | $354.81 |
Medica Setting Professional Modifier None (both parts) Typical Low $131.83 Median $1,023.29 Typical High $1,023.29 | Professional | None (both parts) | $131.83 | $1,023.29 | $1,023.29 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $33.11 Median $309.03 Typical High $309.03 | Professional | 26 · Professional part | $33.11 | $309.03 | $309.03 |
Medica Setting Professional Modifier TC · Technical part Typical Low $100.00 Median $707.95 Typical High $707.95 | Professional | TC · Technical part | $100.00 | $707.95 | $707.95 |
United Setting Professional Modifier None (both parts) Typical Low $125.89 Median $154.88 Typical High $234.42 | Professional | None (both parts) | $125.89 | $154.88 | $234.42 |
United Setting Professional Modifier 26 · Professional part Typical Low $32.36 Median $42.66 Typical High $67.61 | Professional | 26 · Professional part | $32.36 | $42.66 | $67.61 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $104.71 Typical High $177.83 | Professional | TC · Technical part | $95.50 | $104.71 | $177.83 |
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 $69.18 Median $77.62 Typical High $77.62 | Professional | 52 · Reduced service | $69.18 | $77.62 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $30.90 Typical High $30.90 | Professional | 53 · Discontinued | $27.54 | $30.90 | $30.90 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $117.49 Median $125.89 Typical High $125.89 | Professional | FX · Film X-ray | $117.49 | $125.89 | $125.89 |
Where Arizona sits
The same service costs 4.3 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· 37th of 51
$155
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.